Skills & Competencies for Medical Staff Credentialing Manager

Medical Staff Credentialing Manager job profile

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JOB SUMMARY for Medical Staff Credentialing Manager

Manages staff that process credentialing and recredentialing applications for medical providers.

JOB RESPONSIBILITIES for Medical Staff Credentialing Manager

Implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Analyzes and prepares reports on trends in application status.

Medical Staff Credentialing Manager SALARY RANGE

BASE 50%
$105,007
TOTAL 50%
$109,075
Job Level
M02
Job Code
HC07000442
Education/Degree
Bachelor's Degree
Reports To
Top Management

Medical Staff Credentialing Manager Skills and Competencies List

Proficiency Levels and Behavioural Indicators
Salary.com identifies five increasing levels of proficiency for each skill/competency. Some jobs require only a relatively low level of proficiency in each skill/competency, while other jobs will require a more advanced level of proficiency in the same skill/competency. These levels rate the degree of proficiency (skill level, expertise) we expect the incumbent to perform in the given skill/competency for the given job. Note that we intentionally do not associate timeframes or years of experience in performing the skill/competency because that can be misleading. Proficiency levels identify what the incumbent knows and can do rather than how long they have been doing it. Also, note that the proficiency levels are cumulative, e.g., a level 4 proficiency implies the ability to perform all the behaviors at the lower levels.
Check each Medical Staff Credentialing Manager skill and competencie below to view definitions.
JOB FAMILY COMPETENCIES CORE COMPETENCIES
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5 general skills or competencies (Job family competencies) for Medical Staff Credentialing Manager

1 Job Family Competencies – Records Management
Proficiency Level -3
Skill definition-Managing and preserving records to help an organization keep the documentation accessible for both business operations and compliance audits.
Level 1 Behaviors
(General Familiarity)
Documents and maintains accurate internal records based on established procedures.
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Level 2 Behaviors
(Light Experience)
Conducts inspections with management to provide and document corrective actions.
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Level 3 Behaviors
(Moderate Experience)
Maintains accurate records of training management to preserve throughout the life cycle.
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Level 4 Behaviors
(Extensive Experience)
Integrates program management to improve the efficiency of record management.
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Level 5 Behaviors
(Mastery)
Conceptualizes strategic plans for records and practices to streamline communication and workflow.
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2 Job Family Competencies – Compliance Management
Proficiency Level -3
Skill definition-Developing and managing compliance tools and processes to ensure employees and operations adhered to laws, regulations, and requirements.
Level 1 Behaviors
(General Familiarity)
Discusses the role and importance of regulatory compliance in the organization.
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Level 2 Behaviors
(Light Experience)
Documents compliance issues that are high risk for the upper management.
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Level 3 Behaviors
(Moderate Experience)
Implements revenue cycle management policies to ensure compliance throughout the financial process.
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Level 4 Behaviors
(Extensive Experience)
Engages investors to ensure compliance with financial management standards and company expectations.
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Level 5 Behaviors
(Mastery)
Develops financial policies to ensure compliance with internal regulations and industry best practices.
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3 Medical Staff Credentialing Manager - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Medical Staff Credentialing Manager
Proficiency Level - 4
5 Competency for - Medical Staff Credentialing Manager
Proficiency Level - 5

10 soft skills or competencies (core competencies) for Medical Staff Credentialing Manager

1 Core Competencies – Budgeting
Proficiency Level -2
Skill definition-Applying specific policies, tools and practices to plan and prepare projected revenues, expenses, cash flows, and capital expenditures.
Level 1 Behaviors
(General Familiarity)
Describes the procedures for capital and expense allocation and budgeting.
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Level 2 Behaviors
(Light Experience)
Gathers financial data to help support management in budgeting analysis and forecasting.
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Level 3 Behaviors
(Moderate Experience)
Prepares and reviews the annual budgeting process to ensure effective and efficient budgeting.
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Level 4 Behaviors
(Extensive Experience)
Evaluates past decisions on budgetary considerations to improve the budgeting process.
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Level 5 Behaviors
(Mastery)
Establishes operating procedures to guide the consistency and repeatability of our budgeting processes.
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2 Core Competencies – Planning and Organizing
Proficiency Level -3
Skill definition-Managing and prioritizing resources and workloads by creating well-organized plans to attain organizational goals and objectives.
Level 1 Behaviors
(General Familiarity)
Documents best practices in planning and organizing work to address important tasks.
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Level 2 Behaviors
(Light Experience)
Discusses the positive and negative outcomes of planning and organization in the workplace.
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Level 3 Behaviors
(Moderate Experience)
Helps set up new practices to anticipate and address the needs of planning and organization initiatives.
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Level 4 Behaviors
(Extensive Experience)
Facilitates the adoption of advanced tools to streamline the process of planning and organization.
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Level 5 Behaviors
(Mastery)
Develops best practices in planning and organizing activities to improve organizational efficiency.
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3 Medical Staff Credentialing Manager - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Medical Staff Credentialing Manager
Proficiency Level - 4
5 Competency for - Medical Staff Credentialing Manager
Proficiency Level - 5

Summary of Medical Staff Credentialing Manager skills and competencies

There are 0 hard skills for Medical Staff Credentialing Manager.
5 general skills for Medical Staff Credentialing Manager, Records Management, Compliance Management, Healthcare Industry, etc.
10 soft skills for Medical Staff Credentialing Manager, Budgeting, Planning and Organizing, Coordination, etc.
While the list totals 15 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Medical Staff Credentialing Manager, he or she needs to be proficient in Budgeting, be skilled in Planning and Organizing, and be skilled in Coordination.

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