Medical Staff Coordinator

Medical Staff Coordinator

Department: Health Systems Management

Program: Primary Care

Reports to: Health Systems

Employment Status: Full-Time

FLSA Status: Non-Exempt

Schedule: 40 Hours/52 Weeks

Preference: TERO Ordinance 2017-01, P.L. 93-638

Job Summary

The Medical Staff Coordinator works closely with the Health Systems Department and the Revenue Cycle Department to coordinate credentialing for Health Systems Providers and complete insurance enrollment for Health Systems providers. The Medical Staff Coordinator is responsible for timely and accurate review and completion of the credentialing and enrollment process for all Health Systems providers. The Medical Staff Coordinator maintains confidentiality while completing all duties within the job description.

Essential Functions

• Coordinates with Health Systems Departments and the Human Resources Department to ensure initial credentialing is completed prior to provider's start date and ensures all re-credentialing is completed in a timely manner
• Coordinates receipt of credentialing documentation from Alaska Native Tribal Health Consortium (ANTHC) to receive credentialing documentation and stores documents securely electronically and printed in storage cabinets
• Works closely with the Human Resources Department to coordinate receipt of credentialing documentation for all non-ANTHC credentialed providers
• Performs preliminary review and analysis identification of to ensure compliance of relevant information within credentialing files and prepares files for review for Dena'ina Wellness Center (DWC) Credentialing Workgroup
• Schedules, creates agendas, and records minutes for DWC Credentialing Workgroup
• Successfully implements the enrollment process for all providers while adhering to deadlines
• Completes revalidation of previous enrolled providers
• Communicates with insurance payers to resolve provider enrollment issues and works diligently to resolve the issue
• Communicates the status of credentialing and enrollment with Health Systems Department, Human Resources Department, and Revenue Cycle Department
• Ensures compliance with Tribal, federal, state, and local employment laws and regulations, Tribal policies and TERO ordinance

It is the intent of this job description to highlight the essential functions of the position; however, it is not an all-inclusive list. The incumbent may be called upon and required to follow or perform other duties and tasks requested by his/her supervisor, consistent with the purpose of the position, department and/or the Kenaitze Indian Tribe's objectives.

Working Conditions

Lifting Requirements

• Sedentary work - Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.

Physical Requirements

• Stand or Sit (Stationary position)
• Walk (Move, Traverse)
• Use hands/fingers to handle or feel (Operate, Activate, Use, Prepare, Inspect, Place, Detect, Position)
• Talk/hear (Communicate, Detect, Converse with, Discern, Convey, Express oneself, Exchange information)
• See (Detect, Determine, Perceive, Identify, Recognize, Judge, Observe, Inspect, Estimate, Assess)
• Repetitive Motion

Hazards and Atmospheric Conditions

• None

OSHA Categories

• Category III - Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid

Equipment and Tools

List Equipment used for job: Computer, scanner, phone

Drives KIT or Personal Vehicle: Personal

Travel

• Local

Qualifications

Education

• Associates degree in Business Administration or related field or a combination of education and experience in a related field may be substituted for a degree

Experience

• Three (3) years of experience in a medical office
• Two (2) years of experience in provider enrollment

Preferred

• Knowledge and experience working with cultural diversities
• Knowledge of provider credentialing processes

License/Certification

• Must have a valid Alaska State driver's license and must remain insurable under the Tribe's policy, or obtain within 90 days of hire, or, with approval of the hiring manager, sign a *Memorandum of Understanding (MOU) in lieu of having a driver's license to perform the required duties of the position (If Applicable)
• Basic Life Support (BLS) certification required, or obtain within 90 days of hire

Special Skills

• Proficiency with Microsoft Suite, or obtain training within 90 days of hire
• Conducts business in a service-oriented manner that is attentive, pleasant, respectful and kind when dealing with un'ina, visitors, co-workers and others
• Ability to multi-task, work independently, and meet deadlines
• Ability to maintain confidentiality
• Knowledge of Health Insurance Portability and Accountability Act (HIPAA)

*Memorandum of Understanding: Serves as documented evidence that the Kenaitze Indian Tribe has expressed the ineligibility of an employee to operate motor vehicles owned, leased or rented by the Kenaitze Indian Tribe, or to operate a personal vehicle on behalf of the Kenaitze Indian Tribe.