Medical Staff Services Coordinator

WellSpan Health; York (York County); Presencial; USD 65.000 - 90.000; Jornada completa

Descripción de la vacante

WellSpan Health is seeking a credentialing specialist to provide expert liaison support to medical staff committees and leadership. The role performs complex credentialing tasks with minimal supervision, ensuring timely processing and data accuracy across physician and advanced practice provider files.

The ideal candidate has strong interpersonal skills, familiarity with credentialing systems, and the ability to interpret state regulations while safeguarding confidentiality.

Formación

• High School Diploma or GED is required.
• Associates Degree preferred.
• 2 years experience in business administration or healthcare.
• 1 year experience in medical staff services preferred.
• Medical Terminology preferred.
• Excellent interpersonal/communication skills and computer skills.

Responsabilidades

• Provides support of physician and advanced practice provider initial/provisional credentialing and reappointment processes.
• Maintains an accurate, secure, and current database of all physicians and advanced practice providers.
• Evaluates applicant eligibility for Medical Staff membership and privileges using internal and external resources.
• Leverages systems such as Symplr, Cactus, Axuall and SailPoint.
• Monitors mandatory educational and training elements (LMS and privilege-specific training).
• Investigates discrepancies and adverse information from credentialing applications or primary source verifications.
• Maintains peer review protection and awareness of legal implications in credentialing.
• Collaborates with medical staff leaders regarding confidential and time-sensitive issues.
• Drafts correspondence per state statutes and legal guidelines to request information from external sources.
• Compiles performance data for physician and APP quality profiles for review by leadership and committees.
• Presents credentialing information to Medical Staff leadership, Credentials Committee, MEC and Board for action.
• Supports the medical staff, including elected and appointed Medical Staff Officers.

Conocimientos

Interpersonal/communication skills

Medical Terminology

Computer skills

Educación

High School Diploma or GED

Associates Degree preferred

Herramientas

Symplr

Cactus

Axuall

SailPoint

Descripción del empleo

JOB DESCRIPTION

Provides highly skilled support via liaison representation to committees, medical staff departments, physicians and other entity personnel/administration. Performs complex, specialized function-related tasks with minimal supervision.

General Summary

Provides highly skilled support via liaison representation to committees, medical staff departments, physicians and other entity personnel/administration. Performs complex, specialized function-related tasks with minimal supervision.

Essential Functions

• Provides support of physician and advanced practice provider initial/provisional credentialing and reappointment processes and ensures credentialing activities are completed accurately and within appropriate timeframes.
• Provides support of credentialing by maintaining an accurate, secure, and current database of all physicians and advanced practice providers.
• Employs critical thinking and independent judgment to evaluate and determine an applicant's eligibility for Medical Staff membership and privileges. Utilizes various internal and external resources and databases to gather and analyze physician and advanced practice providers credentialing and performance data used in the reappointment, peer review, and performance improvement processes of the medical staff.
• Leverages systems such as Symplr, Cactus, Axuall and SailPoint.
• Monitors timely and satisfactory completion of mandatory educational and training elements, including, but not limited to, LMSand privilege-specific training requirements.
• Recognizes, investigates, and validates discrepancies and adverse information obtained from credentialing applications, primary source verifications, or other sources.
• Utilizes critical thinking and discretion to maintain peer review and professional conduct protection, elevate safety and quality concerns, and recognize legal implications of credentialing functions.
• Collaborates with medical staff leaders and/or senior administration regarding confidential and time sensitive issues, to guarantee accurate review of provider credentials and qualifications.
• Drafts appropriate correspondence utilizing knowledge of state statutes and legal guidelines in requesting additional information from external medical and legal sources.
• Manages the collection and compilation of performance data for physician and advanced practice provider's quality profiles, including references for low volume providers.
• Compiles, evaluates and presents accurate and complete initial/provisional and reappointment applications, as well as all pertinent credentialing and accreditation information to Medical Staff leadership, Credentials Committee, Medical Executive Committee and the Board of Directors for review and appropriate action.
• Provides support to the medical staff, particularly elected and appointed Medical Staff Officers.

Common Expectations

• Maintains adherence to required timelines in accordance with applicable section standards and expectations.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
• Inspires trust and confidence amongst stakeholders through reliability, authenticity, and accountability.

Travel Requirements

• Estimated Amount: - Travel required, with occasional travel expected across system.

Qualifications

Minimum Education

• High School Diploma or GED Required
• Associates Degree Preferred

Work Experience

• 2 years Experience in business administration or healthcare. Required
• 1 year Experience in medical staff services. Preferred

Knowledge, Skills, And Abilities

• Medical Terminology preferred.
• Excellent interpersonal/communication skills and computer skills.