Job Information
Billings Clinic Medical Staff Specialist in Billings, Montana
Medical Staff Specialist
Non-Exempt
req647
Day
Full-Time (.75 or greater)
M-F 8-5
1.00 = 80 hours
Coordinates 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.
KNOWLEDGE OF:
Billings Clinic policy and procedures, both organizational and departmental
Personal computers, hardware and software
Billings Clinic Code of Business Conduct
Billings Clinic Corporate Compliance Program
HIPAA and confidentiality requirements
Patient’s/resident’s rights
Customer service techniques and Personal Service Excellence (PSE)
Principles of healthcare credentialing by industry and national standards
Credentialing standards guiding the provision of services as a Credentialing Verification Organization Network and other delegated credentialing contracts
Joint Commission Accreditation Hospital Organizations (JCAHO) and National Committee Quality Assurance (NCQA) accreditation standards relating to medical staff organization, credentialing and recredentialing; privileging; and the responsibility of Credentialing Verification Organizations (preferred)
Legal principles of credentialing involving professional liability insurance, peer review and discovery, and Health Care Quality Improvement Act of 1986 (preferred)
Personal computers, hardware and software
Medical terminology
Credentialing terminology and managed care terminology (preferred)
Information management and security
Organizing and preparing for meetings, writing minutes, reporting and follow-up
SKILL IN:
Professional communication skills, both verbal and written
Microsoft Office programs (i.e. Word and Excel), preferred
Utilization of database software and modem transmissions
Operation of standard office equipment
Prioritizing work, based on scheduled events and deadlines
High school graduate or equivalent
Certification by the National Association of Medical Staff Services (NAMSS) as a Certified Provider Credentialing Specialist (CPCS), preferred
Five years progressively responsible administrative/clerical experience, preferably in a health care environment
Billings Clinic is a community-owned, not-for-profit health care organization in Billings, Montana with approximately 4,000 employees, including over 400 physicians and advanced practitioners. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (https://www.billingsclinic.com/about-us/) (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality (https://www.billingsclinic.com/quality-safety/) .
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.