Credentialing Manager

United Surgical Partners International; Baltimore (MD); On-site; USD 32,828 - 47,596; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401k retirement plan

Paid time off

Employee Assistance Program

Job summary

United Surgical Partners International in Baltimore is seeking an experienced Credentialing Manager who will verify the professional licensing and certifications of medical staff and ensure compliance with federal and state standards.

This role requires a Bachelor's degree and 1 - 2 years of experience in medical credentialing. Benefits include medical, dental, and vision insurance, 401k plan, and paid time off.

Qualifications

• 1 - 2 years experience in medical credentialing.
• Strong computer knowledge and technical skills, specifically with Excel.
• Demonstrate a thorough knowledge of credentialing standards.

Responsibilities

• Verify professional licensing, training, and certifications of medical staff.
• Establish effective working relationships with all constituencies.
• Ensure compliance with federal and state standards and The Joint Commission.

Skills

Confidentiality

Complex correspondence

Presentation skills

Decision-making skills

Technical skills with Excel

Knowledge of Credentialing software

Project prioritization

Understanding of accreditation standards

Education

Bachelor's degree or equivalent

Job description

ASC Towson is seeking an experienced Credentialing Manager!

Job Summary:

The Credentialing Manager verifies the professional licensing, training, and certifications of professional medical staff. The primary goal is to ensure healthcare professionals and services meet all established federal and state standards, as well as The Joint Commission standards. This position establishes effective working relationships with all constituencies including physicians, employees, volunteers and vendors. The Credentialing Manager works with Senior Management in meeting goals according to the bylaws and The Joint Commission and CMS requirements. All functions related to the credentialing, privileging, and processes to accommodate practitioners applying for or maintaining privileges.

Required Experience & Education:

• Completion of college level degree (Bachelor's degree preferred)
• 1 - 2 years experience in medical credentialing
• Ability to maintain confidentiality
• Ability to read and comprehend complex instructions, business correspondence and memos.
• Ability to write complex correspondence.
• Ability to effectively present information in group situations to patients, physicians and other employees of the organization.
• Ability to apply common sense understanding to carry out detailed written or oral instructions.
• Ability to deal with problems involving a few concrete variables in standardized situations.
• Strong computer knowledge and technical skills; specifically, with Excel
• Knowledge of Credentialing software is critical
• Ability to prioritize and handle multiple projects.
• Independent decision-making skills
• Demonstrate a thorough knowledge and understanding of the policies and guidelines, facility credentialing plan and Bylaws and the accreditation/credentialing standards established by JCAHO, AAAHC, NCQA, and HCFA

Benefits:

USPI offers the following benefits, subject to employment status:

• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave)
• 401k retirement plan
• Paid holidays
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance Program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, AD&D, auto & home insurance.

Pay Range: Min: $23.83 to Max: $34.55

(Wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience.)