Role Description
The Medical Staff Credentialing Coordinator is responsible for coordinating the credentialing and re-credentialing process for all practitioners applying for medical or allied health staff membership and/or clinical privileges. Provide support for all credentialing functions within the Medical Staff Office.
-
Coordinates the application and reapplication process for all practitioners seeking membership and/or clinical privileges at MSHS, including:
-
Verifying all relevant information via the primary source
-
Reviewing and analyzing potential issues and concerns
-
Preparing files for routing to the appropriate medical staff leaders, committees, and the governing body
-
Acts as customer service liaison coordinating communications between the applicant, human resources, and the clinical department as it relates to the credentialing process.
-
Evaluates applicants' credentials in accordance with credentialing and privileging policies to ensure compliance with medical staff bylaws and accrediting agencies (e.g., The Joint Commission, CMS, NCQA, etc.).
-
Ensures all credentialing deadlines are clearly communicated, credentials are maintained for all providers in a timely manner, and ensures full compliance with the medical staff credentialing policies and procedures.
-
Maintains all credentialing related databases in accordance with medical staff policies and procedures.
-
Assists in tracking quality and performance improvement data for credentialed practitioners.
-
Supports all other functions of the medical staff office and performs other duties as assigned by department leadership.
Qualifications
-
Bachelors Degree in a health care related field or equivalent work experience.
-
2 years minimum of hospital-based credentialing and privileging experience is required.
-
Experience in an academic medical center, multi-entity health system and/or a CVO is strongly preferred.
-
NAMSS Certified Provider Credentialing Specialist (CPCS), Required or must obtain within one year of hire.
Requirements
-
Strong organizational skills and attention to detail.
-
Excellent communication and interpersonal skills.
-
Ability to work independently and as part of a team.
-
Proficiency in Microsoft Office Suite and credentialing databases.
Benefits
-
Competitive salary range: $66,482.07 - $74,369.26 Annually.
-
Comprehensive health benefits.
-
Retirement plans.
-
Opportunities for professional development.
Company Description
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education.
-
Advances health for all people by tackling complex health care challenges.
-
Offers comprehensive health care solutions from birth through geriatrics.
-
Consistently ranked by U.S. News & World Report's Best Hospitals.
-
Ranked No. 1 in Geriatrics and top 5 in Cardiology/Heart Surgery.
-
Ranked No. 11 nationwide in National Institutes of Health funding.