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)
Develop, direct, implement, maintain, and evaluate the credentialing program with particular emphasis on supporting the medical staff leadership, department chairpersons, and section chiefs to appoint qualified applicants for medical staff membership or reappoint current members to the medical staff. Oversee and coordinate all medical staff office efforts to monitor and maintain compliance with all regulatory, State, Federal government, and Joint Commission standards. This position reports directly to the CQO. The Medial Staff Director will also be responsible for coordinating the daily operation of the Medical Staff Office function under the guidance of the CQO. Supervisory responsibility for Credentialing, Ongoing Clinical Practice, and will oversee Credentialing and OPPE/FPPE team members in collaboration with the Quality Department.
Education: Associates Degree or higher strongly preferred. Certified Professional Medical Services (CPMS) certification strongly preferred
Experience: At least 5 years experience as a Medical Staff Coordinator, Credentialing Supervisor or Manager in an acute care facility. Effective customer service and organizational skills, ability to use various computer applications – word processing essential, database experience preferred. Ability to communicate and effectively present information to internal and external groups and audiences. Attention to detail a must.
At Mountain View we pride ourselves on fostering an environment that is warm and welcoming where everyone feels heard, supported and valued. An environment that embodies a "family" culture that emphasizes not only the high standards in the care we deliver but also in the personal connections and relationships that form the heart of our institution. Our healthcare professionals and support staff work together as a close-knit family, united by a shared commitment to healing and improving the lives of our patients and each other.
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