Medical Staff Credentialing Manager manages staff that process credentialing and recredentialing applications for medical providers. Implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Being a Medical Staff Credentialing Manager presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Analyzes and prepares reports on trends in application status. Additionally, Medical Staff Credentialing Manager typically requires a bachelor's degree. Typically reports to a director. The Medical Staff Credentialing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Medical Staff Credentialing Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Responsible for monitoring the verification process for medical staff incumbents. Completes physician, nurse and other employee verifications and ensures that the organization and staff are in accordance with staff by-laws, industry trends and standard credentialing procedures. May complete administrative duties such as ensuring state medical licenses are up-to-date and checking the status on new license applications. Relies on extensive experience and judgment to plan and accomplish goals. Performs a variety of tasks. Leads and directs the work of others. A wide degree of creativity and latitude is expected. Typically reports to top management. Bachelor's degree in area of specialty and at least 5 years of experience in the field or in a related area. Familiar with a variety of the field's concepts, practices, and procedures.