Medical Staff Specialist
4 weeks ago
JOB SUMMARY
Under the general direction of the Chief of Revenue Cycle and Compliance, the Medical Staff Specialist provides coordination and administrative support while performing confidential, and time-sensitive functions of medical staff services. The Medical Staff Specialist will be responsible for managing all aspects of medical credentialing and privileging processes, ensuring compliance with regulatory requirements, facilitating effective communication between medical staff members and clinicians, administration, and other relevant departments, coordinating and managing meetings for medical staff services, as well as peer review monitoring and tracking.
STANDARDS OF PERFORMANCE
Communication, Collaboration and Confidentiality:
- Serve as the primary point of contact for medical staff practitioners regarding credentialing, privileging, meeting coordination inquiries and issues.
- Respond to email communications professionally and timely.
- Collaborate with department chairs, medical directors, chiefs, administration, practitioners, and other departments within the organization to ensure effective communication and coordination of activities.
- Maintain confidentiality of sensitive medical staff information and adhere to HIPAA regulations.
Compliance Regulatory Monitoring and Requirements:
- Ensure compliance with state, federal, and accrediting agency regulations regarding medical staff credentialing and privileges.
- Maintain comprehensive knowledge of relevant regulations, accreditation standards, and implement necessary updates and changes as required.
- Monitor compliance with established policies, processes and procedures, and bylaws through regular audits, assessments, and evaluations.
- Review and revise existing policies, procedures, and processes annually and as needed.
Credentialing and Privileging:
- Oversee the entire credentialing process for all medical staff members and clinicians, including physicians, advanced practice practitioners, and allied health professionals.
- Process credentialing applications and Board approvals, complete appropriate checklists, and follow-up on pertinent documentation and requests.
- Verify and maintain accurate and up-to-date documentation, including licensure, certifications, malpractice insurance, education, training credentials, peer references, and hospital affiliations.
- Perform background checks, primary source verifications, and evaluation of malpractice claims.
- Coordinate the privileging process, including reviewing and approving clinical privileges based on qualifications and scope of practice.
Database Management:
- Utilize credentialing software to manage electronic files and track credentialing and privileged activities.
- Generate reports and analyze data related to medical staff credentialing and privilege processes.
- Maintain accurate and up-to-date credentialing files for all medical staff members and clinicians, ensuring compliance with regulatory standards and hospital policies.
Meeting Coordination:
- Coordinate meetings related to medical staff services, including conference room reservations, scheduling, and meeting reminders; place catering orders; prepare agendas and packets; record and complete meeting minutes and PowerPoint presentations; and follow up on action items.
- Ensure timely distribution of meeting materials and follow-up on action items.
Peer Review Monitoring and Tracking:
- Assist in the monitoring and tracking of peer review activities, including case reviews, quality improvement initiatives, and peer evaluation processes.
- Maintain confidentiality and integrity in handling peer review information.
Quality Improvement:
- Participate in quality improvement initiatives and meetings related to medical staff credentialing, privileges, and peer review processes.
- Identify opportunities for process improvement and implement strategies to enhance efficiency and accuracy.
Minimum Level of Education: High School Diploma required. Bachelor's degree in healthcare administration, business administration, or related field preferred.
Formal Training: Strong organizational skills, critical thinking and attention to detail, and analytical skills. Knowledge of medical staff credentialing processes, including CMS, Joint Commission, and state regulatory requirements. Excellent communication and interpersonal skills, with the ability to interact effectively with medical staff members, administrators, and external agencies.
Licensure, Certification, Registration: None Required. Certification by the National Association of Medical Staff Services (NAMSS) is preferred.
Work Experience: Minimum of 2 years of experience in medical staff services, credentialing, or related healthcare administration roles.
Computer Skills: Proficiency in Microsoft Office Suite (Outlook, Excel, Word, and PowerPoint). Medical Credentialing Software Application is a plus.
-
Medical Staff Specialist
2 weeks ago
Springfield, United States Effingham Health System Full timeJOB SUMMARYUnder the general direction of the Chief of Revenue Cycle and Compliance, the Medical Staff Specialist provides coordination and administrative support while performing confidential, and time-sensitive functions of medical staff services. The Medical Staff Specialist will be responsible for managing all aspects of medical credentialing and...
-
Medical Staff Specialist
6 days ago
Springfield, United States Effingham Health System Full timeJOB SUMMARY Under the general direction of the Chief of Revenue Cycle and Compliance, the Medical Staff Specialist provides coordination and administrative support while performing confidential, and time-sensitive functions of medical staff services. The Medical Staff Specialist will be responsible for managing all aspects of medical credentialing and...
-
Medication Prior Authorization Specialist
2 weeks ago
Springfield, United States Memorial Health University Medical Center Full timeOverview: Under general supervision reviews and completes all medication prior authorizations, tier exception requests, and formulary inquiries for Memorial Medical Group patients. Primarily focusing on outpatient pharmacy requests, partners with Memorial Medical Group to provide a resource for timely outpatient medications that will increase clinical and...
-
Mobility Specialist
24 hours ago
Springfield, United States Springfield Public Schools Full time***Open Until Filled*** The Mobility Specialist is responsible for evaluating and providing educationally-based mobility and orientation services to visually impaired students with Individual Education Programs in the schools. Serves as a resource to school staff members in the development of a balanced program to promote visually...
-
CoxHealth Medical Transport Specialist
3 weeks ago
Springfield, United States CoxHealth Full timeSummary Job Summary The Medical Transport Specialist is responsible for providing and facilitating non-emergency patient transportation. Responsible for transporting patients from the pickup location to their destination in a timely manner. Maintain a clean vehicle and work space. Responsible for providing kind and safe transportation. Job...
