Company: RSMC Services
Posted on: May 3, 2021
RSMC on behalf of our client
We are currently in need ofCredentialing Coordinator
Pay rate: $26.68/hr
Looking for someone to help with the credentialing
We would like someone who is familiar with our credentialing
software, ECHO, if possible, and this in an in-person, and not a
- Monday to Friday8:30AM
Roles & Responsibilities
Assists the Department Director, Medical Staff Support
Services in all medical/administrative/legalprocesses required in
and/or related to the granting and maintenance of medical staff
membershipand/or clinical privileges. Supports the purpose of the
department in support of Catholic MedicalCenters overall mission
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Under the direct supervision of the Department Director,
Medical Staff Support Services, and withinestablished Catholic
Medical Center, departmental policies and procedures, Medical Staff
Bylaws,Rules and Regulations, Credentialing Policy and other
related manuals, the incumbent performs thefollowing
- Based on standard practice,
responsible for coordinating, implementing and tracking
initialcredentialing and re-credentialing processes in accordance
with departmental, organizational,medical staff and external
policies and procedures. Keeps abreast of current requirements
andany changes from regulatory agencies (Joint Commission, state
laws and federal regulations) thatimpact these processes. Ability
to apply this knowledge to credentialing practices.
- Based on standard practice,
collects, reviews and prepares data for review by medical
staffleadership on all requests for: change in membership category,
modifications to clinical privileges,leaves of absences, temporary
privileges, resignations, expedited applications, and
- Maintains accuracy of
credentialing components of medical staff database (ECHO) system
andhospital (SMS) information system, and related upgrades, in
accordance with departmentalpolicies and procedures. Adheres to
departmental, organizational and Information Systemconfidentiality
- Responsible for coordinating,
implementing, tracking and analyzing the application and
verificationprocess for all initial appointments and reappointments
to the medical staff by obtaining primarysource verification from:
medical schools, training programs, employment affiliations, health
careinstitutions, peer references, malpractice companies, licensing
agencies, certificationorganizations, government agencies and peer
review data from internal departments. Ensures allapplications and
reapplications for medical staff privileges are comprehensive and
complete forreview and signature by the section chief and
department chair prior to presentation at theCredentials Committee
meeting, Medical Executive Committee and Board of Directors.
- Participates in all process
improvement initiatives for appointment and reappointment
processes.This includes but is not limited to review of policies,
procedures, forms and other informationrelated to the credentialing
process. Coordinates data collection and distribution with the
- Immediately informs Director of
any adverse, questionable and/or negative information receivedon
any initial appointments, reappointments, or other related
functions. Assures follow-up to allnegative responses prior to
review and recommendation by the section chief.
- Assists Credentials Committee
Chairman in supporting the Credentials Committee. Tasksinclude:
agenda preparation, synopsis preparation, meeting notices and
minutes. Ensures timelyfollow-up on any action items or
correspondence discussed at the credentials meeting.
- Provides administrative support
and gathering of information to medical staff
leadership,departments and sections. Assists in the administrative
development and preparation of criteriafor clinical privileges and
any revisions to delineations of clinical privileges.
- Provides support to Medical
Staff leadership for the completion of Focused Professional
PracticeEvaluation s (FPPE) and Ongoing Professional Practice
Evaluation (OPPE) in accordance withJoint Commission requirements
and Medical Staff Policy.
- Ability to communicate clearly
to inform and update members of the medical staff on
relevantissues. Responsible for providing critical analysis of
systems applications and exhibiting attentionto detail of
information received, in all medical staff credentialing functions
ensuring compliancewith the Medical Staff Bylaws, Rules and
Regulations, and Joint Commission standards
- Responds with accuracy and
maintains confidentiality to requests for Medical staff
informationfrom outside agencies, hospital departments and the
- Supports Medical Staff meetings
to include: assisting chairman in the development anddistribution
of agenda, records and distributes minutes, completes follow up
activities, andmaintains schedule of meetings.
- Generates and modifies as
needed, on a monthly basis, correspondence to members of theMedical
Staff on behalf of the Board of Directors.
- Ongoing professional and
educational development internally and externally is expected
tomaintain current knowledge of field
- Assists Director with special
projects and other duties as needed.
- Participates as a team member
with staff for telephone coverage, assistance with workload
andinvolvement in staff meetings.
- Exercises care in the operation
and use of equipment and reference materials. Performs
routinecleaning and preventative maintenance to ensure continuing
functioning of equipment. Maintainwork area in a clean and
- Assists in various office duties
such as filing, copying, etc.
- Associates degree
- 5 years of office support
experience in a high-volume fast paced office setting, preferably
in a health care environment.
- Excellent computer skills with
ability to operate standard software in a Windows environment.
- Excellent organizational and
communication skills and ability to work without supervision.
- Certified Provider Credentialing
Specialist (CPCS) preferred.
KNOWLEDGE, SKILLS AND ABILITIES
- Individuals must possess the
following knowledge, skills and abilities or be able to explain
anddemonstrate that the individual can perform the essential
functions of the job, with or withoutreasonable accommodation,
using some other combination of skills and abilities and to possess
thenecessary physical requirements, with or without the aid of
mechanical devices to safely perform theessential functions of the
Role Specific Skills:
- Ability to work independently as
well as in a team and handle multiple priorities at one time.
- Ability to plan and perform a
wide variety of duties requiring knowledge of appropriates
policiesand procedures. Requires considerable judgment to work
independently toward general results,devising methods, modifying or
adapting standard procedures to meet different conditions,
makingdecisions based on precedent and policy.
- Ability to demonstrate critical
thinking and analysis in all responsibilities.
- Ability to receive training and
guidelines from supervisor on non-routine duties.
Certifications & Clearance Requirements
Keywords: RSMC Services, Manchester , Credentialing Coordinator, Other , Manchester, New Hampshire
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