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Credentialing Coordinator (Per Diem) - Physician Liaison and Sales

Requisition ID:

21153922

Business Unit:

St. Vincent's Medical Center

Location:

Bridgeport, CT

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Description

Job Schedule: Per Diem
Standard Hours: 1
Job Shift: Shift 1
Shift Details: 8:00am - 4:30pm Monday through Friday

Work where every moment matters.

Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here.  We invite you to become part of Connecticut’s most comprehensive healthcare network. 

St. Vincent’s Medical Center in Bridgeport has more than 3,200 employees. It includes a 473-bed community teaching hospital, a 76-bed inpatient psychiatric facility in Westport, a large multispecialty provider group, and special needs services for adults and children. St. Vincent’s is the first hospital in Fairfield County to be integrated into the Hartford HealthCare network, and is the system’s second-largest hospital.

Job Summary:

  • Function as a liaison for local medical staff and administration, maintain knowledge of  hospital bylaws, rules and regulations, policies and procedures, TJC, CMS, DPH and other state and federal regulatory requirements.
  • Complete the Medical Staff initial application process. Evaluate and conduct quality review of each new application file once delivered from the CVO. 
  • Identify any outstanding verifications and red flag concerns.  Recognize, investigate and validate discrepancies and adverse information obtained from the application, primary source verifications, or other sources. 
  • Prepare files for Department Chairperson and Credentials Committee review including preparing provider bios. Determine if applicants meet the qualifications and criteria for membership and/or clinical privileges. 
  • Notify Director of MSO, Department Chairperson, and Chairperson, Credentials Committee as appropriate.  Make recommendations of how issues and concerns may be addressed. 
  • Determine if applicants meet the requirements for temporary privileges and coordinate the approval process.  Ensure that provider applications are processed in a timely manner through the Credentials, MEC and Board.  
  • Initiate onboarding process for Medical/Allied Health Staff with communication to applicable parties.
  • Processes Medical Staff reappointments and ensure that providers are reappointed within a two-year period.  Recognize, investigate and validate discrepancies and adverse information obtained from the application, primary source verifications, or other sources.  Determine if providers meet the qualifications and criteria for reappointment and clinical privileges.  Flag areas of concern for Department Chairs and prepare for Department Chairperson’s approval. 
  • Assure regulatory compliance of medical staff standards inclusive of TJC, State of CT, CMS, and hospital bylaws.   Participate in the development of and make recommendations to standardize policies and procedures to support medical staff functions. Assists in preparation of hospital accreditation and licensure surveys. 
  • Oversee and/or verify all expirables including: license, DEA, CSR, Malpractice, board certification and other certifications as needed and report concerns to practitioner, Department Chairperson and MSO leadership.
  • Assists with the FPPE and OPPE process.
  • Maintain the medical staff office and physicians' credentials and peer review files in a confidential, organized, current, and retrievable manner. 
  • Update data in ECHO following Credentials/MEC/BOARD to reflect new/temporary privileges and resigned privileges.  Responsible for the accuracy and integrity of the data. 
  • Coordinate/support the Credentials and Medical Executive Committees.

Qualifications

Education:

  • Associate’s degree and/or equivalent experience required, Bachelor’s degree in business management or related field preferred. 

Experience:

  • 2 years direct experience in hospital medical staff services or other credentialing or healthcare administrative position

Licensure, Certification, Registration:

  • National Association Medical Staff Services (NAMSS) Certified Provider Credentialing Specialist (CPCS) required. If not certified, obtain certification within 1 year of meeting the NAMSS eligibility requirements.  
  • National Association Medical Staff Services Certification in Professional Medical Services Management (CPMSM) preferred. 

Work Experience:

  • 3 years hospital credentialing experience and/or provider preferred.
  • Professional and effective oral and written communication skills required.
  • Proficiency with Microsoft Excel, Word and proprietary database applications required.

We take great care of careers.

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth.  Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children.  We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.

 
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