Medical Staff Coordinator

Under general supervision, processes applications for initial appointment and reappointment to the Medical Staff, as well as applications for interim/temporary privileges for non-Staff members in accordance with the Medical Staff Bylaws, hospital policies, JCAHO (Joint Commission on Accreditation of Healthcare Organizations) and NCQA (National Commission on Quality Assurance) standards, and State and Federal regulations to assure that only qualified physicians provide care in the hospital.

Education

High School Diploma required. Associate’s Degree preferred or combination of education and credentialing experience.

Experience

A minimum of wo (2) years experience in a credentialing office is required to understand the complexities of credentialing and responsibilities of the Medical Staff Office as it relates to the management of the Medical Staff organization as seen through the actions of its officers, departments, committees, and members.

Skills

• Strong organization skills to be able to track applications in the various stages of the credentialing process and to maintain a large number of credentials files.
• Strong analytical skills to be able to determine the need for and to find the means/source to effectively gather further information, documentation, and/or clarification on an application.
• Strong oral and written communication skills to be able to speak and write in a clear, concise manner so that information requested and disseminated is easily understood.
• Ability to work independently under minimal supervision.

Licensures, Certifications

• Certification by the National Association Medical Staff Services as a Certified Provider Credentialing Specialist preferred

Principal Duties and Responsibilities

• Processes all applications for appointment to the Medical Staff thoroughly on a timely basis.  Ensure that all pertinent information/credentials are obtained for appropriate departmental and committee review in accordance with the requirements of the Medical Staff Bylaws, hospital policies, JCAHO and NCQA standards, and Federal and State regulations.
• Coordinates and monitor applications through the various stages of the credentialing
• process.
• Processes applications for interim/temporary privileges for non-Staff members in accordance with the established policy.
• Provides secretarial and administrative support to the Medical Staff organization and its Committee such as scheduling meetings, recording minutes, and composing correspondence.
• Develops procedures for completion of surveys, studies, and reports, as called for or as assigned

All roles must demonstrate GBMC Values:

Respect

I will treat everyone with courtesy. I will foster a healing environment.

• Treats others with fairness, kindness, and respect for personal dignity and privacy
• Listens and responds appropriately to others’ needs, feelings, and capabilities

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

• Meets and/or exceeds customer expectations
• Actively pursues learning and self-development
• Pays attention to detail; follows through

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

• Sets a positive, professional example for others
• Takes ownership of problems and does what is needed to solve them
• Appropriately plans and utilizes required resources for various job duties
• Reports to work regularly and on time

Teamwork

I will be engaged and collaborative. I will keep people informed.

• Works cooperatively and collaboratively with others for the success of the team
• Addresses and resolves conflict in a positive way
• Seeks out the ideas of others to reach the best solutions
• Acknowledges and celebrates the contribution of others

Ethical Behavior

I will always act with honesty and integrity. I will protect the patient.

• Demonstrates honesty, integrity and good judgment
• Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers

Results

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.

• Embraces change and improvement in the work environment
• Continuously seeks to improve the quality of products/services