Contract Coordinator

Job Description

The Credentials Coordinator performs all medical staff related credentialing activities. Processes Medical Staff and Allied Health Professional applications, in accordance with Joint Commission and CMS guidelines. Maintains paper files and completes electronic database input and management. Acts as a liaison for medical staff, nursing, administration and the Governing Body of the hospital. Works closely with the Chief of Staff and Department Chairmen for the enhancement and efficiency of the medical staff functions. **

Responsibilities**

Reviews, evaluates and processes Medical Staff and Allied Health Professional staff applications and reapplications, in a timely manner, as required by the Medical Staff Bylaws. Sends reference requests and follow-up requests, in accordance with department policies/procedures and/or medical staff bylaws. Notifies physicians of their acceptance to the staff and the privileges granted. Assists in keeping Administration, the Chief of Staff, Department Chairs and hospital management informed of issues related to the medical staff, department and/or its functions.

Maintains confidential, up-to-date credentials files for Medical Staff members and Allied Health Professional staff members.|Prepares summaries and reports of medical staff credentialing activities for the MEC and Governing Body, including pertinent recommendations from the Medical Staff. Manages monthly maintenance of files to ensure compliance, i.e. licenses, DEA, malpractice insurance, other certificates, as applicable. Maintains working knowledge and understanding of Medical Staff Bylaws, Rules and Regulations, policies and protocols and their application.|Processes requests for additional and temporary privileges, as appropriate, analyzing these requests in terms of required educational criteria and obtains appropriate approvals. Distributes notices of privileges granted.|If requested, attends and maintains accurate minutes of the medical staff committee meetings, and other meetings, as assigned. Follows through on all recommendations, correspondence and/or directives, channeling actions from one meeting to another, as may be required. Follows-up and to act as a resource of information concerning medical staff credentialing issues. Works with the Chief of Staff in activating ad hoc committees, preparing correspondence, and performing general clerical duties for the Department. **

Qualifications**

• One year of Medical Staff Office experience or two (2) years clerical work experience
• Must demonstrate customer service skills appropriate to the job
• Must be able to read, write and communicate effectively in English
• Computer literacy and proficiency
• Ability to establish and maintain effective working relationships across
• Ability to maintain a work pace appropriate to the workload
• Ability to multitask and prioritize needs to meet timelinesPrevious Acute Care Experience
• Demonstrated knowledge of medical staff issues and working knowledge of TJC, CMS and other regulatory agencies’ rules and regulations,High School Diploma or Equivalent
• Certification as Certified Provider Credentialing Coordinator (CPCS)

About Us

With approximately 9,000 physicians to serve our 260,000 members, Prospect Medical Systems is proud to be among the most innovative medical systems in California, Texas and Rhode Island. Our extensive care services range from primary care and specialty physician services to acute care hospital and skilled nursing facilities to behavioral health and wellness services. Each of our Independent Physician Associations (IPAs) and networks support the use of advanced diagnostic and treatment tools to provide our members with convenient access to state-of-the-art healthcare. For 25+ years, Prospect Medical has been focused on our mission of supporting independent physicians where, through risk arrangements, we work closely together with health plans, facilities and healthcare physicians for the benefit of every person who comes to us for care. We provide quality healthcare services that are designed to offer our patients highly coordinated, personalized care and that help them live healthier lives. Prospect Medical Systems manages highly successful IPAs by leveraging our best-practices, results-driven administrative services to manage patients under risk arrangements with health plans/CMS.