Job Description
Responsibilities :
- Under the direction of the Program Manager for Credentialing Quality/Process Improvement, the Medical Staff Credentialing Coordinator provides support to the Medical Staff organization activities in a high volume, goal driven environment.
- By being the point of contact with department management, Medical Staff and hospital leadership to ensure compliance and optimal efficiency for appropriate membership and privileges throughout the tenure of a provider's tenure
- First responder to maintaining the privileging process for members of the Medical Staff as well as performing auditing functions pursuant to facility Bylaws, Rules and Regulations; Credentialing Policy and Procedures; and other applicable accreditation/payor standards.
- The Medical Staff Coordinator is expected to work independently and collaboratively at all times with colleagues in the Medical Staff Office, Credentials Verification office, Clinical Service Coordinators, and other staff within the Medical Center while facilitating continuous process
- Three years' experience in healthcare credentialing (i.e. credentials verification organization, or Medical Staff Office)
- Working knowledge of the health care and credentialing industry, regulatory agencies, and other national standards (TJC, NCQA, AAAHC)
- Experience working with MDStaff
- Experience with Primary Source Verification, principles pertaining to FPPE, OPPE and Privileging
- Experience working with Microsoft Office (Excel, Word, Outlook) and Adobe Acrobat
Preferred Skills:
- Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM)
- Previous experience with auditing Initial and Reappointment files for Physicians, Dentist and APPs
SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at https://sgainc.com/ .
SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company EEO page to request an accommodation or assistance regarding our policy.