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)
Responsible for the accuracy and consistency of hospital pre-registration, pre-certification, scheduling, insurance verification, and financial counseling for the health system. Develops and controls all tasks necessary to ensure all activities are completed on-time, including building relationships with internal and external clients.
Accountable for making strategic decisions guided by organizational issues, trends, and business implications, keeping in mind that decision may have regional/local implications. Recognizes cross-function interdependencies of decision.
MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
Bachelor’s Degree
OR
4 years of relevant experience
EXPERIENCE:
1. 5 years management experience required
2. 5 years of experience in patient financial access services including registration, scheduling, pre-certification, and/or financial counseling.
PREFERRED QUALIFICATIONS:
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Bachelor’s Degree in Accounting, Finance, or Business
2. Master’s Degree, CPA, Certified Healthcare Financial Professional (CHFP) of HFMA
EXPERIENCE:
1. Experience developing standards, processes, policies and procedures for a diverse organization
2. Record of success managing complex projects with multiple, diverse stakeholders.
CORE DUTIES AND RESPONSIBILITIES:
1. Assures accurate registration data is gathered from patients prior to the time of service when appropriate.
2. Leads efficient local scheduling and order entry functions.
3. Functions as primary resource for all Patient Financial Access decisions related to pre-service clearance.
Clear All
0 Medical Staff Credentialing Director jobs found in Parkersburg, WV area