DESCRIPTION OF POSITION
This job description is a record of the essential functions of the listed job. The job description
provides the employee, CEO, Human Resources, applicants and other agencies with a clear
understanding of the job, where it fits into the organization, and the skill and work requirements in
relation to other jobs. Jobs are always changing to some degree and the existence of the approved
job description is not intended to limit normal change and growth. The facility will make reasonable
accommodations to otherwise qualified individuals who are capable of performing the essential
functions of the job with or without reasonable accommodation.
POPULATION SERVED
The position does not involve direct patient care for a population of patients ages 18 and
older. Age specific experience and/or special training and/or expertise are not required to
serve this population.
POSITION SUMMARY
Actively participates in all billing office activities, with the desire to work with others to
provide quality care to the patients.
POSITION QUALIFICATIONS
- Associate degree, preferably in the Medical Field
- Experience in the medical field
- Credentialing experience required
- Proficient in the use in multiple computer software programs; Microsoft Suite, Internet access and use as well as Medical Staff database software
- Certified Provider Credential Specialist (CPCS) preferred
Duties/ Responsibilities
- Assists the Medical Staff Services Department in the day-to-day Medical Staff Office duties and credentialing operations including processing all aspects of the medical staff meetings which include producing an agenda, packets, minutes, and follow-up
- Maintains a current working knowledge and interpretation of The Joint Commission (TJC) standards, Centers for Medicare and Medical Services (CMS), California Title 22, and other related state and federal healthcare regulations pertaining to the accurate timely credentialing of Medical Staff members
- Has a working knowledge of information systems, databases, credentialing processes, and computer systems applicable to the department
- Coordinates, organizes, and oversees the day-to-day credentialing activities for effective, efficient credentialing within all applicable rules, regulations, standards, and guidelines
- Acts as a liaison between the Medical Staff and Medical Staff Services Department
- Communicate effectively verbally and in writing
- Organizational skills and accuracy very important
DEMANDS AND CHARACTERISTICS OF WORK, EQUIPMENT USAGE, AND WORK ENVIRONMENT
- Standing/Walking - 34-66%
- Sitting - 34-66%
- Twisting - 34-66%
- Lifting/Carrying - 34-66%
- Pushing/Pulling - 34-66%
- Climbing (Ascending/Descending) - 1-33%
- Using arm muscles frequently or for extended periods - 34-66%
- Using leg muscles frequently or for extended periods - 34-66%
- Using back muscles frequently or for extended periods - 34-66%
LIFTING REQUIREMENTS
- 2-10 Pounds - 34-66%
- 11-20 Pounds - 34-66%
- 21-30 Pounds - 1-33%
- 31-40 Pounds - 1-33%
- 41-50 Pounds - 1-33%
- 51 Pounds or More - 1-33%
WORKING ENVIRONMENT
- Working in hot, cold, wet surroundings - 67-100%
- Working outdoors - 34-66%
- Working with or near chemicals - 1-33%
- Working near radiation sources - 1-33%
- Potential exposure to communicable diseases - 1-33%
- Working with hazardous waste materials - 1-33%
- Utilizing essential upgraded or adaptive equipment as industry standards require - 1-33%
- Using hand tools - 1-33%
- Potential for cuts and bruises - 34-66%
EXCHANGE OF IDEAS
- Ability to express or exchange ideas - 67-100%
- Ability to understand communication of others with or without adaptive devices - 67-100%
- Ability to perform basic math - 67-100%
- Ability to read at an elementary level - 67-100%
WORKPLACE BEHAVIORS
I. RESULTS ORIENTATION – Meets current objectives and positions the organization
for future growth. Completes daily tasks and assignments and processes large
volumes of work associated with the operation of the department.
II. SOCIAL SENSITIVITY - Builds positive relationships based on respect for others.
Demonstrates a helpful, positive attitude. Maintains effective communication with
peers, medical staff, patients, visitors, and families.
III. QUALITY OUTCOMES – Meets and exceeds expectations of internal and external
customers. All organizational and departmental standards regarding quality of
performance are met. Demonstrates a strong commitment to confidentiality.
Participates in quality improvement programs as directed.
IV. SAFE WORKING ENVIRONMENT – Demonstrates an awareness of and adherence
to safety and legal requirements established at the facility with an emphasis on
maintaining a safe environment for all persons working in the facility.
- Accident/Injury Reporting – Reports any accidents, injuries, and unsafe equipment and conditions to supervisor by the end of the shift and reports any pre-existing conditions as identified by the ADA.
- Unsafe Conditions – Immediately reports and corrects, if possible, unsafe conditions or equipment.
- Workplace Standards – Compiles with relevant regulations, standards and policies governing safe workplace environment (OSHA, Accreditation, etc.)
- Safety Techniques – Maintains current knowledge of all aspects of the facility’s safety program by attending safety-related training as mandated upon hire and thereafter as required by facility.
- Modified Work – Accepts modified work assignments after receiving the physician’s release to return to work following an accident/ injury.
- F. Follows Prescribed/Recommended Treatment – Follows the prescribed/recommended treatment given by treating physician(s) after an accident/injury.
V. EDUCATION – Participates in required in-services and educational programs on an
ongoing basis.
VI. ATTENDANCE AND PUNCTUALITY – Follows all facility guidelines outlining
standards of attendance and punctuality. Responsible for reporting to and completing
work at assigned times.
UNIVERSAL PRECAUTIONS
Universal precautions will be observed in order to prevent contact with blood or other
potentially infectious materials. Under circumstances in which differentiation between body
fluid types is difficult or impossible, all body fluids shall be considered potentially infectious
materials. All blood or other potentially infectious materials will be considered infectious
regardless of the status. The category shown below is designed to communicate the risk of
exposure for this particular position.
- Category III
- Tasks of employment involve no contact with moist body substance, non-
- intact skin or mucous membranes.
- The employee must have the ability to perform essential functions without
- posing a “direct threat” in the workplace.