Job Abstract

Requisition ID

req22492

Facility

Monterey Park Medical Center

# of Openings

1

Shift

Days

Category

Medical Staff

Position Type

Regular Full-Time

Monterey Park Hospital, located in San Gabriel Valley of Los Angeles County, and recruiting for a full time Credentials Coordinator. Monterey Park Hospital is a 101 bed acute care community hospital and has provided our community with advanced medical and culturally sensitive health-care services for over 50 years. The Credentials Coordinator reports to the Medical Staff Director.

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 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. Responsible for managing the coordination of proctoring, as assigned. Assists with the FPPE/OPPE process. Assists in achieving the department’s goal to maintain compliance with Joint Commission standards, Title 22 regulations and other regulatory agencies as appropriate.

Education:

High School Degree, required

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 - preferred

Work Experience:

Minimum two years 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 - required

Working knowledge of medical staff affairs and operational processes - required

Knowledge of medical credentialing and privileging processes and standards - required

Knowledge of accreditation and certification requirements - required

Administrative Assistant and/or Secretarial education and experience - preferred

Other:

Excellent Computer and Information research skills - required

Experience with Google Office - required

Ability to adapt to changing schedules, deadlines and demands, and a heavy workload - required

Excellent oral, written and interpersonal skills - required

Knowledge of Medical terminology - preferred

Experience with Credentialing Software (MD Staff) - preferred

The ability to function independently with minimal direct supervision - preferred

Monterey Park Hospital