-
Client Care Specialist
4 weeks ago
Springfield, United States Addiction Recovery Care Full timeJob DescriptionJob DescriptionAre you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees!Are you passionate about serving in an environment of shared purpose and shared goals while driving the...
-
Client Care Specialist
1 month ago
Springfield, United States Addiction Recovery Care Full timeJob DescriptionJob DescriptionAre you looking for the best place to work? Join Addiction Recovery Care, LLC (ARC) which was selected as one of the 2024 Best Places to Work in Kentucky by the Kentucky Chamber of Commerce, based on surveys of our employees!Are you passionate about serving in an environment of shared purpose and shared goals while driving the...
-
Springfield, United States Medsurg Sales Staffing Full timeJob DescriptionJob DescriptionBlue chip medical device manufacturer is looking to fill a "clinical specialist" position. They have a great compensation plan, extensive healthcare and retirement benefits packages (401k, pension and stock). Company will also pay for your car, gas, expenses, cell phone, laptop, etc. Superior leadership and extensive support...
-
Prior Auth Specialist
4 days ago
Springfield, United States CoxHealth Full timeSummary Job Summary The role of the Prior Authorization Specialist is to centrally coordinate, obtain, review, and track prior authorizations for medications and other home care needs. The goal of the Prior Authorization Specialist is to work with other departments in order to complete prior authorizations through the various methods that are required by...
-
Schedule Specialist
6 hours ago
Springfield, United States LHC New Full timeSummary The Scheduling Specialist is responsible for managing patient referrals and visit schedules. Assigns patient assessments and other visits as ordered by the physician using an online scheduling system. Collaborates with the Team Leader to identify clinicians with the appropriate experience and skill set to match patient needs. Minimum one year of...
-
Specialist, Medical Safety
1 month ago
Springfield, IL, United States Springfield Clinic Full timeSpringfield Clinic is seeking a Cornea Specialist, BC/BE, to join its Springfield Clinic Eye Institute, a well established and rewarding practice. As one of the largest multispecialty, physician-owned, independent medical groups in Illinois, Springfield Clinic is committed to quality, safety, service, and innovation to improve the health and lives of...
-
Specialist, Medical Safety
1 month ago
Springfield, IL, United States Springfield Clinic Full timeSpringfield Clinic is seeking a Glaucoma Specialist, BC/BE, to join its Springfield Clinic Eye Institute, a well established and rewarding practice. As one of the largest multispecialty, physician-owned, independent medical groups in Illinois, Springfield Clinic is committed to quality, safety, service, and innovation to improve the health and lives of...
-
Banking Specialist Ii
1 week ago
Springfield, United States findojobs.us Full timeWhat will you do? The Banking Specialist II is responsible for maintaining customer relationships by performing efficient and accurate banking transactions on the teller line as well as customer service activities like opening accounts in support of Bank goals and objectives. Qualified candidates will develop a thorough knowledge and good understanding of...
-
Banking Specialist Ii
7 days ago
Springfield, Illinois, United States findojobs Full timeWhat will you do? The Banking Specialist II is responsible for maintaining customer relationships by performing efficient and accurate banking transactions on the teller line as well as customer service activities like opening accounts in support of Bank goals and objectives. Qualified candidates will develop a thorough knowledge and good understanding of...
-
Staff RN
2 weeks ago
Springfield, IL, United States Springfield Clinic Full timeThe Registered Nurse is responsible for professional nursing care according to individual needs of the patient population within the rules and Regulations of the Illinois Nurse Practice Act, managing the operation of the office on a daily basis, and functioning as an integral part of the patient care team to coordinate patient care by interacting with care...
-
Medical Imaging Support Clerk
6 days ago
Springfield, United States Staff Today Inc Full timeJob Description Position Title: Medical Imaging Support CLerk Manager: Marjorie King Dept: Medical Imaging Location: Springfield Memorial Hospital Cost Center: 7195 1. General job duties. Types of procedures required. Patient check-in/registration, answer phones, burn CD's, operation in PACS 2. Equipment utilized in the unit/dept. (Is there computerized...
-
Medical Informatics Consultant
3 weeks ago
Springfield, United States Memorial Health University Medical Center Full timeOverview: The Medical Informatics Consultant serves as a resource and liaison in the development, implementation, and support of health information technology utilized by medical staff. Triages incoming issues and requests and determines remedial and/or escalation procedures. Conducts testing and maintenance of applications and related technology. Develops...
-
Staff RN
21 hours ago
Springfield, VT, United States Wellpath Full timeExcellent career growth opportunities Join us and find a career that supports: • Diversity, equity, inclusion, and belonging • Growth and training In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and...
-
Housing Specialist
4 days ago
Springfield, United States South Middlesex Opportunity Council Full timeSUMMARY The Housing Specialist provides housing search services to assist in relocating homeless individuals to safe and permanent housing. Conducts housing search of private market rate housing as well as various subsidized housing programs. Work with outside landlords and community providers to assist in the identification of affordable housing options...
-
supply management specialist
4 weeks ago
Springfield, Illinois, United States Department Of The Army Full timeSummary THIS IS A NATIONAL GUARD TITLE 5 EXCEPTED SERVICE POSITION.This National Guard position is for a SUPPLY MANAGEMENT SPECIALIST (TITLE 5), Position Description Number T578000 and is part of the IL DOL, National Guard. Duties As a SUPPLY MANAGEMENT SPECIALIST (TITLE 5), GS , you will develop command logistics guidance and support plans for federal and...
