Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Develops and implements policies and protocols related to physician, nurse and other employee verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Being a Medical Staff Credentialing Director requires a bachelor's degree in area of specialty. Typically reports to a top 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)
The Director of Credentialing & Enrollment will have oversight of the Clinician Credentialing Team. Responsibilities include leading, coordinating, implementing, monitoring and maintaining the clinician credentialing and provider enrollment process. The Director will facilitate all aspects of the clinician credentialing and provider enrollment process. Create standard operating procedures and process improvement initiatives. Clinician Credentialing and Provider Enrollment processes include development of relationships with internal clients, clinicians, and those external clients (third party payers including commercial insurance, managed Medicaid, Government, VA, and other carriers as needed) in an effort to support and further the company in its goals for growth. The Director of Credentialing & Enrollment is also responsible for the integrity and accuracy of information in credentialing software and other system related applications.