Credentialing Coordintor - Behavioral Center of Michigan

POSITION DESCRIPTION:

Develop and document processes related to appointment and reappointments of providers. Maintain provider files and ensure timeliness and accuracy of appointments and reappointments. Ensure credentials of doctors and personnel are accurately distributed and primary source verified.

REPORTS TO: Executive Director of Quality and Risk Management, Director of Human Resources and Medical Director

QUALIFICATIONS:

• Minimum of 3-years of experience with medical staff credentialing.
• Bachelor's Degree preferred

· Medical knowledge or experience working in the hospital environment.

SKILLS

• Credentialing coordinator must be extremely organized, keeping track of records pertaining to the facility's medical personnel.
• Professional, motivated, analytical and possess a positive attitude and strong work ethic.
• Demonstrates an ability to be flexible, organized and function under stressful situations.
• Needs strong written and verbal communication skills enabling them to relay key information to management/physicians so they can delegate to their staff.
• Must possess excellent communication and interpersonal skills.
• Must be accomplished at computer data entry and computer applications

DUTIES AND RESPONSIBILITIES:

• Develop and document the credentialing, appointment and reappointment processes, obtains necessary data for each applicant.

· Ensure all applications are completed timely and accurately

• Maintains confidential credential files on all members of the medical staff, including current staff status, current licensure and other certifications and current clinical privileges.

· Manage processes that drives peer-review as well as ongoing (OPPE) and focus professional practice evaluations (FPPE) such as data collection and submission of findings to appropriate Committees. Ensuring that reviews are conducted according to Medical Staff policy and hospital-wide Continuous Quality Improvement Program.

• Coordinates with the Executive Administrative Assistant to ensure applications and reapplications are submitted timely to MEC and Governing Board.
• Demonstrates a high degree of confidentiality, accuracy and attention to detail always.

· Demonstrates ability to listen, communicate effectively and express ideas clearly following appropriate channels of communication.

• Performs administrative duties for medical staff officers, department and committee chairpersons to assure compliance with the medical staff bylaws and rules and regulations.
• Consults other departments as appropriate to collaborate in patient care and performance improvement activities. Maintains performance improvement activities for department.

• Maintains report cards for the physicians for quality and performance

• Attends required in-services annually; continues professional growth and development.

• Participates in training and educational conferences as directed

• Performs other duties in a willing manner as assigned or requested.

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