Supervisor, Medical Staff Credentialing

The Medical Staff Credentialing Supervisor will be responsible for successfully supervising the organizational and administrative operations of the Medical Staff Department to ensure that systems are safe, effective, appropriate, and compliant with applicable regulations and standards. Will perform supervisory duties including  training, evaluating and the day-to-day management of the Medical Staff team. The Supervisor will be accountable for quality and integrity of data entered into systems and will monitor administrative activities related to the Medical Staff Office. Will work collaborative with the Director to assign work to team members, assuring timely completion of project milestones and deliverables as appropriate.  Emphasis is placed on customer services, provider satisfaction, staff development and fiscal goals. Will supervise and oversee all credentialing services, will provide on-boarding assistance to the medical staff, will supervise various information systems used in credentialing functions, and will assist in the process for delegated credentialing including audits.  Created and updated DOPs.

Minimum Education
Bachelor's Degree (Required)
Master's Degree (Preferred)

Minimum Work Experience
3 years of credentialing experience (Required)

Required Skills/Knowledge

• Strong organizational and interpersonal and written communication skills.
• Must have the ability to prioritize, delegate, and manage multiple responsibilities.
• Must be able to work independently on assigned tasks and follow through to completion.
• Good supervisory skills.
• Ability to delegate assignments and follow through on details is essential.
• Excellent consumer relations skills.
• Knowledge of physician billing practices, insurance enrollment and credentialing.
• Proficient with Microsoft Word, Excel and Power Point.
• Knowledge of various accreditation standards (JC, NCQA, AAAHC, DOH) and State laws
• Knowledge of CredentialStream (or equivalent) Credentialing Data System

Required Licenses and Certifications
Certified Provider Credentialing Specialist CPCS and CPMSM 2 Yrs (Required)

Grow

• Encourage and share new ways of making the right work easier to do

• Recognize and share incremental improvements in operations

• Monitor and promote efficiency in the team’s operations

Credentialing

• Supervises day to day activities of the credentialing services staff.

• Ensures that processes function smoothly a