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Medical Staff Specialist
INTEGRIS HealthMedical Staff Specialist at INTEGRIS Health responsible for credentialing, compliance, and administration tasks. Liaising between medical staff, legal counsel, and administration in Oklahoma City.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical staff credentialing processes, compliance with Joint Commission and NCQA standards, and effective collaboration with medical staff and administration. Proficient in managing sensitive credentialing documents and maintaining accurate credentialing databases.
Highest-signal resume keywords
Medical Staff CredentialingJoint Commission ComplianceCredentialing Database ManagementMedical Terminology KnowledgeCPMSM or CPCS Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Credentialing ProcessesRegulatory ComplianceDocument VerificationData Collection and AnalysisMeeting PreparationProvider Privilege MaintenanceAudit ParticipationApplication Tracking
Soft Skills
ConfidentialityProblem SolvingCustomer Satisfaction Improvement
Tools & Technologies
Credentialing Database SoftwareMainframe Software Programs
Certifications & Qualifications
Certified Professional in Medical Staff Services Management (CPMSM)Certified Provider Credentialing Specialist (CPCS)
Industry Keywords
Medical Staff BylawsPeer ReviewNCQA StandardsFederal and State GuidelinesCredentialing Committee
About the role
Key responsibilities & impact- serves functions as a liaison between the medical staff, advanced practice professionals, legal counsel and administration with regard to credentialing processes
- develops, manages and administers medical staff and advanced practice professional credentialing processes for hospital privileges
- collaborates with department chairs and chairman of the Credentials Committee to review applicants and privileges requested
- supports Chief Medical Office and Chief Hospital Executive in knowledge of credentialing applications, Medical Staff Bylaws and governance
- ensures compliance with Joint Commission standards, federal and state guidelines and regulatory agency guidelines
- assists with the administration of Physician Orientation/Onboarding for newly appointed Medical Staff appointees
- assists with developing and ensuring compliance with the Medical Staff Bylaws, Rules and Regulations and hospital policies
- reviews and screens highly sensitive credentialing documents
- verifies applicant information and ensure the application process is completed in a timely manner
- organizes and prepares meeting agendas and documents to be presented for Credentialing Committee and/or, Medical Executive Committee, and Medical Quality Committee (facility specific)
- provides appropriate reporting of minutes for Medical Staff Committees to the Board of Directors
- supports the Department Chairs, Credentials Chairman and Medical Staff President in medical staff functions, OPPE/FPPE, Bylaws and Rules and Regulations
- maintains provider privileges and serves as a resource for verification of privileges and affiliation
- maintains accurate and timely rosters of credentialed medical staff with board approval dates and resignation dates
- utilizes credentialing database and mainframe software programs
- accurately maintains the credentialing database
- ability to define problems, collect data, establish facts an draw valid conclusions
- maintains oversight of the practitioner data
- accurately tracks, reports and follows up on the status of credentialing applications
- maintains a strict degree of confidentiality in all areas related to provider credentials, status and provider personal information
- familiar with all credentialing department policies and procedures
- participates in miscellaneous audit projects throughout the year as required
- identifies ways to improve work, processes and improve customer satisfaction
- reports to the Manager or Director as assigned
Requirements
What you’ll need- One to three years of Medical Staff/Credentialing experience
- Knowledge of medical terminology
- Knowledge of Joint Commission and NCQA standards and medical/legal requirements related to credentialing, peer review and compliance.
- High school diploma or GED required
- Bachelor's degree preferred
- Certification by the National Association of Medical Staff Services (NAMSS) as a Certified Professional in Medical Staff Services Management (CPMSM) or a Certified Provider Credentialing Specialist (CPCS) preferred
Benefits
Comp & perks- front-loaded PTO
- medical benefits through the extensive INTEGRIS Health network
- financial assistance for continued education
- 24/7 mental health support