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)
Charleston Area Medical Center (Charleston, WV) is seeking a Credentialing Coordinator.
The Credentialing Coordinator administers the credentialing process to coordinate, monitor, and maintain facility and provider credentialing while supporting other department initiatives and projects. Analyzes and resolves problems related to physician enrollment and other activity for WVPHO members. Ensures that physicians are linked correctly to plans and products for correct claims payment and revenue. Responds to requests for verification and information from internal and external customers.
Responsibilities
Education: Bachelor's degree in business or healthcare administration. Substitution: May substitute 4-5 years of credentialing and project management in a healthcare environment for the Bachelor's degree Comment: • Demonstrated experience with database and supporting software including Microsoft Word, Excel and Microsoft Access. Able to perform essential functions for reporting purposes and data analysis (i.e., Create data, data sorting filtering for plan-database comparisons and reconciliations). • Excellent problem solving, communication and interpersonal skills to effectively mediate and resolve issues in a timely and cost-effective manner. • Demonstrated project management skills. • Demonstrated ability to prioritize workflow to achieve time sensitive goals. • Credentialing and/or Medical Staff Office experience preferred. • Strong project management skills. • Demonstrated human relations and effective communication skills.
To apply, visit camc.org/careers for JOB ID#22566 or by clicking this link:https://gen-camc-prd.inforcloudsuite.com/hcm/xmlhttp/shorturl.do?key=JPJ
Equal Opportunity Employer
Job Type: Full-time
Benefits:
Work Location: In person