What are the responsibilities and job description for the Credentialing Coordinator || Medical Staff Coordinator position at LanceSoft Inc.,?
Estimated Length of Assignment: 26 weeks
Estimated Start Date of Assignment: 05/05/2025 [The dates provided are only an estimate and not a guarantee]
Shift: Day 5x8-Hour (08:00 - 17:00)
Work Type: On-Site [Location: 450 Stanyan St, San Francisco, CA 94117]
Required Qualifications:
- Minimum 3 years of experience in credentialing, compliance, audit, or healthcare administration.
- Bachelor’s degree in a related field or equivalent experience/training.
- Microsoft Office Suite, and data management.
- Strong analytical, multitasking, and problem-solving skills with the ability to work under deadlines.
- Ability to collaborate across departments and effectively communicate with stakeholders.
Certification Requirement:
- Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM)
Preferred Qualifications:
- Experience in a community hospital setting.
- Expert knowledge of accreditation and regulatory requirements (TJC, NCQA, CMS, etc.).
-Proficiency in Cactus and ECHO credentialing systems
Background/experience in the following duties and responsibilities include:
ED Call Schedule, Committee meeting management including minutes, agenda and scheduling, screening applicants and pre-vetting, data entry into credentialing systems, experience with Cactus and ECHO systems, auditing completed credentialing applications, routing credentialing files for departmental approval, helps prepare files for committee review/approval, monitors file compliance under the bylaws, state/federal regulatory and accreditation agencies, assisting with OPPE/FPPE competency data, and monitoring expirables.
Job Summary:
Involves the development, implementation and monitoring of effective and efficient systems to facilitate all aspects of medical staff services and credentialing. Provides for the processing of applications and verification of physician licensing and certifications. May also involve the preparation of agendas and related materials for medical staff meetings and peer review activities. May serve as the liaison between the medical staff and all hospital departments to coordinate and provide overall continuity of medical staff activities. Monitors compliance with medical staff bylaws, rules, regulations, policies and procedures.
Key Responsibilities:
- Oversee ED Call Schedule and manage committee meetings, including minutes, agendas, and scheduling.
- Screen and pre-vet applicants, ensuring all credentialing data is accurate and complete.
- Enter and maintain provider data in credentialing systems (Cactus, ECHO).
- Audit completed credentialing applications and route files for departmental approval.
- Prepare credentialing files for committee review/approval and ensure compliance with bylaws and accreditation standards (TJC, NCQA, CMS, state/federal regulations).
- Assist with OPPE/FPPE competency data and track expiring licenses/certifications.
