The primary purpose of the position is to process the physician's and/or Allied Health Professional staff's initial application and/or reappointment application for UnityPoint Health Des Moines (UPHDM) and contracted entities for Medical Staff membership and/or Allied Health Professional staff membership and/or privileges/clinical activities as outlined in the Medical Staff Bylaws, Policies and Procedures, DNV, state, federal and other regulatory agencies.
Salary range is $16.39-$25.40.
Responsible for primary source verification of new physician and/or Allied Health Professional applications to the Medical Staff or Allied Health Professional staff. Responsible for the processing of physician and AHP applications in an accurate and timely manner (approximately three (3) months and according to DNV standards, Medical Staff Bylaws, the Credentialing Policy, and the Policy on Allied Health Dependent Providers.
Responsible for the completion of physician and/or AHP initial/provisional/ reappointment application files. Follow through with the actions of the Board of Directors concerning applications in a timely and concise manner in order to complete each file and notify proper areas within the medical center. May prepare for and follow through with the monthly Credentials and/or Allied Health Professional Credentials Committee meetings. (Agenda, meeting notices, minutes) May prepare monthly credentials report for the Medical Executive Committee and the Board of Directors/Executive Board.
Keeps abreast of applicable regulatory guidelines. Maintains confidentiality of Medical Staff activities as they relate to peer review, quality improvement and medicolegal issues. Responds to requests for initial application packets for Medical Staff and Allied Health Professional (AHP) membership and privileges to potential physician and Allied Health Professional members within 24 hours.
May process requests for expedited clinical privileges/activities for new applicants and other temporary privileges as well as requests for increases in privileges, in an accurate and timely manner. Answer the telephone courteously and accurately refer calls or assist callers as requested. Courteously greet and assist members of the public, the medical staff and other hospital personnel. May notify departments concerning all new members of the Medical Staff, AHP, temporary privilege requests granted and address changes for staff members, accurately and in a timely manner.
May be responsible for maintenance of expirable credentials of Medical Staff members and AHP's, in the credentialing software program, and in the practitioner's file. Participates in preparation of files and other activities related to regulatory surveys.
Makes suggestions to the Manager, Medical Staff Services for revisions to the Medical Staff Bylaws, policies and procedures concerning the credentialing/ recredentialing process as appropriate. Responsible for the annual evaluation process for Dependent Providers.
Responsible for the credentialing of employed UPHDM Advance Practice Providers.
Education: High School Diploma or equivalent. Associates degree preferred.
Experience: Minimum two years experience in health care setting, Medical Staff office or credentialing.
Computer knowledge. Windows environment, familiarity with credentialing software programs preferred.
License(s)/Certification(s): Valid driver's license when driving any vehicle for work-related reasons. Certification as a Certified Professional in Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) following completion of five years of employment.Knowledge/Skills/Abilities:
Strong communication skills. Must be able to set priorities and schedule and perform duties on a timely basis. Must be able to work efficiently with frequent interruptions, deadlines and in a team environment.