Medical Staff Credentialing Coordinator, Methodist Hospital of Southern California, San Gabriel Valley, CA
Posted on November 29th, 2021
At Methodist Hospital of Southern California, every team member of our 348-bed hospital strives to provide an exceptional patient experience while exemplifying our shared values of iRAISE - Integrity, Respect, Accountability, Innovation, Safety and Excellence. We achieve this through compassionate care, creating lifelong relationships by changing the way health and healthcare are delivered in our community.
We currently have a full-time opportunity on the day shift for a Medical Staff Credentialing Coordinator.
Minimum qualifications include:
- High School diploma
- Prefer a Bachelor’s degree or equivalent combination of education, training, and experience
- Minimum of two years of experience working in a medical staff office or three years of experience working in a healthcare setting which is related to the duties and responsibilities specified
- Working knowledge of medical staff affairs and operational processes
- Knowledge of medical credentialing and privileging processes and standards
- Knowledge of accreditation and certification requirements
- Working knowledge of clinical and/or hospital operations and procedures
- Prefer current NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS) or actively pursuing certification and achieve within five years of employment
- Prefer knowledge of medical terminology
- Prefer Administrative Assistant and/or Secretarial education and experience
- Excellent computer and information research skills; prefer experience with Microsoft Word, Excel, Power Point, and Outlook is mandatory and experience with Publisher, Credentialing Software (MDStaff) and Quickbooks
Duties and Responsibilities:
- Performs credentialing and privileging duties as assigned, including but not limited to, the processing of applications for appointment and reappointment; completing a thorough review and analysis of practitioner applications, identification and follow up of "red flag" items; and preparing files for review and recommendation by the medical staff.
- Manages expirations of licensures, permits, certifications, health records, as well as annual dues and application fees and also ensures the accuracy of all information collected.
- Generates queries and prepares credentialing/privileging reports to ensure the flow of information and action items for medical staff committees and board of directors.
- Interprets, develops and initiates processes and policies to ensure compliance with federal, state, local and government/insurance agency regulations and guidelines, as well as Medical Staff Bylaws, rules and regulations, policies and procedures; advises providers, management and administrators on compliance issues as appropriate.
- Manages the continuing medical educational activities for physicians to be in compliance with accreditation standards as assigned.
At Methodist Hospital, you’ll enjoy an excellent compensation and benefits package (Medical, Dental, Vision, Retirement Savings Plan with match, Life Insurance, Flexible Spending Account, Employee Assistance Program, Tuition Reimbursement, Paid Time Off, Free Parking, Child Care, Employee Referral Bonus Program, etc.), including professional development programs, and much more.
Living and Working in the San Gabriel Valley:
The City of Arcadia is located in the beautiful San Gabriel Valley, which is one of the best places to live and work in California and is just 15 miles north of downtown Los Angeles. The region offers a multitude of diverse entertainment, shopping and exceptional restaurant options. The San Gabriel Valley is less than an hour away from sunny Southern California beaches, and less than two hours away from local mountain resorts like Big Bear and Lake Arrowhead.
Locally, Arcadia is a wonderful, thriving community featuring the Los Angeles County Arboretum and Botanic Gardens as well as the Santa Anita Park racetrack, and is located next to the City of Pasadena, which hosts the New Year’s Day Rose Parade and Rose Bowl game annually. The region boasts excellent public and private schools and universities close by, including Cal Tech, USC, UCLA, Cal State Northridge, Cal Poly Pomona, Azusa Pacific University and the Claremont Colleges. Arcadia was recently named “Best Place to Raise Your Kids” by Bloomberg Businessweek magazine and is the perfect place to call home.
For more information, please email Michael.Pan@methodisthospital.org or apply online at http://www.methodisthospital.org/careers. EOE