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Medical Staff Specialist

Company: Billings Clinic
Location: Billings
Posted on: January 27, 2023

Job Description:

Youll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet Recognition consecutively since 2006.And youll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!You can make a difference here.About UsBillings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital.Learn more ( about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.Your BenefitsWe provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.Click here ( for more information ordownload the 2021 Employee Benefits Guide ( .Magnet: Commitment to Nursing ExcellenceBillings Clinic is proud to be recognized for nursing excellence as a Magnet-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here ( to learn more!Medical Staff Specialist MEDICAL STAFF SERVICES (Billings Clinic Main Campus) req2134Shift: DayEmployment Status: Full-Time (.75 or greater)Hours per Pay Period: 1.00 = 80 hours (Non-Exempt)Starting Wage DOE: 18.25 - 21.44Coordinates and conducts thorough credentialing which ensures that every physician and medical associate/assistant, who provides ambulatory and inpatient services at BC facilities, is fully trained and qualified to provide the treatments and procedures requested. Provides administrative oversight of BC-practitioner licensing, board certifications privileges at other facilities, and maintenance of credentialing-related records required for all affiliations and managed care payer contracts.Essential Job Functions Coordinates the credentialing process of physicians and other practitioners who provide patient care in BC facilities and are members of provider panels for third-party payers. Credentials and recredentials all practitioners who utilize hospital facilities and provide ambulatory patient care in BC facilities. Analyzes information provided by applicants and individuals/entities who verify applicants qualifications, and ensures that these functions are carried out in the time period required. Makes decisions on how and when the following are done based on Medical Staff Services policies and Medical Staff Bylaws: initial verifications of qualifications and clinical competency; biennial recredentialing and privileging; queries to all required national databanks, licensing boards, and certification boards; review of new applicants and reappointments by MSS Manager; communications to individuals and committees responsible for credentialing decisions; ongoing individual compliance to medical staff requirements; and maintenance of all computer databases and physical records containing these elements. Responsible for carrying out credentialing processes in compliance with BC medical staff bylaws, legal requirements, accrediting agencies, and third-party payer contracts. Demonstrates compliance to BC management, physician leadership, accreditors, and auditors. Acts as an advocate and a resource to BC Leadership and physicians, assisting with orientation of new providers, communicating and interpreting by-laws, policies, procedures and methods; communicating preliminary findings on applications and making recommendations for the need for further clarification and/or investigation. Assists with professional services and resources for BC practitioners (including licensing, certifications, clinical privileges held at other facilities, CME documentation), and independently implements processes which ensure well-organized service and record keeping. Acts as a resource to Medical Staff Secretary on performing tasks associated with professional services. Develops a rapport with individual practitioners, managers, physician leadership, and external customers and resources to facilitate efficient operations and information management. Provides guidance and support to contracted credentialing verification services provided by Medical Staff Services, ensuring that the processes are scrutinized for compliance with National Committee Quality Assurance (NCQA) standards and national standards relating to credentialing verification organizations. Assists with the development of departmental and hospital policies and procedures involving the credentialing process by delineating actual practices. Develops and maintains medical staff databases. Responsible for updating and maintaining medical staff information systems. Coordinates installation of system upgrades, development needs and problem resolution with vendor. Acts as a system expert and resource for the Medical staff information system and database. Creates and develops a variety of adhoc reports for a variety of internal and external customers. Compiles and analyzes data to prepare information and responses for regulatory compliance reports, auditors, accreditation surveys and other special requests. Responsible for maintaining records and information in accordance with legal and retention requirements. Provides support and backup for Medical Staff Services functions including coordination and coverage of meetings and projects, as delegated. Utilizes performance improvement principles to assess and improve quality. Identifies need and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. Seeks education and networking relationships that enhance knowledge and resources to ensure good practices, quality improvement, and compliance with national standards. Maintains competency in all organizational, departmental and outside agency safety standards relevant to job performance.Minimum Qualifications Education High School or GEDExperience Five years progressively responsible administrative/clerical experience, preferably in a health care environmentCertifications and Licenses Certification by the National Association of Medical Staff Services (NAMSS) as a Certified Provider Credentialing Specialist (CPCS), preferredOr an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be consideredBillings Clinic is Montanas largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more ( Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.

Keywords: Billings Clinic, Billings , Medical Staff Specialist, Healthcare , Billings, Montana

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