Credentialing Supervisor

The Credentialing Supervisor is responsible for: supervising the credentialing staff in all of their duties, including maintaining initial credentialing, re-credentialing and the continuous credentialing processes for Individual and Organizational Providers; maintaining the integrity, accuracy and completion of Provider data in credentialing files and database; complying with regulatory and accreditation standards and performance expectations related to credentialing quality control, delegation oversight, departmental and personal improvement goals; and interacting with Medical Directors and organizational leaders internally/externally to resolve credentialing and provider data issues.

QUALIFICATIONS:

• High school graduation required; Degree preferred.
• NAMSS Certification (CPCS or CPMSM) strongly preferred or eligibility to acquire within 12 months after date of hire
• Three years of healthcare practitioner credentialing experience in a managed care setting required
• Two years supervisory experience preferred

OTHER SKILLS:

• Writing /Composing: Correspondence /Reports)
• Analytical, Mathematics, Medical Terminology, Research, Statistical
• Demonstration of good communication and interpersonal skills,
• Credentialing Software System (Cactus experience preferred), Adobe Pro, Laserfiche