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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.

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