Medical Staff Credentialing Manager manages staff that process credentialing and recredentialing applications for health care providers. Oversees department operations to ensure compliance with all regulatory standards. Being a Medical Staff Credentialing Manager implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Analyzes reports on applications and credentialing status to identify trends and improve the credentialing process. Additionally, Medical Staff Credentialing Manager prepares files for 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 a director. The Medical Staff Credentialing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Medical Staff Credentialing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Position Objective:
The Manager, Credentialing and Provider Enrollment provides Strategic Leadership to Luminis Health. Oversees the departmental operations, assuring the delivery of superior credentialing verification services for all hospital entities, their medical staff, and any contracted clients. Provides oversight for credentialing and provider enrollment and collaborative medical staff functions for all LHCE employed providers and assures timely enrollment of all LHCE facilities and medical groups with payers.
Essential Job Duties:
10. Represents the CVO to internal and external customers. Problem solves and manages issues as they arise.
Educational/Experience Requirements:
License/Certifications:
Working Conditions, Equipment, Physical Demands:
There is a reasonable expectation that employees in this position will NOT be exposed to blood-borne pathogens.
Physical Demands –
Light Work: Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for
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