Credentialing Supervisor
UniVida Medical Centers
Credentialing Supervisor : Description
The credentialing Supervisor is responsible for overseeing the processes and systems related to obtaining and maintaining the necessary certifications and licenses required for individuals or organizations in various industries Their responsibilities include reviewing and verifying credentials, communicating with healthcare providers and regulatory bodies, maintaining compliance, auditing the credentialing process, and reporting progress. The ideal candidate for this role has a strong organizational and problem-solving ability, as well as a deep understanding of healthcare credentialing regulations.
- Develop and maintain credentialing policies and procedures to ensure compliance with industry standards and regulations.
- Conduct thorough background checks and screenings on all individuals seeking to obtain certifications or licenses.
- Investigate any discrepancies or potential issues that may arise during the credentialing process.
- Ensure that the providers meet the necessary standards and that they are properly credentialed to practice within a specific healthcare system or network.
- Maintain open lines of communication with all parties involved to ensure the smooth progress of the credentialing process.
- Coordinate with relevant regulatory bodies to obtain necessary certifications or licenses on behalf of individuals or organizations.
- Monitor expiration dates and ensure that certifications and licenses are renewed on time.
- Maintain accurate and updated records of certifications, DEA certificates and licenses, including expiration dates and renewal requirements.
- Provide guidance and support to individuals or organizations throughout the credentialing process.
- Collaborate with other departments or stakeholders to ensure smooth operations and compliance with regulatory requirements.
- Stay abreast of industry trends and developments to continuously enhance the credentialing program and procedures.
- Stay updated on the latest changes in credentialing guidelines and regulations and provide guidance and training to healthcare providers and staff to ensure compliance with these requirements.
- Prepares regular reports and provides updates to the healthcare organization regarding the status of credentialing, any issues or concerns, and any required actions. They ensure compliance with internal reporting standards and external regulatory requirements.
- Performs other related duties as assigned.
- Bachelor’s degree in business administration, healthcare administration, or related field. Preferred.
- Proven experience in credentialing or related field.
- Knowledge of industry standards and regulations related to credentialing.
- Strong organizational and time management skills.
- Excellent communication and interpersonal skills.
- Ability to work independently and as part of a team.
- Strong attention to detail and accuracy.
- Proficient in using credentialing software or databases.
Work may involve some driving/traveling to assigned clinics or corporate office.
This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to sit, walk, stand. The incumbent must be able to work extended and flexible hours. Physical demands include the ability to lift to 50 pounds.
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any position.
Employees may be directed to perform job-related tasks other than those specifically presented in this description.
To apply for the Credentialing Supervisor position, please fill out the following form:
