Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Being a Medical Staff Credentialing Director maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Additionally, Medical Staff Credentialing Director analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to 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 senior management. The Medical Staff Credentialing Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Staff Credentialing Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
Under the supervision of the Director, Medical Staff Services, performs a variety of administrative, staff support and clerical functions, which require a range of skills knowledge of organizational policies and procedures. Assists with inquires, performs data entry, on-line verifications of medical licensures and other credentials, verify physician hospital affiliations, general queries and reports from MD Staff data base, mailings, filings, and other functions and projects as assigned.
Performs on-line verifications of AMA, medical licensures, malpractice insurance, NPDB, and other credential certificates using the Application Checklist. Performs accurate data entry of medical staff applications and/or reappointments for physicians and allied health practitioners. Monitors the expirables (medical licensures, DEA certificate, professional liability insurance and other credentials certificate.
Associates degree preferred. Two years of working experience in health care setting. Proficiency in Computer (Word, Excel, Powerpoint, and other credentials data base). Strong ability to read and write, excellent interpersonal and communication skills. Ability to apply common sense principles, along with knowledge base to analyze and solve problems that arise. Moderate to complex problem-solving skills and prioritization of needs.