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)
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