Medical Staff Credentialing Supervisor jobs in Missouri

At St. Joseph Medical Group and Kansas City Physician Care, our dedicated team of professionals is committed to our core values of quality, compassion, and community. Affiliated with St. Joseph Medical Center, St. Joseph Medical Group and Kansas City Physician Care are actively seeking new members to join their award-winning teams!

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Responsible for tracking provider enrollments, re-credentialing, and new contract applications with commercial and government health plans. Perform CAQH maintenance. Effectively communicate the contracting and enrollment process, addressing and providing regular updates to Regional Directors. Possess comprehensive knowledge of managed care company and plan requirements. Monitors and maintains websites for pending revalidations and credentialing requests.

EDUCATION, EXPERIENCE, TRAINING

1. Associates degree preferred or equivalent education/experience.

2. Certified Provider Credentialing Specialist (CPCS) preferred

3. Must have strong computer, communication, and writing skills.

4. Must be proficient in Microsoft Office: Word, Excel, and PowerPoint.

5. Must exhibit a positive attitude and willingness to learn. 6. Knowledge of managed care plans, PECOS, NPPES,CAQH

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