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)
Position Highlights :
About Firelands Health :
Our goal at Firelands Health is to be the best & preferred independent healthcare employer for the Sandusky Bay region.
Firelands Health is the area’s largest and most comprehensive resource for quality medical care. We are big enough to care for you, and small enough to care about you .
We are locally managed and governed as a not-for-profit healthcare facility, serving the counties of Erie, Ottawa, Sandusky, and Huron, covering a regional service area with over 300,000 residents.
Our mission is to provide excellent healthcare, promote community wellness, and improve the lives we serve.
Our Core ACE Values : Attitude : We choose to be positive and inclusive every day. Commitment : We are committed to exceed the expectations of those we serve.
Enthusiasm : We will work passionately to make a difference.
What you will do :
To include but not limited to, credentialing / recredentialing with Medicare, Medicaid, Anthem, MMOH, other major insurance payors and CAQH.
Insurance :
Credential locations when the facility obtains a new contracted payor.
Add or delete locations as needed.
Answers telephones and screens and routes calls in a professional manner; records and delivers messages promptly and accurately.
Uses own initiative in the development of appropriate forms, procedures, etc.
Utilizes computer equipment maintaining current working knowledge of multiple programs including Outlook, Word, Excel, and PowerPoint.
Participates in department performance improvement activities as assigned and attends required training.
Demonstrates Service Excellence and ACE.
Available for special projects as needed and performs other duties, as assigned.
What you will need :
Last updated : 2024-04-11