Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Being a Medical Staff Credentialing Director maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Additionally, Medical Staff Credentialing Director analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to senior management. The Medical Staff Credentialing Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Staff Credentialing Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
About us
Desert Sage Behavioral Health is a small business in Tucson, AZ. We are professional, agile, innovative and our goal is to have in house credentialling that is seamless and above the average.
Our work environment includes:
Overview:
We are seeking a highly organized and detail-oriented individual to join our team as a Credentialing Specialist. As a Credentialing Specialist, you will play a crucial role in ensuring that our healthcare providers meet all necessary qualifications and standards. This is an excellent opportunity for someone with experience in medical office administration and managed care.
Responsibilities:
- Conduct thorough credentialing and re-credentialing processes for healthcare providers
- Verify and review provider applications, licenses, certifications, and other relevant documentation
- Ensure compliance with all regulatory requirements and standards
- Maintain accurate and up-to-date provider credentialing files
- Communicate with providers and internal teams to resolve any credentialing issues or discrepancies
- Collaborate with insurance companies and other external stakeholders to facilitate the credentialing process
- Stay informed about industry changes and updates related to credentialing requirements
- Assist with audits and quality assurance initiatives
Qualifications:
- High school diploma or equivalent; associate's or bachelor's degree preferred
- Previous experience in medical office administration or managed care is highly desirable
- Familiarity with medical terminology and healthcare industry standards
- Strong attention to detail and ability to maintain accurate records
- Excellent organizational skills and ability to prioritize tasks effectively
- Strong communication skills, both written and verbal
- Proficient in using computer systems and software applications
If you are a motivated individual with a passion for ensuring quality healthcare delivery through effective credentialing processes, we encourage you to apply for the position of Credentialing Specialist.
Job Type: Contract
Pay: $19.14 - $19.92 per hour
Schedule:
People with a criminal record are encouraged to apply
Experience:
Ability to Commute:
Ability to Relocate:
Work Location: In person