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)
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.