Medical Staff Credentialing Supervisor oversees day-to-day activities of staff that process credentialing and recredentialing applications for health care providers. Implements department procedures to facilitate organized and up-to-date provider databases. Being a Medical Staff Credentialing Supervisor administers system for tracking license and certification expirations to ensure renewals are submitted in a timely fashion. Ensures that applications are properly verified and accurately uploaded into an online credentialing database system. Additionally, Medical Staff Credentialing Supervisor resolves complex questions regarding credentialing or provider database maintenance and best practices. Prepares reports on applications and credentialing status to identify trends and improve the credentialing process. May require a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a manager. The Medical Staff Credentialing Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. To be a Medical Staff Credentialing Supervisor typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision. (Copyright 2024 Salary.com)
Credentialing Specialist
PMC Medical Group is a privately owned, multi-specialty medical group with locations throughout New Hampshire, providing care and compassion to patients for over 30 years, in the areas of pain management, family medicine and management of substance use disorders.
Job description:
The Credentialing Specialist will manage and monitor provider and facility credentials and maintain accurate data with insurance carriers to ensure a regulatory compliance and accurate payment from payers. The credentialing specialist will work closely with lead team members in Operations, HR and Accounting to ensure staff qualifications remain up to date and payer contracts remain competitive. Credentialing specialist will also work closely with the billing department to resolve any discrepancies with carrier payments.
The Ideal Candidate will have:
Salary dependent upon education and past experience.
As a team member at PMC Medical Group, you’ll enjoy:
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0 Medical Staff Credentialing Supervisor jobs found in Portsmouth, NH area