Medical Staff Credentialing Coordinator

Presbyterian Healthcare Services; New Mexico; On-site; USD 42,000 - 71,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Disability insurance

Life insurance

Wellness program

Job summary

Presbyterian Healthcare Services in Socorro, NM is seeking a Medical Staff Coordinator to manage credentialing and primary source verification for Medical and Allied Health staff.

You will coordinate processes to meet federal/state requirements, investigate discrepancies, generate reports, and advise the Regional Medical Director while ensuring compliance with bylaws and accrediting standards.

Qualifications

• Associates Degree/Diploma in medical staff services studies, or a related field preferred.
• Three to five years experience in medical staff affairs/credentialing, credentials verification organization, or related field.
• Public relation skills required to be effective and behave in a professional manner when dealing with practitioners and customers.
• Requires excellent time management and organizational skills to handle multiple projects simultaneously.

Responsibilities

• Assist the Regional Medical Director and Medical Director Department leadership in managing activities to ensure a coordinated effort to fulfill departmental responsibilities within its long-range plans and goals.
• Exercises discretion and independent judgment involving the comparison and the evaluation of possible courses of action related to meeting primary source verification and credentialing requirements.
• Acts or reaches decisions independently after the various possibilities have been considered.
• Investigates discrepancies in data submittal related to applications and privileging and formulates appropriate course of action.
• Maintains statistical information relative to the departments quality indicators.
• Maintain accurate data in the credentialing database when is accessed by multiple business units within the organization.
• Responsible for orientation/training of new and current employees as it relates to departmental procedures, credentialing database, and daily work.
• Serves as a subject matter expert on appropriate national accreditation agencies and federal/state regulations pertaining to required credentialing processes.
• Maintains knowledge base of appropriate national accrediting agencies and federal/state regulations pertaining to required credentialing processes.
• Participates in organizational and internal compliance audits as appropriate
• Reviews processed initial and reappointment applications to ensure accuracy/completeness prior to Committee review.
• Develops credentialing reports for committees/clients and other internal departments.
• Assists in the review and updating of pertinent MSA documents.
• Audits the credentialing database of the appropriate department on a monthly basis, utilizing Cactus error reports and educates staff regarding data entry practices.

Skills

Public relations

Time management

Education

Associate Degree/Diploma in medical staff services

Job description

Presbyterian Healthcare Services in Socorro, NM is seeking a Medical Staff Coordinator to manage credentialing and primary source verification for Medical and Allied Health staff.

You will coordinate processes to meet federal/state requirements, investigate discrepancies, generate reports, and advise the Regional Medical Director while ensuring compliance with bylaws and accrediting standards.