Medical Staff Coordinator and Payor Enrollment Specialis

Summary/objective

Medical Staff Coordinator provides administrative support to the medical staff by processing practitioner staff privileges, preparing reports and correspondence, scheduling meetings, preparing the appropriate Medical Staff meetings, maintaining credential files, and assisting the medical staff with on-call scheduling. Coordinates the credentialing and re-credentialing and quality processes related to areas assigned.  Must respect and maintain a high level of confidentiality. Works closely with medical staff members, hospital administration, and department supervisors. Assist in coordinating the services through leadership and collaboration with colleagues throughout the organization.  The incumbent consistently demonstrates the core values of Orchard Hospital and serves as a role model to other employees. 

Essential functions

• Maintain open communication with the medical staff, administration, Directors, department supervisors and staff.
• Maintain knowledge of medical staff by laws, rules and regulations, and hospital policies.
• Processes all medical staff and allied health professional credentialing and re-credentialing applications in accordance with the medical staff.
• Assure all patients supporting information is available and prepared same for presentation to the appropriate medical staff committees.
• Coordinates with medical staff members to prepare the on-call schedule.
• Works with medical staff to ensure physicians proctoring is completed.
• Assists in guiding and directing management in the developing, delivery, promotion and financial aspects of department products and services.
• Participates in the maintenance of a sound plan or organization, establishing policies associated with medical staff assigned duties and quality development, ensure survey preparedness is a daily activity and works to provide for capable management succession.
• Assist in interpreting standards of patient care as promulgated by the California Department of Public Health, Licensing and Certification division, and other regulatory and advisory agencies.
• Develops and installs procedures and controls to promote communication and adequate information flow inter and intra departmentally.
• Helps oversee the analysis, maintenance, and communication of records required by law or local governing bodies, or other departments in the organization.

Competencies

• Perform duties as assigned.   
• Requires independent thinking and working conditions requiring discretion and independent judgement. May require public speaking at community events and hospital functions.
• Understand the cultural differenced between patients and employees.

Supervisory responsibilities

None

Work environment

Physical demands

Travel required

None

Required education and experience

• Must possess as a minimum, a high school diploma with at least 5 years applicable work experience.
• Bachelor’s degree preferred in Health Care Administration or related field.
• Keyboard, data entry, computer experience and ability to operate office equipment.

Preferred education and experience

• Requires independent thinking and working conditions requiring discretion and independent judgement. May require public speaking at community events and hospital functions.  

Additional eligibility requirements

None

Work authorization requirements

Employee must also be able to satisfy the requirements of the Immigration Reform and Control Act of 1986, which requires documents to prove Employee’s identity and demonstrate that Employee is authorized to work in the U.S., and to complete an Employment Eligibility Verification form (Form I-9)

Affirmative Action/EEO statement

Orchard Hospital enthusiastically accepts its obligation to provide equal employment opportunities and to make employment decisions without regard to sex, sexual orientation, gender identity or expression, cancer history or diagnosis, genetic characteristics or information, religion, race (including traits historically associated with race, such as protected hairstyles – braids, locks, twits), color, age, national origin, ancestry, marital status, pregnancy, childbirth or related medical condition, disability, military status, veteran status or any other protected status under federal, state, or local laws. Our management is dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment.

Selection of employees is conducted based on the applicant’s previous appropriate experience, skills, knowledge, former employer references and possession of certificates and/or license, where applicable. Applicants must meet requirements of the position for which they are applying and be of good personal character. Written and/or manual examination may be required for positions requiring special skills.

Personal actions regarding such matters as compensation, benefits, transfer, staff reduction, promotions, Orchard Hospital sponsored training, education, and social/recreational programs will be administered in keeping with Orchard Hospital’s commitment to Equal Employment Opportunity.

Other duties