Member Certification Manager manages the certification and credentialing programs of a professional or membership organization. Oversees the development of standards and testing materials. Being a Member Certification Manager develops testing schedules and resource requirements to deliver testing. Collaborates with curriculum designers and instructors to ensure materials present certification requirements accurately and are validated in the certification processes. Additionally, Member Certification Manager develops quality processes to ensure the testing and validation processes accurately measure certification requirements. Optimizes the certification process to ensure members are satisfied and resolves any problems related to the process. May evaluate, select, and monitor outside testing providers to ensure testing quality. May require a bachelor's degree. Typically reports to a head of a unit/department. The Member Certification 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 Member Certification 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)
CVM is growing and looking to add a Pre-Certification Specialist to our Patient Financial Services department. If youare an ambitious team oriented individual that is looking for a professional career in healthcare, we want you!
Job responsibilities:
This position is responsible for processing pre-certifications for procedures performed in the hospital and diagnostic center, obtaining referrals for office visits, verifying insurance benefits and eligibility, confirming pre-certification approvals with provided schedules, and maintaining current understanding of insurance regulations and pre-certification requirements. Position also includes other various clerical duties. Candidates should be professionals with strong written and verbal communication, critical thinking and time management skills with a positive can-do attitude. Ideal candidates will have two years insurance experience and possess strong computer skills.
BENEFITS:
Positions offer insurance benefits, an outstanding 401(k) package and earned time off plan, as well as a great Monday - Friday work schedule!
Cardiovascular Medicine is the area's largest, most comprehensive provider of cardiovascular services specializing in the prevention, detection, management and treatment of adult cardiovascular diseases. Our physicians represent the finest and most respected independent practitioners in Eastern Iowa and Western Illinois. Backed by experience, expertise and technology, we are dedicated to providing high quality, compassionate care.
Additional company information can be found at CVM's website, http://www.cvmedpc.com
Job Type: Full-time