- Company Name
- SIU Medicine
- Job Title
- Medical Staff Services Specialist l (4775)
- Job Description
-
**Job Title**
Medical Staff Services Specialist I
**Role Summary**
Provide expert assistance in medical staff credentialing, re‑credentialing, and managed‑care plan participation. Manage physician data, resolve credentialing deficiencies, support the Senior Director of Patient Business Services, and coordinate training, meetings, and documentation for managed‑care plans.
**Expectations**
- Complete credentialing and re‑credentialing workflows within set deadlines.
- Maintain an accurate, up‑to‑date physician database and documentation files.
- Communicate effectively with physicians, clinic staff, and managed‑care representatives.
- Demonstrate professionalism, confidentiality, and a customer‑service mindset.
- Support departmental meetings, training sessions, and special projects.
**Key Responsibilities**
1. **Credentialing** – gather required information, use Medicare/Medicaid online systems, troubleshoot deficiencies, and submit applications for managed‑care plans.
2. **Database & Documentation** – maintain credentialing database, upload documents, prepare reports, and keep files current for each employed physician.
3. **Provider Support** – serve as a resource for physicians and staff regarding plan participation, licensing updates, and document requirements.
4. **Meeting & Training Coordination** – schedule, arrange facilities and catering, prepare agendas, and ensure necessary equipment for MCNG and other meetings.
5. **Clerical & Administrative Duties** – compose letters, memoranda, and reports; manage telephone calls; maintain professional front‑office image; supervise file system upkeep.
6. **Insurance & Compliance** – request Certificates of Insurance and verify professional liability coverage.
**Required Skills**
- Proficient in Microsoft Office (Excel, Word, Outlook).
- Strong data entry, spreadsheet management, and report generation.
- Detailed‑oriented with excellent organizational and time‑management skills.
- Effective written and verbal communication.
- Knowledge of managed‑care credentialing processes and NCQA documentation.
- Ability to resolve problems, work independently, and collaborate with cross‑functional teams.
- Customer‑service orientation and professionalism.
**Required Education & Certifications**
- High school diploma or equivalent.
- Minimum of 2 years (24 months) of college coursework in healthcare administration, health information technology, health sciences, public health, social sciences, business administration, or a related field.
- No specific certification required, but familiarity with managed‑care or NCQA standards is preferred.
Springfield, United states
On site
28-11-2025