Medical Staff Credentialing & Onboarding Specialist

Alameda Health System; Oakland (CA); Sur place; USD 39 000 - 51 000; Plein temps

Résumé du poste

Alameda Health System in Oakland, CA is seeking a Medical Staff Services Coordinator to assist in credentialing and privileging processes for affiliated medical staff and advanced practice providers.

You will coordinate verifications, ensure data accuracy, and collaborate with Medical Staff Leadership, Administration and Provider Enrollment to comply with bylaws, policies, and regulatory requirements.

Qualifications

• Required Education: High School diploma or equivalent.
• Required Experience: One year of Medical Staff Services, Quality Improvement or Human Resources, or the equivalent of two years’ experience as an Administrative Assistant.
• Preferred Experience: Recent experience credentialing/privileging providers in a hospital/acute care setting.
• Preferred Licenses/Certifications: Certification from the National Association of Medical Staff Services as either a CPCS or CPMSM.

Responsabilités

• Facilitates the credentialing and privileging application/reapplication process for physicians and advanced practice providers.
• Conduct primary source verifications, pursuing additional information for effective and comprehensive peer review decision-making.
• Facilitates compliance with, and maintains current knowledge of, the Joint Commission, NCQA, state and federal requirements, hospital and Medical Staff Bylaws, Rules and Regulations, Policies and Procedures.
• Manages the focused professional practice evaluation process for routine proctoring.
• Collaborates interdepartmentally with physician leaders, Human Resources, Information Systems and Provider Enrollment departments to coordinate provider onboarding.
• Conducts ongoing monitoring of licensure and federal sanctions.
• Facilitates evaluation of events or actions against a provider in accordance with the reporting obligations defined in the Medical Staff Bylaws.
• Facilitates off-cycle credentialing and privileging actions including, but not limited to, leave of absences, resignations, and status changes.
• Maintains accurate data entry, integrity and confidentiality.
• Performs databased audits/clean up as necessary.
• Provides departmental support, as needed, with all aspects of the medical staff services, credentialing and privileging functions.
• Communicates credentialing and enrollment updates to provider enrollment.
• Perform other related duties as assigned.

Formation

High School diploma or equivalent

Description du poste

Alameda Health System in Oakland, CA is seeking a Medical Staff Services Coordinator to assist in credentialing and privileging processes for affiliated medical staff and advanced practice providers.

You will coordinate verifications, ensure data accuracy, and collaborate with Medical Staff Leadership, Administration and Provider Enrollment to comply with bylaws, policies, and regulatory requirements.