Summary
Provides technical and administrative support to the department leader. Supports services can include
processing/credentialing of provider applications of the staff, attendance at designated medical staff
department and committee meetings, as well as support services. Functions are performed in
accordance with the Medical Staff Bylaws, Rules and Regulations; The Joint Commission (TJC) and
Centers for Medicare & Medicaid Services (CMS) Standards; other Federal and State Regulations, such
as Title 22; and Department Policies & Procedures.
These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the
most descriptive of the current job. Management reserves the right to revise the job description or require
that other tasks be performed when the circumstances of the job change (for example, emergencies, staff
changes, workload, or technical development).
JOB ACCOUNTABILITIES:
Prepares agenda and meeting packet for other Medical Staff Departments and Committees.
Attends Medical Staff meetings, prepares accurate documentation, serves as resource for
specific Department and Committee meetings, and performs all necessary follow up actions.
Maintains thorough, appropriate level of knowledge of IMQ/CMA standards, Medical Staff
Bylaws, Rules and Regulations and MSSD policies and procedures.
Accepts and processes new applications for Medical Staff membership and initiates the data
gathering process. Pursues additional information for effective and comprehensive peer review
decision-making. Coordinates credentialing process of each completed Medical Staff
application. Distributes Medical Staff reappointments and compiles supporting data. Upon
receipt of a completed reappointment, implements processing as set forth in the Medical Staff
Bylaws, Rules and Regulations, policies and procedures, while maintaining confidentiality.
Enters data reflecting information on all current appointees to the Medical Staff utilizing
approved data base(s). Provides backup/support for, specified call schedules and subsequent
revisions, according to policy or procedure for each specialty.
In accordance with current CMA CME standards and established departmental policy, provides
backup support for the Continuing Medical Education (CME) program including:
Makes arrangements for speakers, facilitates reimbursement, secures meeting room location,
audiovisual equipment, catering needs, and maintains budget documents
Maintains calendar of CME events and publishes flyers of upcoming conferences
Maintains documentation including reimbursements; tracks attendance, speaker
recommendations in committees, and mails/files annual CME reports as appropriate
Provides backup support for preparing the agenda and meeting packet for the CME
Subcommittees.
Performs receptionist duties: answering incoming telephone calls: assist callers, or refer callers
to appropriate person/department. Builds and maintains effective working relationships with
others. Deals with patients, medical staff, employees, and visitors in a friendly and cordial
manner, in person or on the telephone, thus promoting a positive service image.
Maintains strictest confidence as required under HIPAA for all patient Protected Health
Information (PHI). All PHI is protected from accidental or intentional, inappropriate or
Job Level
Description
accidental disclosure. Responsible for maintenance and confidentiality of the credentials files
and medical staff records.
EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.
HS Diploma or equivalent education/experience
TYPICAL EXPERIENCE:
2 years recent relevant experience.
SKILLS AND KNOWLEDGE:
Knowledge of various medical terminology, procedures, views, and equipment.
Possess organizational and prioritization skills and have the ability to work at several projects
simultaneously.
Experience in communicating negative information and gaining the cooperation of physicians in a
professional manner for compliance purposes.
Experience in all aspects of meeting preparation, including meeting minute taking.
Possess written and verbal communications skills to communicate with fellow team members,
supervisors, patients, and other personnel.
Well-developed time management and organizational skills, including the ability to prioritize
assignments and work within standardized policies and procedures to achieve objectives and meet
deadlines.
Advanced knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and
Outlook), electronic health records (EHR), EPIC, and related information systems.
Interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form.
Prioritize assignments and work within standardized policies and procedures to achieve objectives and
meet deadlines.
Work independently, as well as be part of the team, including accomplishing multiple tasks in an
environment with interruptions.
Identify, evaluate and resolve standard problems by selecting appropriate solutions from established
options.
Ensure the privacy of each patient's protected health information (PHI).
Build collaborate relationships with peers and other staff members to achieve departmental and
corporate objectives.
Knowledge of Joint Commission Medical Staff Standards
High School Diploma
