Performs all aspects of the reappointment and modification of privileges, credentialing processes of the medical staff and advanced practice professional staff, ensuring compliance with regulatory and accrediting bodies, (CMS, State, Federal, etc.), as well as, Medical Staff Bylaws, Rules & Regulations, policies and procedures. o Conducts thorough background investigation, research and primary source verification of all components of the application file, according to established policies and procedures. o Analyzes verified information and identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow-up is conducted thoroughly and timely. o Processes requests for modification of privileges, ensuring compliance with established criteria and credentialing policies and procedures. o Utilizes and maintains credentialing database ensuring accuracy of data entry, optimizing efficiency, performs queries, and generates reports and documents from the system as needed to perform job duties. o Performs final review of completed files for medical staff leadership review, within time periods specified. o Facilitates the Credentials Committee meetings (setting the agenda, taking/transcribing minutes, preparing reports for MEC) and performing timely follow-up as indicated. • Participates in development and implementation of credentialing processes and procedures and development/revision of delineation of privilege forms. • Prepares Board of Trustees approval letters, coordinating execution, distribution, mailing, filing and uploading into credentialing database, and uploading privileges to intranet. • Monitors all expiring documents, facilitating notification to practitioners, collection/primary source verification of documents, and updating the credentialing database and credentials files. • Performs monthly audits on credentials files, and database for missing elements, ensuring accuracy of data in files, databases, and intranet. • Shares missing and incorrect data entered into database with office personnel and provides training where elements are missing or entered incorrectly. • Responds to inquiries from other healthcare organizations, interfaces with internal and external customers daily, on all issues as they arise (in person, via phone, or written/electronic communication) and interacts with individuals in a courteous, cooperative and professional manner. • Creates documents, reports and/or labels as requested and as appropriate from internal and external customers. • Coordinates with Information Services to maintain FSI numbers in all databases and initiation of new/change provider forms. • Assists Director with medical staff committee meeting management as requested. • Assists with on-boarding of new practitioners, conducting orientation, coordinating badging, parking passes and EMR training. • Shares in the responsibility of answering department phone calls, opening, stamping and distribution of USPS and intercampus mail, maintenance of physician mailboxes, lounge and office areas. • Maintains a working knowledge of Medical Staff Bylaws, Rules and Regulations and Hospital Policies as related to the Medical Staff. • Maintains confidentiality and uses judgment and discretion to maintain peer review protection for the hospital and Medical Staff. • Accepts other duties as assigned to promote the accomplishment of organizational goals.
High School graduate or GED. • Additional education with a degree in business or a health-related field preferred. • Three years of executive or administrative assistant experience. Relevant experience may be considered. • Attainment of CPCS (Certified Provider Credentialing Specialist) or CPMSM (Certified Professional Medical Services Management) through the National Association of Medical Staff Services or actively seeking certification and ability to become certified within five years of Medical Staff Services department employment. • Excellent interpersonal skills and the ability to effectively communicate verbally and in writing providing excellent customer service. • Excellent time management skills, organizational skills and the ability to prioritize tasks with minimal supervision, with acute attention to detail and accuracy. • Computer literacy and proficiency in Microsoft Windows. • Intermediate proficiency with MS Office (Outlook, Word, Excel, PowerPoint). • Credentialing database management skills including querying, reporting and document generation. Experience with Cactus software preferred.
Internal Number: 15577
About Yavapai Regional Medical Center
Yavapai Regional Medical Center is a not-for-profit, integrated healthcare provider that offers a broad range of inpatient and outpatient services. Our healing network includes two full-service acute care hospitals, primary and specialty care clinics, the YRMC Wellness Center and the YRMC Outpatient Services Building. YRMC's unmatched continuum of care covers a 5,500 square mile service area and includes cardiac surgery, neurosurgery, a comprehensive Women's Health Pavilion and Arizona's only Patient Blood Management Program. YRMC has earned numerous awards for quality and has earned national recognition as an exceptional provider of care.
To provide comprehensive, high quality healthcare consistent with our communities' needs.
Creating a "Total Healing Environment" wherein the people of YRMC work in partnership with the patients and their families seeking peace of mind and peace of heart as well as physical cures or comfort because we understand the indivisible relationship that exists between body, mind and the human spirit.
Respect: Behaving in a way that honors self and others.
Integrity: Being consistent and honest in word and d...eed.
Accountability: Following through and being answerable for one's
Commitment: Demonstrating dedication to one's work, personal development, the organization, the Mission and the Vision.
Quality: Providing service excellence.