Medical Staff Credentialing Supervisor jobs in West Virginia
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)
Recently Added Medical Staff Credentialing Supervisor jobs
Supervisor, Delegated Credentialing
- The Health Plan (THP)
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Wheeling, WV
FULL_TIME
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Position Summary
Accountable for delegated credentialing for all markets and products. Ensures delegated credentialing is compliant with the standards established by the National Committee for Quality Assurance (NCQA), WV Bureau of Medical Services, WV Office of Insurance Commissioner, Ohio Department of Insurance, the Centers for Medicare and Medicaid Services, and other regulatory agencies, as needed. Oversee delegated credentialing process, from pre-delegation assessment to monthly file receipt and processing to annual audits. Prepare for and attend WV Medicaid, NCQA and other regulatory audits, as required.
Required- College degree and/or four years related healthcare experience.
- Previous credentialing and auditing experience.
- Strong organizational, interpersonal, and critical thinking skills.
- Excellent communication skills, both written and verbal.
- Ability to multi-task, prioritize workload to meet deadlines, and attention to detail.
- Experience with Microsoft Office programs (Outlook, Excel, Word, etc.), and Adobe Acrobat.
- Bachelor’s Degree.
- CPCS Certification.
- Previous supervisory experience.
- Knowledge of national accreditation standards, state, and federal regulations.
- Oversees all delegated provider credentialing functions to ensure compliance.
- Performs pre-delegated audits and annual assessment audits to ensure delegated entities are compliant with THP policies and procedures as well as all accreditation, regulatory, and governing entities.
- Prepares pre-delegated annual assessment audits including scheduling audits and sending pre and post audit letters and communications.
- Oversee the delegated staff including compliance with performance standards, allocation of work, training, development, PTO requests, and annual performance standards.
- Recommend and implement change in policies and procedures.
- Create and review internal and external reporting of participating providers.
- Reports all audit outcomes to management and uploads results into THP’s online monitoring tool (OMT).
- Supervises delegated credentialing team to ensure timely maintenance of delegated provider data.
- Responsible for compliance with NCQA delegated credentialing compliance.
- Assists with national, state, and internal audits.
- Oversees delegated credentialing agreement compliance.
- Works collaboratively with the Provider Delivery Services team as well as all internal departments.
- 1 Day Ago
Credentialing Specialist-PRN
- Watertown Regional Medical Center
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Beckley, WV
FULL_TIME
- Raleigh General HospitalDescription Raleigh General Hospital Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Raleigh Gener...
- 18 Days Ago
Provider Credentialing & Onboarding Coordinator
- WVUHS Medical Group
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Morgantown, WV
FULL_TIME
- Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. B...
- 18 Days Ago
Medical Assistant
- Staff Today Inc.
-
Greenwood, WV
CONTRACTOR
- Health Advocates Network is currently seeking a Medical Assistant to work at a facility in Greenwood , WV. These are registry positions with our company.Weekly Gross Pay $14.60 x 36 $525.60Weekly Trav...
- 3 Days Ago
Staff Medical Lab Tech
- Camden Clark Medical Center
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Parkersburg, WV
FULL_TIME
- Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. B...
- 1 Month Ago
Staff Medical Lab Tech
- WVU Medicine Camden Clark Medical Center
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Parkersburg, WV
FULL_TIME
- Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. B...
- 2 Days Ago
Medical Staff Credentialing Supervisor jobs at Popular Companies
Credentialing Coordinator
- Advantage Tech
-
Aurora, CO
- Advantage Tech is hiring a Credentialing Coordinator for a client located in Aurora, Colorado. This position will be a 1...
- 6/11/2024 12:00:00 AM
Credentialing Coordinator
- National Anesthesia Services, Inc.
-
Franklin, MI
- Job Description Job Description Our company, National Anesthesia Services, Inc., is looking to hire a full-time Administ...
- 6/11/2024 12:00:00 AM
Credentialing Coordinator
- Insight Global
-
- Insight Global Health is searching for multiple Credentialing Specialists supporting the largest hospital system in Sout...
- 6/10/2024 12:00:00 AM
Credentialing Coordinator
- The LaSalle Group
-
Irving, TX
- LaSalle Network is excited to announce a partnership with a premier healthcare provider to recruit a talented Credential...
- 6/10/2024 12:00:00 AM
Credentialing Coordinator
- BayMark Health Services
-
Lewisville, TX
- Description Position at BayMark Health Services Credentialing Coordinator BayMark Health Services is looking for an orga...
- 6/10/2024 12:00:00 AM
Credentialing Coordinator
- Burnett Specialists
-
El Paso, TX
- Job Description Job Description Medical facility is looking for an experienced Payer Credentialing Coordinator. The Paye...
- 6/9/2024 12:00:00 AM
Credentialing Coordinator
- Belcan
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New York, NY
- Onsite - NY - hybrid - 2 days in office, (preferably Tuesdays and Wednesdays, but negotiable at least one of those days)...
- 6/8/2024 12:00:00 AM
Credentialing Coordinator
- Apex Systems
-
Charlotte, NC
- Apex Systems is looking to hire a Customer Service Specialist for one of their reputable healthcare clients they support...
- 6/7/2024 12:00:00 AM
About West Virginia
West Virginia (/vərˈdʒɪniə/ (listen)) is a state located in the Appalachian region in the Southern United States and is also considered to be a part of the Middle Atlantic States. It is bordered by Pennsylvania to the north, Maryland to the east and northeast, Virginia to the southeast, Kentucky to the southwest, and Ohio to the northwest. West Virginia is the 41st largest state by area, and is ranked 38th in population. The capital and largest city is Charleston.
West Virginia became a state following the Wheeling Conventions of 1861, after the American Civil War had begun. Delegates from so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Supervisor jobs
$62,294 to $80,112
Most Popular Cities in West Virginia for Medical Staff Credentialing Supervisor Jobs
What does a Medical Staff Credentialing Supervisor do?
Medical Staff Credentialing Supervisor in Indianapolis, IN
The Supervisor of Medical Staff Credentialing will provide direct supervision to medical staff office employees and promotes communication and collaboration between hospital administration and the organized medical staff.
December 21, 2019
Medical Staff Credentialing Supervisor in Montgomery, AL
The Supervisor of Medical Staff Credentialing will be responsible for daily operations of the medical staff office, including oversight of credentialing, privileging, bylaws and policy development, medical staff committee and peer review support, continuing medical education (CME), and compliance with The Joint Commission and other regulatory standards.
January 03, 2020