Medical Staff Coordinator

Location: Winchester, MA
Job ID: 156854-1A
Date Posted: Oct 2, 2019

Job Description

Welcome To

Winchester Hospital is a leading community hospital north of Boston. The hospital offers a full range of medical services including maternity care and a Level IIB Special Care Nursery.  Since 1912, Winchester Hospital has been a trusted pillar of the community and is recognized for outstanding quality and high satisfaction scores. In 2003, we became the first community hospital in Massachusetts to achieve Magnet status -  the industry’s gold standard for nursing excellence.  We were re-accredited for the 4th time in 2018. Our mission To Care. To Heal. To Excel. In Service to Our Community is achieved through streamlined, coordinated and comprehensive high-quality, compassionate care close to home.

 

About the Job

Education/Experience

Required:  (One of the following)

  • Associates degree in healthcare or business with  least (1) one year experience working in a medical staff office or directly relevant area involving enrollment physician credentialing in another setting
  • Three (3) years of highly relevant experience with at least (1) one of those years working in a medical staff office or highly relevant area involving provider enrollment/ credentialing in another setting. 
  • Bachelors degree in a highly relevant field with some experience working with physicians or credentialing.

     

    Preferred: Credentialing experience

     

    Other Skills/Knowledge

    Required:

  • For safety and quality reasons, must be able to read, write and communicate effectively in English with patients, visitors and fellow members of the hospital team.
  • General understanding and knowledge of the Center for Medicare and Medicaid Systems (CMS), the Joint Commission (TJC), National Association for Quality Assurance (NCQA) and the Massachusetts State Regulations as they pertain to credentialing of Medical Staff members and Allied Health professionals.
  • Ability to problem solve and make decisions.
  • Proven ability in word processing and Excel
  • Excellent database and Internet navigating skills.
  • Demonstrated attention to detail and accuracy.
  • Excellent organization and planning skills
  • Polished communication and customer service skills, in writing, in person and over the phone.

 

As part of the Medical Staff Office team, this position:

 

Coordinates the credentialing process for the Medical and Allied Healthcare Professional staff by applying the Joint Commission and Board of Registration in Medicine requirements to the process. 

  • Reviews appointment/reappointment applications for completeness, verifies accuracy of required information.  Differentiates between credentialing requirements for various practitioners.
  • Contacts practitioner to inquire about missing information and/or discrepancies and keep abreast of status.
  • Inputs information into credentialing software.
  • Maintains accurate and up-to-date practitioner files.
  • Generates required verification letters to ensure verification process proceeds within established time limits.
  • Attends Credentials Committee meeting and takes minutes when needed.
  • Provides cross coverage for other Credentialing Coordinators.

     

    Develops and/or participates in Physician Orientation Program.

  • With limited direction from the Manager of Medical Staff Services, orchestrates the Physician Orientation program, ensuring all mandatory topics are covered.
  • Arranges for speakers, conference room, equipment, handouts, refreshments etc.  Collaborates with various hospital departments to ensure the event runs seamlessly for the participants
  • Follows up with physicians who have not attended a program.


    Other Medical Staff Duties:

  • Assists in coordination of physician events as needed.
  • Receives and screens visitors/telephone calls and responds to general inquires by relating or referring to established policies and procedures.
  • Assists with special projects or other responsibilities as requested.

About Us

The Lahey Model of Care—right care, right time, right place—is exactly what patients, providers and payers need and deserve. Identifying and delivering on this convergence of interests has positioned Lahey Health for further growth. Our model ensures care is highly coordinated and locally delivered, with lower costs and exceptional quality.

Lahey Health is a robust, regional system including a teaching hospital, community hospitals, primary care providers, specialists, behavioral and home health services, skilled nursing and rehabilitation facilities, and senior care resources throughout northeastern Massachusetts and southern New Hampshire. The system has a global presence with programs in Canada, Jordan and Bermuda.

Equal Opportunity Employer/Minorities/Females/Disabled/Veterans.