Medical Staff Coordinator

Job Details

Job ID:
36337

Location:
20 Overland Street, Boston, MA 02215

Category:
Quality/Risk Management/Patient Safety

Employment Type:
Full time

Work Location:
Remote: occasional time on campus

Overview

Responsible for coordination and preparation of medical staff functions. Assists with all functions related to the credentialing and provider enrollment of practitioners as outlined in the medical staff bylaws, policies or related contracts or as required by accrediting and regulatory agencies (i.e., TJC, CMS, NCQA). Ensures compliance with appropriate accrediting and regulatory agencies. The Coordinator assists with the development, planning and implementation of the credentialing/privileging and provider enrollment process. Ensures that all expirables are reviewed, obtained, and managed on a monthly basis. Maintains the confidentiality of all business/work and medical staff information.  Responsible for the accuracy and integrity of the credentialing and enrollment database systems. Prepares for committee meetings, takes minutes, processes and distributes appropriate correspondence.  Assists in managing the flow of information between the OMAPC team, Credentials, MSEC, Board committee members, Medical Staff Leadership (including the Department Chairs and Program Administrators). Other related administrative duties as assigned. Works under the supervision of the Office of Medical Affairs and Professional Credentialing Manager.

Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.

Responsibilities

  • Processing initial and reappointment applications to the Medical Staff.
  • Entering and maintaining up-to date data for each applicant in the database.
  • Entering and maintaining CAQH and out of state Medicaids.
  • Responding to health plans for verification of affiliations.
  • Ensures that all expirables are reviewed, obtained, verified when necessary, managed according to departmental specifications.
  • Committee support including the timely preparation of agendas, minutes, supporting communication and follow-up.
  • Ensures compliance with Medical Staff Bylaws, Rules and Regulations, regulatory/accrediting agencies as they relate to the Medical Staff.

Qualifications

  • Bachelor’s degree required. In lieu of degree, will consider individual with 2-4 years directly related experience in provider enrollment and/or credentialing in a health care setting.
  • Certified Provider Credentialing Specialist (CPCS) and/or Certified Professional Medical Services Management (CPMSM) certification(s) preferred.
  • Requires 3 years experience in medical staff services/provider enrollment credentialing.
  • Knowledge of managed care or provider credentialing required.
  • Knowledge of billing processes preferred.

At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong.  As relentless as we are in our mission to reduce the burden of cancer for all, we are equally committed to diversifying our faculty and staff.  Cancer knows no boundaries and when it comes to hiring the most dedicated and diverse professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.

Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other groups as protected by law.

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