Emerus Holdings, Inc.
The purpose of this position is to coordinate the credentialing process for the medical staff and allied health staff members including initial appointments, re-appointments and changes in privileges. This position is responsible for maintaining standards established by the National Association of Medical Staff Services, Joint Commission and DNV.
Basic Qualifications
High School Diploma or GED, required
CPCS Certification through National Association Medical Staff Services (NAMSS) preferred – If not certified, must be working towards certification
Minimum 5 years' current credentialing experience with a hospital medical staff, required
Strong knowledge of credentialing software programs, required, MDStaff strongly preferred
Strong proficiency with Microsoft Office (Word, Excel, and Outlook), required
Position requires fluency in English; written and oral communication
Essential Job Functions
Exhibits excellent verbal/written communication and interpersonal skills. Has strong organizational skills with attention to detail and demonstrates the ability to work under pressure in a fast-paced, deadline-driven environment with a professional, positive demeanor. Must display initiative and resourcefulness with the ability to work independently with minimal supervision, while also working interdependently as part of the credentialing team.
Coordinates the credentialing process for the medical staff and allied health staff members including initial appointments, re-appointments and changes in privileges.
Ensures that only licensed, qualified physicians, who can demonstrate current clinical competence, are appointed to the Medical Staff, and are granted clinical privileges in accordance to their educational status and competencies.
Carefully reviews all applications for completeness and must be able to effectively identify/discern any issues that do not meet our standards of medical staff participation.
Brings concerns and recommendations on best practice methods to the Medical Staff Director, or in her absence, directly to the Chief Medical Staff Officer.
Acts as a liaison between the physician applicants and the hospital's Medical Executive Committee during the credentialing process by effectively communicating and responding to the applicant's questions/concerns.
Maintains up to date working knowledge of the Medical Staff Bylaws, Rules & Regulations and applicable hospital policies to ensure medical staff compliance.
Maintains up to date working knowledge of DNV accreditation standards, State and Federal laws pertaining to the medical staff and have discernment in applying them to the credentialing process as needed.
Verifies competence, medical and/or professional education, residency, internships, fellowships, additional formal training, relevant board certifications, health care affiliations, work history, military experiences, professional references, licensure and certifications, DEA, DPS certificates, malpractice coverage and privileges the applicant is requesting.
Continuously monitors incoming verifications and follows up on all pending verifications.
Performs required online queries for all appointment, re-appointments and future requests for additional privileges.
Organizes and maintains electronic credential files.
Organizes and maintains the credentialing databases ensuring accuracy and completeness.
Assists the Director of Medical Staff Services with the organization and presentation of credential files at the Medical Executive Committees.
Assists the Director of Medical Staff Services with DNV and State audits.
Other Job Functions
Attend staff meetings or other company-sponsored or mandated meetings as required
Travel to all facility locations as required
Perform additional duties as assigned
Ability to work off-hours and on call when required
Seniority level Mid-Senior level
Employment type Other
Job function Health Care Provider
Industries Hospitals and Health Care
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Basic Qualifications
High School Diploma or GED, required
CPCS Certification through National Association Medical Staff Services (NAMSS) preferred – If not certified, must be working towards certification
Minimum 5 years' current credentialing experience with a hospital medical staff, required
Strong knowledge of credentialing software programs, required, MDStaff strongly preferred
Strong proficiency with Microsoft Office (Word, Excel, and Outlook), required
Position requires fluency in English; written and oral communication
Essential Job Functions
Exhibits excellent verbal/written communication and interpersonal skills. Has strong organizational skills with attention to detail and demonstrates the ability to work under pressure in a fast-paced, deadline-driven environment with a professional, positive demeanor. Must display initiative and resourcefulness with the ability to work independently with minimal supervision, while also working interdependently as part of the credentialing team.
Coordinates the credentialing process for the medical staff and allied health staff members including initial appointments, re-appointments and changes in privileges.
Ensures that only licensed, qualified physicians, who can demonstrate current clinical competence, are appointed to the Medical Staff, and are granted clinical privileges in accordance to their educational status and competencies.
Carefully reviews all applications for completeness and must be able to effectively identify/discern any issues that do not meet our standards of medical staff participation.
Brings concerns and recommendations on best practice methods to the Medical Staff Director, or in her absence, directly to the Chief Medical Staff Officer.
Acts as a liaison between the physician applicants and the hospital's Medical Executive Committee during the credentialing process by effectively communicating and responding to the applicant's questions/concerns.
Maintains up to date working knowledge of the Medical Staff Bylaws, Rules & Regulations and applicable hospital policies to ensure medical staff compliance.
Maintains up to date working knowledge of DNV accreditation standards, State and Federal laws pertaining to the medical staff and have discernment in applying them to the credentialing process as needed.
Verifies competence, medical and/or professional education, residency, internships, fellowships, additional formal training, relevant board certifications, health care affiliations, work history, military experiences, professional references, licensure and certifications, DEA, DPS certificates, malpractice coverage and privileges the applicant is requesting.
Continuously monitors incoming verifications and follows up on all pending verifications.
Performs required online queries for all appointment, re-appointments and future requests for additional privileges.
Organizes and maintains electronic credential files.
Organizes and maintains the credentialing databases ensuring accuracy and completeness.
Assists the Director of Medical Staff Services with the organization and presentation of credential files at the Medical Executive Committees.
Assists the Director of Medical Staff Services with DNV and State audits.
Other Job Functions
Attend staff meetings or other company-sponsored or mandated meetings as required
Travel to all facility locations as required
Perform additional duties as assigned
Ability to work off-hours and on call when required
Seniority level Mid-Senior level
Employment type Other
Job function Health Care Provider
Industries Hospitals and Health Care
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