Credentialing Coordinator, Medical Staff Office, Full Time, First Shift

Responsibilities

• Credentialing and Privileging Administration
• Assembles, compiles, and presents documentation to support the accurate and timely initial appointment and reappointment of Medical Staff and Advanced Practice Providers.
• Collects and verifies information from internal and external sources.
• Ensures compliance with organizational, accreditation, and regulatory requirements.
• Identifies potential credentialing issues and proactively assists in their resolution.
• Database and File Management
• Creates, maintains, and updates provider credentialing files and databases to ensure accurate, complete, and compliant records.
• Maintains physician and provider information in Cactus and other applicable systems.
• Tracks TB and other health status records as required.
• Generates reports for internal and external customers.
• Conducts quality reviews of records to ensure data integrity and compliance.
• Customer Service and Communication
• Serves as a resource for medical staff and credentialing-related inquiries.
• Collaborates with the Central Verification Office, physician offices, Patient Care Services, Medical Staff leadership, and Hospital Administration.
• Responds to requests in a timely and professional manner.
• Identifies issues and works proactively toward effective resolution.
• Committee Support
• Provides administrative support for Medical Staff and Allied Health committees.
• Prepares meeting agendas, rosters, and supporting materials.
• Records and distributes meeting minutes and summaries.
• Maintains committee documentation and records.
• Prepares timely and accurate reports for the Medical Executive Committee and other leadership groups as assigned.
• Affords assistance with the orientation of new physician members serving on credentialing committees.
• Medical Staff Office Operations
• Affords assistance in maintaining an organized and efficient Medical Staff Office.
• Provides oversight, training, and performance support for credentialing specialists, clerical staff, volunteers, and other support personnel as assigned.
• Maintains compliance with departmental policies and procedures.
• Affords assistance with the Director’s business operations, performance improvement initiatives, accreditation readiness activities, and special projects.

Qualifications

• Bachelor's degree preferred.
• CPCS (Certified Provider Credentialing Specialist) and/or CPMSM (Certified Professional Medical Services Management) certification through the National Association of Medical Staff Services (NAMSS) preferred.
• One (1) to three (3) years of physician credentialing experience with knowledge of medical staff accreditation standards required.
• Experience in a hospital, physician group, or managed care credentialing environment preferred.
• One (1) to two (2) years of hospital-based credentialing experience preferred.