Job Description

Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that’s served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It’s our passion.

Primary Purpose

Coordinates administrative support services for the Medical Staff and assures that all credentialing and accreditation processes are completed, and that only qualified and competent physicians and practitioners are appointed and reappointed to the hospital staff.

Minimum Specifications

Experience

• Must have three years of Medical Staff/Credentialing experience.

Equivalent Education and/or Experience

• May have an equivalent combination of education and experience to substitute for the experience requirements.

Certification/Registration/Licensure

• Prefer certification by the National Association Medical Staff Services (NAMSS) as a Certified Professional in Medical Services Management (CPMSM) or a Certified Provider Credentialing Specialist (CPCS).

Skills or Special Abilities

• Must have excellent verbal and written communication skills and be able to communicate effectively with Medical Staff and hospital personnel.
• Must have a working knowledge of hospital accreditation, medical/allied staff credentialing, privileging, appointment, and licensure requirements.
• Must be familiar with personal computer, word processing, data processing and spreadsheet usage.

Responsibilities

1. Prepares, analyzes, and processes licensing and credentialing documents for hospital medical staff privileges application and reapplication to assure that qualified and competent physicians and practitioners are appointed and reappointed to the hospital staff, while providing optimal services to internal and external customer. Prepares applications for internal and external audit.
2. Processes applications through direct source verifications, i.e., National Practitioner Data Bank and Federation of State Medical Boards queries to assure information provided and/or requested is accurate and complete.
3. Processes requests for, and monitors duration of, temporary privileges in accordance with departmental policies and procedures and medical staff policies, bylaws, rules, and regulations to ensure that only qualified practitioners are providing care in the hospital.
4. Maintains open communication to be a resource to practitioners, medical boards, etc. for issues of sensitivity, problem solving, or confidentiality and maintains and updates confidential files on all medical staff members regarding their board certification, attendance, CME activities, publications, committee participation, liability insurance, etc. while maintaining a positive working relationship with all internal and external contacts.
5. Generates reports, demographics, statistical information, appointments, staff roster, etc. to satisfy multi-external agency requests and various departmental requests that support the missions, goals, and objectives of the hospital and Parkland.
6. Attends the medical staff committee meetings as assigned by the director and prepares the agenda for each committee meeting for review and approval by the committee chair, records committee minutes; initiates follow-up action as dictated by the committee minutes.
7. Closely monitors information collection, evaluates adequacy of quality data and information, request additional information if necessary, for effective and comprehensive peer review decision-making.

Job Accountabilities

1. Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.
2. Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
3. Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.

Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.