Medical Staff Services Specialist II, Medical Staff Services

Hiring Department: Medical Staff Office

Hiring Unit: University of Illinois Hospital & Health Sciences System (UI Health)

Location: Chicago, IL USA

Requisition ID: 1026694

Posting Close Date: 9/10/2024

Position Number: CF3659

About the University of Illinois Hospital & Health Sciences System (UI Health)

The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. A part of the University of Illinois at Chicago (UIC), UI Health comprises a clinical enterprise that includes a 495-bed tertiary care hospital, 22 outpatient clinics, and 13 Mile Square Health Center facilities, which are Federally Qualified Health Centers. It also includes the seven UIC health science colleges: the College of Applied Health Sciences; the College of Dentistry; the School of Public Health; the Jane Addams College of Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Health is dedicated to the pursuit of health equity.

This is a full-time and benefits eligible position. UIC offers competitive salaries commensurate with experience. In addition all full time benefits eligible positions include a comprehensive benefits package which include; Health, Dental, Vision, Life, Disability & AD&D insurance, a defined benefit pension plan as well as paid leave which includes; Vacation, Holiday and Sick. In addition we offer tuition waivers for employees and dependents. Click for a complete list of Employee Benefits

UI Health is seeking a Medical Staff Services Specialist II to join our Medical Staff Office. This role is engaged in the implementation and execution of procedures to assess criteria for membership and granting of privileges to practice in the facility to prospective and current Medical Staff members and Advanced Practice Professional (physicians, dentists, optometrists, APRNs, PA-Cs, et. al.) in accordance with institutional policies and regulatory standards. They are experienced Specialists who perform job duties with demonstrated skill and independently execute defined operations and procedures of Medical Staff Services, under the direction of the Director, Medical Staff Services.

Duties & Responsibilities

• Uniformly apply clearly defined credentialing or privileging processes to all practitioners/providers.
• Serve as main point of contact for practitioner during application process, providing timely updates and additional information as requested.
• Perform detailed and thorough evaluation of applications, primary source verifications, and sources provided to determine applicant’s initial eligibility for membership/plan participation. Review application and supporting documents for completeness.
• Process and evaluate privileging requests and evidence of education, training, experience and competency to determine eligibility for requested privileges
• Recognize potential discrepancies and adverse information, and independently investigate and validate information, applications, primary source verifications, or other sources.
• Compile, evaluate, and present the practitioner-specific data collected for review by one or more decision-making bodies.
• Demonstrate an understanding of state and regulatory standards.
• Monitor and/or report sanctions and complaints for all practitioners/providers to supervisor.
• Securely manage credentialing software as the single source of truth by effectively navigating the software and maintaining data integrity.
• Comply with internal and external requirements related to verifying the status of all practitioner/provider expirables (e.g., licenses, certifications) by querying approved sources and recommending action(s) to ensure compliance
• Keeps Medical Staff Director and/or Coordinator informed with regard to work progress; negotiates deadlines and priorities.
• Communicates with staff regarding the flow of information necessary to maintain daily activities within the department as well as other departments (such as the clinical departments).
• Serves as a resource person on Medical Staff issues, including credentialing processes, Bylaws, and Committees.
• Participates in and contributes to the analysis, design, and implementation of credentialing/privileging processes and operations.
• Participate in surveys and audits of regulatory and accreditation agencies or organizations or delegated credentialing entities.
• Performs related duties as assigned
• Perform other related duties and participate in special projects as assigned.
  
  
  

Minimum Qualifications Required

• High school diploma or equivalent.
• Any one or combination totaling two (2) years (24 months) from the categories below:
• College course work in health care administration, health information technology, health sciences, public health, social sciences, business administration, or a closely related field, as measured by the following conversion table or its proportional equivalent:
• 30 semester hours equals one (1) year (12 months)
• Associate’s Degree (60 semester hours) equals eighteen months (18 months)
• 90 semester hours equals two (2) years (24 months)
• Bachelor’s Degree (120 semester hours) equals three (3) years (36 months)
• Work experience in a medical setting which could include business administration (office administration, billing, collections), customer service, health information technology, medical insurance, patient admission/registration, patient services, or closely related experience.
• Six (6) months of work experience comparable to that of the Medical Staff Services Specialist I of the series.
  
  
  

Preferred Qualifications

• Bachelor’s degree
• CPCS or CPMSM Certification by the National Association of Medical Staff Services
  
  
  

To Apply: For fullest consideration click on the Apply Now button, please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application.

Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required within 180 days of employment

The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify.

The university provides accommodations to applicants and employees. Request an Accommodation