Credentialing Manager jobs in Mobile, AL

To ensure timely and accurate management of provider’s credentialing, updating licenses and maintain multi-state license requirements for all providers. Process payor applications to all healthcare payors, i.e. BCBS, UHC, Medicare, Medicaid, etc., and process recredentialing applications prior to expiration, monitoring each physician in an organized manner. The bulk of this role is focused on maintenance of physician credentialing with some small project support to other areas in Human Resources. This role is an onsite provider interfacing role. Important that candidates have a working knowledge of medical staff services and credentialing processes, procedures, and systems. Working knowledge of internal and external credentialing resources and organizations such as accreditation and regulatory bodies, and medical staff services and credentialing organizations. Knowledge of Facility Medical Staff Bylaws and Governing Body Bylaws, Facility Medical Staff Rules and Regulations, and Facility credentialing policies. Maintain communication and direct networking via Internet, company Intranet, web-based and on-site conferences, email, phone with medical staff services and credentialing resources. Possess working knowledge and skills related to preparation, completion, and presentation of reports, related to Facility medical staff services and credentialing plan. Possess effective problem-solving and decision-making skills. Possess effective communication and presentation skills for leading and directing committee and program activities. Possess excellent organization and time management skills to complete job responsibilities and duties as directed. Ability to work in a demanding situation, changing focus of work due to changing priorities. Regularly access internal and external medical staff services and credentialing resources to maintain professional knowledge.

Required Skills/Abilities:
Initiative, good judgment, problem solving skills, decision making skills, strong organization skills, ability to prioritize activities, ability to function independently, effective teamwork skills, professionalism, excellent communication and presentation skills, ability to prepare organized reports, basic computer knowledge, Internet, and Intranet email access required.

Education and Experience:
High school diploma or equivalent required,
Professional training/experience in medical staff services and credentialing for clinical practice.
Must be self-starter, highly organized, with strong communication skills, and capable of follow up and completion of tasks associated with this position.

Physical Requirements:
Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift to 15 pounds at times.