Medical Staff Credentialing Supervisor jobs in the United States

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)

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Supervisor, Medical Staff Credentialing
  • Children's National Medical Center
  • Washington, DC FULL_TIME
  • Description The Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical Staff Department. Performs supervisory duties, including training, evaluating, and the day-to-day management of the Medical Staff team. The Supervisor is accountable for quality and integrity of data entered into systems and monitors administrative activities related to the Medical Staff Office. Collaborates 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. Supervises and oversees all credentialing services, provides onboarding assistance to the medical staff, assists in the supervision of various information systems used in credentialing functions, and oversees the process for delegated credentialing.
    Qualifications Minimum Education
    Bachelor's Degree (Required)
    Master's Degree (Preferred)

    Minimum Work Experience
    3 years of credentialing experience (Required)

    Required Skills/Knowledge
    Excellent written and verbal communication skills, detailed knowledge of medical staff credentialing.
    Knowledge of various accreditation standards (JC, NCQA, AAAHC, DOH) and State laws
    Knowledge of ECHO (or equivalent) Credentialing Data System preferred

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

    Functional Accountabilities
    Credentialing
    • Supervises day to day activities of the credentialing services staff.
    • Ensures that processes function smoothly and timely
    • Develops departmental guidelines to ensure compliance with the Medical Staff Bylaws
    • Oversees processes and minutes for CC.
    • Provides updated credentials committee actions to managed care for submission to the various payer's
    • Handles delegated credentialing audits. Develops responses and action plans as needed. Submits results to manager, medical affairs for the Credentials Committee.
    Program and Service Administration and Implementation
    • Supervises processing of initial appointments and reappointments.
    • Conducts audits of completed appointments and reappointment applications.
    • Provides education and feedback to staff.
    • Prepares files for credentials committee actions.
    • Develops automated processes in ECHO for appointments and reappointments.
    Compliance
    • Develops process to ensure that all providers maintain current licensure, health attestations, certifications and insurance certificates.
    • Provides list of providers to be deferred monthly for medical staff action.
    • Develops automated processes in ECHO for tracking licensure, etc. and sending notifications.
    Customer Service
    • Supervises staff in physician on-boarding, to include assisting new doctors in application process for obtaining appropriate licensure, as well as medical staff privileges.
    • Develops and applies metrics around time of hire, medical staff application date, licensure application, licenses granted and medical staff privileges approved.
    • Trains staff in customer service activities and maintains high level of customer service.
    • Develops automated processes in ECHO to assist in on-boarding process.

    Organizational Accountabilities
    Organizational Accountabilities (Staff)
    Organizational Commitment/Identification

    Teamwork/Communication

    Performance Improvement/Problem-solving

    Cost Management/Financial Responsibility

    Safety
    Primary Location: District of Columbia-Washington
    Work Locations:
    CN Hospital (Main Campus)
    111 Michigan Avenue
    Washington 20010
    Job: Management
    Organization: Chief Academic Officer
    Position Status: R (Regular) - FT - Full-Time
    Shift: Day
    Work Schedule: 8:00 - 4:30PM
    Job Posting: Apr 22, 2024, 3:21:35 PM

    Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities.

     

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Supervisor, Medical Staff Credentialing
  • Children's National Hospital
  • Washington, DC FULL_TIME
  • Description The Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical St...
  • Just Posted

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Medical Staff Credentialing Specialist
  • McLaren Medical Group
  • Flint, MI FULL_TIME
  • About Us McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in ...
  • 6 Days Ago

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Medical Staff Credentialing Coordinator
  • Oceans Healthcare
  • Plano, TX FULL_TIME
  • **Position is not remote** The Medical Staff Credentialing Coordinator is responsible for providing support services to the Organization’s centralized Medical Staff Services Department (MSSD) and thos...
  • Just Posted

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Medical Staff Credentialing Coordinator
  • UHS
  • CORONA, CA TEMPORARY
  • Responsibilities Medical Staff Credentialing Coordinator This is a full-time, day shift position located at Corona Regional Medical Center in Corona, CA Reporting to the Director of Medical Staff Serv...
  • 3 Days Ago

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Medical Staff Credentialing Specialist
  • Saratoga Hospital
  • Saratoga Springs, NY FULL_TIME
  • Summary of Position: This position is responsible support the Credentialing Office and all its functions. This position reports directly to the Director of Medical Staff Quality and performs tasks and...
  • 10 Days Ago

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Construction Inspector
  • Stantec
  • Columbus, OH
  • Many of the world's top engineers and scientists come together in our Water business because they view a community's int...
  • 4/23/2024 12:00:00 AM

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  • Department Of The Treasury
  • Columbus, OH
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  • 4/23/2024 12:00:00 AM

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  • State Of Ohio
  • Marysville, OH
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  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - DIRECT HIRE (12 Month Register) AMENDED
  • Department Of The Treasury
  • Columbus, OH
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  • 4/22/2024 12:00:00 AM

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Shared Administrative Associate (OA) 12 Month Register (Amended)
  • Department Of The Treasury
  • Columbus, OH
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  • 4/20/2024 12:00:00 AM

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Licensed Psychologist Part-Time Remote
  • Rula Health
  • Columbus, OH
  • About Rula Rula is a comprehensive behavioral health solution that makes it easy for individuals, couples, and families ...
  • 4/20/2024 12:00:00 AM

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Part-Time Remote Licensed Psychologist
  • Rula Health
  • Columbus, OH
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  • 4/20/2024 12:00:00 AM

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Preschool Administrative Assistant
  • Ready Set Grow
  • New Albany, OH
  • Preschool Administrative Assistant Ready Set Grow (#516), 5200 New Albany Road, New Albany, Ohio, United States of Ameri...
  • 4/18/2024 12:00:00 AM

Income Estimation for Medical Staff Credentialing Supervisor jobs
$68,854 to $88,551