Medical Staff Services Specialist I (U)

Employees at this level provide specialized support and assistance in implementing centralized Medical Staff Services. They work under direct supervision from higher-level staff for a duration of 6 months.

1. uniformly apply clearly defined credentialing or privileging processes to all practitioners/providers;
2. perform a detailed and thorough evaluation of applications, primary source verifications, and sources provided to determine the applicant's initial eligibility for membership/plan participation. Review application and supporting documents for completeness;
3. process and evaluate privileging requests and evidence of education, training, experience, and competency to determine eligibility for requested privileges;
4. recognize, investigate, and validate discrepancies and adverse information obtained;
5. compile, evaluate, and present the practitioner-specific data collected for review by one or more decision-making bodies;
6. demonstrate an understanding of state and regulatory standards;
7. monitor and/or report sanctions and complaints about all practitioners/providers to the supervisor;
8. securely manage credentialing software as the single source of truth by effectively navigating the software and maintaining data integrity;
9. keeps Medical Staff coordinator informed with regard to work progress; negotiates deadlines and priorities;
10. 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);
11. serves as a resource person on medical staff issues, including credentialing processes, by-laws, and committees;
12. performs related duties as assigned.

1. High school diploma or equivalent.
2. Any one or combination totaling two (2) years (24 months) from the categories below:
   1. College coursework 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)
   2. 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.

If you require assistance, please contact the Office of Human Resources at hrrecruitment@siumed.edu or call 217-545-0223 Monday through Friday, 8:00am-4:30pm.

The mission of Southern Illinois University School of Medicine is to optimize the health of the people of central and southern Illinois through education, patient care, research and service to the community.

The SIU School of Medicine Annual Security Report is available online at https://www.siumed.edu/police-security. This report contains policy statements and crime statistics for Southern Illinois University School of Medicine in Springfield, IL. This report is published in compliance with Federal Law titled the

"Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act."

Southern Illinois University School of Medicine is an Affirmative Action/Equal Opportunity employer who provides equal employment and educational opportunities for all qualified persons without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, protected veteran status or marital status in accordance with local, state and federal law.

Pre-employment background screenings required.