Sr Credentialing Coordinator

Job description

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One! We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South. Responsible for coordinating, monitoring and maintaining the Credentialing and Reappointment processes of Centralized Credentialing Organization. Facilitates and performs all aspects of credentialing, including appointment, reappointment, monitoring and privileging of the MHMH Medical Staff Members and Allied Health Professionals. Ensures compliance with the accrediting and regulatory agencies. Models appropriate behavior as exemplified in The Methodist Mission, Vision and Values. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence. A Brief Overview Responsible for coordinating, monitoring and maintaining the Credentialing and Reappointment processes of Centralized Credentialing Organization. Facilitates and performs all aspects of credentialing, including appointment, reappointment, monitoring and privileging of the MHMH Medical Staff Members and Allied Health Professionals. Ensures compliance with the accrediting and regulatory agencies. Models appropriate behavior as exemplified in The Methodist Mission, Vision and Values. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. What you will do Facilitates and performs all aspects of credentialing for the CCO including appointment and reappointment of Medical Staff and Allied Health Professionals in accordance with the policies and procedures and in accordance with guidelines of all Regulatory bodies including the TJC, NCQA, AAAHC and the appropriate states. Responsible for preparing files for review. Administers and maintains comprehensive practitioner database files and other records, files and reports with particular emphasis on integrity and completeness of documentation. Executes the Medical Staff and Allied Health privileging process in accordance with the MHMH Medical Staff Bylaws, Rules and Regulations, policies and procedures and in accordance with guidelines of all Regulatory bodies including the TJC and the appropriate states. Responsible for preparing files for review. Provides oversight, administrative, and technical support to the Medical Staff credentials committee facilitation in accordance with the Medical Staff Bylaws, policies and procedures. Prepares confidential or routine memoranda, letters, reports, meeting minutes and other correspondence for the Department. Performs other duties as assigned. Education/Formal Training Requirements Required - Bachelor's Degree Business Administration/Management Preferred - Associates Degree Preferred - Bachelor's Degree Healthcare Administration Work Experience Requirements Required - Credentialing 3-5 years Preferred - Substitutions Allowed: In lieu of Bachelor’s degree, the candidate must have a high school diploma or equivalent with eight (8) years of credentialing experience. 7-9 years Licenses and Certifications Requirements Required - Certified Professional Credentialing Specialist - National Association Medical Staff Services Knowledge, Skills and Abilities Skill and proficiency in performing administrative responsibilities commensurate with requisite Education/Training. Significant working knowledge of State regulatory requirements and accreditation standards, including TJC, NCQA, AAAHC, and CMS standards. Ability to function with minimal supervision and to relate and communicate effectively with high level Associates within the hospital and in the community with medical staff and their office staffs. Ability to be tactful and exercise diplomacy and good judgment. Proficient in Visual Cactus and Microsoft Word, Excel, Access, and Power Point; proficient in mainframe system, databases, and spreadsheets. Ability to type 55 words per minute with minimum errors. Ability to read and write and to communicate both orally and in writing to other individuals. Demonstrates deductive reasoning and ability to use reference materials. Ability to handle assignments independently with demonstrated analytical and interpersonal skills. Demonstrates ability to maintain excellent customer service skills and customer relations under stressful conditions. Experience with following processes and continually improving processes and workflow to gain efficiencies of performance. Ability to set priorities, coordinate multiple tasks, organize tasks, and maintain control of workflow. Supervision Provided by this Position There are no lead or supervisory responsibilities attached to this job. Physical Demands Occasional travel to other facilities, and physician offices. Ability to focus for extended periods of time requiring concentration and constant technical attention to details. The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity. Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.