Supervisor, Credentialing Verification Operations

Overview

Be inspired.  Be rewarded. Belong. At Emory Healthcare. 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide: 

• Comprehensive health benefits that start day 1 
• Student Loan Repayment Assistance & Reimbursement Programs 
• Family-focused benefits  
• Wellness incentives 
• Ongoing mentorship, development, and leadership programs  
• And more 

Description

REQUIREMENT:

• Supervises the system central credentialing unit and is responsible for the day-to-day operations of the Central Verification Office (CVO).
• Creates processes and procedures and trains credentialing specialists.
• Ensures accuracy and timely completion of credentialing files and provides feedback and training to specialists when issues are identified.
• Monitors compliance with established policies and procedures.
• Establishes deadlines and develops standards and evaluates performance against these standards in conjunction with Credentialing and Enrollment Manager.

MINIMUM QUALIFICATIONS:

• An Bachelor's degree in medical staff service science, business, or a related field of study or at least 4 years of comprehensive medical staff services experience in an acute care hospital, managed care or credentialing verification organization.
• Current National Association Medical Staff Services (NAMSS) certification as a as a CMSC (medical staff services coordinator) or CPCS (certified provider credentialing specialist) preferred.
• Those without certification must obtain it within the first year of employment. Must maintain active certification.
• A working knowledge of accreditation standards and credentialing related state and federal regulations. Experience with database management computer applications preferred.

Additional Details

Supporting a diverse, equitable and inclusive culture.  Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and/or veteran's status. EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals. EHC aspires to create an environment of collaboration and true belonging for all our patients and team members.  Emory Healthcare (EHC) is committed to achieving a diverse workforce through equal opportunity and nondiscrimination policy in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training.

 

ACCOMODATIONS: EHC will provide reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion.” 

 

PHYSICAL REQUIREMENTS (MediumMax 25lbs):

up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

 

ENVIRONMENTAL FACTORS:

Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock , Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation , Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.