at Shirley Ryan AbilityLab in Chicago, Illinois, United States
Job Description
By joining our team, you'll be part of our life-changing Mission and Vision. You'll work in a truly inclusive environment where diversity and equity are championed through words and actions. You'll contribute to an innovative culture that is second to none, one that embraces curiosity, discovery and compassion. You'll play a role in something that's never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes - as we Advance Human Ability, together.Job Description Summary
Processes all applications from physicians for:
1. Medical staff appointment, clinical privileges and/or reappointment to the SRALAB Medical Staff, including primary source verification
2. Managed care credentialing with companies who contract with SRALAB.
3. Medicare/ Medicaid/IDPH provider numbers (for physicians, nurse practitioners and select allied health staff). Consistently demonstrates support of the SRALAB Statement of Mission and Philosophy by striving for excellence, contributing to the team efforts and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the Institute.
Job Description
- Distribute applications upon request and establish electronic database file for medical staff members
- Upon return of application, check for completeness and all required documentation. Analyze information for discrepancy, misstatement, missing data, and time gaps.
- Enter data into electronic database file. Establish checklist for monitoring and tracking documents in credentials file.
- Perform primary source verification of information contained in application. This includes on-line electronic/internet sources such as the National Practitioner Data Bank, Office of the Inspector General, and the Illinois Department of Professional Regulations.
- Analyze credentialing information obtained for compliance with medical staff criteria and qualifications. Discuss key issues and problems to the Credentials Committee and the Senior VP for Medical Affairs.
- Give completed application to Senior VP for Medical Affairs for his review.
- Send copies of completed applications to Credentials Committee for review prior to meeting date. Prepare Minutes of meeting for presentation to Medical Executive Committee.
- Maintain accurate and current credentialing database for medical staff members.
- Monitor physicians' license and insurance expirations having potential high-risk exposure for SRALAB. Work with physicians to obtain current documentation.
- Acts as liaison person for managed care credentialing.
- Processes applications for Medicare/Medicaid/IDPH provider numbers for physicians, nurse practitioners and selected allied health staff members.
- Collects dues from Active Medical Staff and prepares quarterly treasurer's reports.
- Assures compliance with accreditation standards (JCAHO/CARF) and regulatory guidelines (state, federal) including Medical Staff Bylaws and policies/procedures.
- Maintains good working relationship between the SRALAB Medical Staff Office and the other Medical Staff Offices of the McGaw Medical Center (Children's Memorial Hospital, Northwestern Memorial Hospital, Evanston Hospital, NUMS.
Other Responsibilities:
- Enters new physician data into the Meditech user directory, and updates same with any change in physician status.
- Maintains on-line up-to-date listing of Attending and Consulting Physicians.
- Maintains Physician Privileges Manuals on all nursing and outpatient floors.
- Works with Senior VP for Medical Affairs to set up new physician orientation. Prepare Physician Orientation Notebooks for all new Attending Physicians.
- Answers queries from other hospitals on current and former Attending Physicians and Fellows.
Reporting Relationships
Reports to the Senior VP for Medical Affairs
Knowledge, Skills & Abilities Required
- Work requires secretarial skills normally acquired through six months or less of formal training, plus two years of college. Bachelor's degree preferred.
- Work requires two to three years of progressively more responsible clesralabal or secretarial experience and the ability to exercise independent judgement.
- Interpersonal skills needed in order to interact with key managerial personnel within the hospital and peers within the medical community.
- Excellent analytical ability needed to prepare reports and documents and to maintain various administrative records.
- Work frequently produces a high level of mental/visual fatigue while preparing reports, correspondences, etc.
- Work requires proficient computer skills and knowledge of Windows and Word for Windows in order to run credentialing software
Working Conditions
Normal office environment with little or no exposure to dust or extreme temperature.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
Equal Employment Opportunity
ShirleyRyan AbilityLab is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law. To view full details and how to apply, please login or create a Job Seeker account
