Medical Staff Credentialing Coordinator, Robert Half

Medical Staff Credentialing Coordinator

Robert Half

Location:

United States, Sacramento

Category:

Health and Beauty

Contract Type:

Employment contract

Salary:

Not provided

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Job Description:

The Medical Staff Coordinator is responsible for managing the credentialing and privileging process for medical staff and advanced practice providers (APPs). This includes processing initial applications, reappointments, status changes, and privilege requests, ensuring compliance with regulatory standards, Medical Staff Bylaws, and hospital policies. The role also involves coordinating professional practice evaluations (FPPE/OPPE), supporting medical staff committees, and maintaining accurate provider records.

Job Responsibility:

Oversee the credentialing and privileging process for medical staff and APPs
Review applications for completeness and verify credentials
Facilitate the biannual reappointment process
Process requests for additional privileges, deletions, and status changes
Conduct credentialing verifications via written, telephone, and online methods
Maintain and update provider information in the credentialing database
Provide administrative support for Medical Staff Committees
Prepare and distribute meeting materials, reports, and follow-ups for weekly and monthly credentialing meetings
Monitor and flag Category II credentialing issues
Assist with regulatory audits and health plan credentialing reviews
Track and send reappointment notices
Manage the initial application process
Oversee the Focused Professional Practice Evaluation (FPPE) process
Track credentialing workloads within the Medical Staff Coordinators' team
Handle dues and fees processing

Requirements:

High school diploma or equivalent required
Associate degree preferred
Minimum of two years of medical staff credentialing experience required
Proficiency in Microsoft Word and Excel
MSOW experience required
Strong verbal and written communication skills
Ability to work independently with minimal supervision
Strong organizational and prioritization skills
Capacity to multi-task and remain productive in a fast-paced environment with frequent interruptions
CPCS (Certified Provider Credentialing Specialist) preferred
CPMSM (Certified Professional in Medical Services Management) preferred

Nice to have:

CPCS (Certified Provider Credentialing Specialist)
CPMSM (Certified Professional in Medical Services Management)

What we offer:

Medical, vision, dental, and life and disability insurance
Eligibility to enroll in company 401(k) plan

Additional Information:

Job Posted:

March 23, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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