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The Medical Staff Coordinator is responsible for implementing standards applicable to Medical Staff members relating to credentialing, privileging, medical meeting management, regulatory issues, accreditation and other administrative functions.
Follow established policies and procedures, objectives, safety standards, and sensitivity to confidential information.
Prepares agenda for Medical Staff Committee meetings; copy and distribute agenda packets and meeting notification. Record minutes of meetings including attendance and perform required follow-up after meeting(s).
Initiates the practitioner application for privileges process to include reappointments, temporary privileges and locum tenens application. Works with UPHP to perform primary source verification of all documentation prior to presentation of credentials file to the Medical Executive Committee. Provides and coordinates the gathering of quality improvement statistics for credentials files.
Utilizes the Cactus Database provided by UPHP to maintain a Physician data base to include current licensure (DEA, State of Michigan medical/osteopathic doctor, controlled substance), malpractice insurance, appointment/reappointment terms.
Maintains continuing knowledge of credentialing by reading appropriate journals, literature, and attending, related conferences, seminars and workshops as authorized by Supervisor.
Educates and informs Physicians and staff pertaining to credentialing issues and standards.
Maintains file systems as appropriate to the functions of the office.
Develops, in coordination with the CEO, Ongoing Professional Practice Evaluation (OPPE) for every specialty.
Responsible for attaining and maintaining the Joint Commission standards for medical staf.
Assists all Medical Staff Officers, Medical Directors, Hospital Based Employed Physicians with scheduling and form development and other administrative duties.
Assist Executive Assistant with duties as requested.
Maintains confidentiality in accordance with HIPAA regulations.
Support the culture of service excellence throughout the organization.
Actively seek ways to demonstrate a commitment to continuous improvement and participate in professional development opportunities.
Performs other related duties as assigned or requested.
Completes annual educational requirements.
Understands and adheres to Bell's compliance standards as they appear in Bell's Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy.
Keeps abreast of all pertinent federal, state and Bell regulations, laws, and policies as they presently exist and as they change or are modified.
Ensure that the staff are trained and evaluated on their knowledge of and adherence to compliance policies and procedures specific to their jobs.
Initiates enrollment with BCBS, CMS and commercial carriers for insurance reimbursement for physician services. Works directly with carriers utilizing internal and external systems.
Computer and/or keyboarding skills required. (70 WPM)Excellent human relations and oral/written communication. Excellent organizational abilities. Demonstrated teamwork skills. Ability to deal with change. Demonstrates a positive attitude towards initiating continuous improvement. Ability to respond appropriately even in challenging situations. Ability to work without direct supervision. Flexibility. Attention to detail and accuracy.
Qualifications
Minimum Education Associate Degree or equivalent Preferred: Bachelors Degree Continuing education related to Medical Staff Services.
Required Skills Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Minimum Work Experience 2-3 years Medical Staff office experience, preferably in a hospital setting.
Preferred: Current CME certification. Knowledge of medical terminology
Preferred: Prior experience in credentialing is strongly preferred. Basic knowledge of Medical Staff Bylaws, Rules and Regulations and TJC requirements preferred.
The Medical Staff Coordinator is responsible for implementing standards applicable to Medical Staff members relating to credentialing, privileging, medical meeting management, regulatory issues, accreditation and other administrative functions.
Follow established policies and procedures, objectives, safety standards, and sensitivity to confidential information.
Prepares agenda for Medical Staff Committee meetings; copy and distribute agenda packets and meeting notification. Record minutes of meetings including attendance and perform required follow-up after meeting(s).
Initiates the practitioner application for privileges process to include reappointments, temporary privileges and locum tenens application. Works with UPHP to perform primary source verification of all documentation prior to presentation of credentials file to the Medical Executive Committee. Provides and coordinates the gathering of quality improvement statistics for credentials files.
Utilizes the Cactus Database provided by UPHP to maintain a Physician data base to include current licensure (DEA, State of Michigan medical/osteopathic doctor, controlled substance), malpractice insurance, appointment/reappointment terms.
Maintains continuing knowledge of credentialing by reading appropriate journals, literature, and attending, related conferences, seminars and workshops as authorized by Supervisor.
Educates and informs Physicians and staff pertaining to credentialing issues and standards.
Maintains file systems as appropriate to the functions of the office.
Develops, in coordination with the CEO, Ongoing Professional Practice Evaluation (OPPE) for every specialty.
Responsible for attaining and maintaining the Joint Commission standards for medical staf.
Assists all Medical Staff Officers, Medical Directors, Hospital Based Employed Physicians with scheduling and form development and other administrative duties.
Assist Executive Assistant with duties as requested.
Maintains confidentiality in accordance with HIPAA regulations.
Support the culture of service excellence throughout the organization.
Actively seek ways to demonstrate a commitment to continuous improvement and participate in professional development opportunities.
Performs other related duties as assigned or requested.
Completes annual educational requirements.
Understands and adheres to Bell's compliance standards as they appear in Bell's Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy.
Keeps abreast of all pertinent federal, state and Bell regulations, laws, and policies as they presently exist and as they change or are modified.
Ensure that the staff are trained and evaluated on their knowledge of and adherence to compliance policies and procedures specific to their jobs.
Initiates enrollment with BCBS, CMS and commercial carriers for insurance reimbursement for physician services. Works directly with carriers utilizing internal and external systems.
Computer and/or keyboarding skills required. (70 WPM)Excellent human relations and oral/written communication. Excellent organizational abilities. Demonstrated teamwork skills. Ability to deal with change. Demonstrates a positive attitude towards initiating continuous improvement. Ability to respond appropriately even in challenging situations. Ability to work without direct supervision. Flexibility. Attention to detail and accuracy.
Qualifications
Minimum Education Associate Degree or equivalent Preferred: Bachelors Degree Continuing education related to Medical Staff Services.
Required Skills Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Minimum Work Experience 2-3 years Medical Staff office experience, preferably in a hospital setting.
Preferred: Current CME certification. Knowledge of medical terminology
Preferred: Prior experience in credentialing is strongly preferred. Basic knowledge of Medical Staff Bylaws, Rules and Regulations and TJC requirements preferred.
