Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Being a Medical Staff Credentialing Director maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Additionally, Medical Staff Credentialing Director analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to senior 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)
Description
Who We Are: Psychiatric Medical Care is one of the country's largest Behavioral Health Management companies. Why work with PMC? Because PMC works for you. At PMC, we strive to maintain a culture of kindness and accountability. We embrace diversity, and inclusion, and provide team member support. We encourage everyone at PMC to have a healthy work-life balance and bring their authentic selves to work every day.
What We Offer:
Work-Life Balance:
Competitive Benefits:
The Credentialing Specialist role is an integral part of PMC’s Telehealth division. This position is responsible managing and coordinating all functions related to the credentialing and recredentialing of health care providers and maintains provider credentialing files.
Duties and Responsibilities
The Credentialing Specialist duties shall include, but not be limited to, the following:
Requirements
Qualifications
Physical Requirements
While performing the duties of this job, the employee is regularly required to talk and hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.