Job title: Medical Staff Office Senior Coordinator
Job Location: Cumberland RI02864
Job Duration: 6 Months
Hours: Mon-Fri (8:30 AM-5 PM); Hybrid - in office on Tuesdays; training hours are the same Questionnaire: - City/State at top of resume
- Willing to work onsite as needed
- Quiet place to work remotely with no interruptions
- Screenshot of internet speed test at top of resume.
- Please list how many years of credentialing experience they have.
MUST HAVES: Manager needs someone with credentialing experience vs admin experience
Job Duties/Responsibilities: - The Medical Staff Office Senior Coordinator has primary responsibility for the non-clinical aspects of physician operations administered by this role you will be a part of a collaborative cross-functional team charged with ensuring that the evolving administrative physician operations which support MinuteClinic and CVS Health comply with internal and external regulations standards and practices.
- Support provider onboarding by ensuring Collaborative Practice Agreements and/or prescriptive authority documents are fully executed filed and maintained as applicable.
- Responsible for initial credentialing and re-credentialing of nurse practitioners physician assistants and physicians in a timely manner and compliant in accordance with Joint Commission NCQA and URAC credentialing standards as required.
- Utilize the MDStaff database to record and maintain pertinent information
- Assist in various projects as needed
- Participates in other departmental activities as assigned
- Conduct sanctions and compliance monitoring and alert Credentialing Manager and Revenue Director of any undisclosed negative findings
- Process malpractice insurance verification requests according to internal policies
- Maintain the provider and physician SharePoint sites and Communicate provider statuss with leadership and other internal teams to meet timelines
- Submit system access requests upon credentialing approvals/clinic eligibility
- Notify system analyst and leadership of any system and state agencies interruptions/updates/password changes
- Attend and engage in all team meetings
- Model a positive attitude in interactions with team members
Requirements: - 3 years of experience working in a fast-paced complex administrative environment with experience in credentialing.
- Demonstrate understanding of initial credentialing and re-credentialing practices for medical professionals including primary source verification methods compliance monitoring and expireables management.
- Experience in a healthcare environment.
- Easily adapt to change in an energetic environment.
- Comfortable with communicating at all levels in the organization.
- Motivated to establish maintain and manage working relationships with colleagues external vendors and contracted physicians.
- Strong problem-solving skills.
- Must be able to assess situations and make decisions independently at times.
- Project management experience
- Microsoft Excel proficient
Education: - Verifiable High School Diploma or GED required
- Associates Degree or Bachelors degree required
- NAMSS Certified Professional Credentialing Specialist (CPCS) certification (preferred)
- MDStaff experience preferred
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Job title: Medical Staff Office Senior Coordinator Job Location: Cumberland RI02864 Job Duration: 6 Months Hours: Mon-Fri (8:30 AM-5 PM); Hybrid - in office on Tuesdays; training hours are the same Questionnaire: City/State at top of resume Willing to work onsite as needed Quiet place to work remo...
Job title: Medical Staff Office Senior Coordinator
Job Location: Cumberland RI02864
Job Duration: 6 Months
Hours: Mon-Fri (8:30 AM-5 PM); Hybrid - in office on Tuesdays; training hours are the same Questionnaire: - City/State at top of resume
- Willing to work onsite as needed
- Quiet place to work remotely with no interruptions
- Screenshot of internet speed test at top of resume.
- Please list how many years of credentialing experience they have.
MUST HAVES: Manager needs someone with credentialing experience vs admin experience
Job Duties/Responsibilities: - The Medical Staff Office Senior Coordinator has primary responsibility for the non-clinical aspects of physician operations administered by this role you will be a part of a collaborative cross-functional team charged with ensuring that the evolving administrative physician operations which support MinuteClinic and CVS Health comply with internal and external regulations standards and practices.
- Support provider onboarding by ensuring Collaborative Practice Agreements and/or prescriptive authority documents are fully executed filed and maintained as applicable.
- Responsible for initial credentialing and re-credentialing of nurse practitioners physician assistants and physicians in a timely manner and compliant in accordance with Joint Commission NCQA and URAC credentialing standards as required.
- Utilize the MDStaff database to record and maintain pertinent information
- Assist in various projects as needed
- Participates in other departmental activities as assigned
- Conduct sanctions and compliance monitoring and alert Credentialing Manager and Revenue Director of any undisclosed negative findings
- Process malpractice insurance verification requests according to internal policies
- Maintain the provider and physician SharePoint sites and Communicate provider statuss with leadership and other internal teams to meet timelines
- Submit system access requests upon credentialing approvals/clinic eligibility
- Notify system analyst and leadership of any system and state agencies interruptions/updates/password changes
- Attend and engage in all team meetings
- Model a positive attitude in interactions with team members
Requirements: - 3 years of experience working in a fast-paced complex administrative environment with experience in credentialing.
- Demonstrate understanding of initial credentialing and re-credentialing practices for medical professionals including primary source verification methods compliance monitoring and expireables management.
- Experience in a healthcare environment.
- Easily adapt to change in an energetic environment.
- Comfortable with communicating at all levels in the organization.
- Motivated to establish maintain and manage working relationships with colleagues external vendors and contracted physicians.
- Strong problem-solving skills.
- Must be able to assess situations and make decisions independently at times.
- Project management experience
- Microsoft Excel proficient
Education: - Verifiable High School Diploma or GED required
- Associates Degree or Bachelors degree required
- NAMSS Certified Professional Credentialing Specialist (CPCS) certification (preferred)
- MDStaff experience preferred
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