Credentialing Manager

United Surgical Partners International, Inc; Baltimore (MD); On-site; USD 24,000 - 35,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401k retirement plan

Paid time off

Health savings accounts

Job summary

United Surgical Partners International, Inc is seeking an experienced Credentialing Manager to ensure healthcare professionals meet established standards. Responsibilities include verifying licenses and training, collaborating with senior management, and maintaining relationships with all stakeholders.

The ideal candidate will have a Bachelor's degree and 1-2 years of credentialing experience. Benefits include insurance, paid time off, and a 401k retirement plan.

Qualifications

• 1-2 years experience in medical credentialing.
• Ability to handle complex instructions and correspondence.
• Strong computer knowledge relevant to credentialing.

Responsibilities

• Verify professional licensing and training of medical staff.
• Establish effective relationships with physicians and staff.
• Work with management to meet regulatory goals.

Skills

Confidentiality

Technical skills with Excel

Credentialing software knowledge

Independent decision-making

Effective communication

Education

Bachelor's degree (preferred)

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

• 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.)