Manager of Credentialing - USPI Ambulatory Surgery Centers (Remote based in US)

Tenet Healthcare; Dallas (TX); Remote; USD 70,000 - 85,000; Full time

Job summary

A leading healthcare provider in Dallas is seeking a Manager of Credentialing to serve as a liaison between credentialing processes and Ambulatory Surgery Centers. The role involves auditing applications, training ASC leaders, and facilitating necessary approvals. Ideal candidates will have a Bachelor’s degree and a strong understanding of credentialing and healthcare standards. Compensation ranges between $70,000 and $85,000 with additional benefits.

Benefits

Medical, dental, vision, and life insurance

Discretionary 401k with up to 6% employer match

20 days of Manager Time Off per year

Employee Assistance program

Qualifications

• Minimum of 5 years of experience in a central verification office, hospital, or managed care setting.
• Certification by MD-Staff as a MD-Staff Certified Specialist or to become certified within 3 years.
• Advanced knowledge regarding the credentialing process and healthcare accreditation standards.

Responsibilities

• Serve as a liaison between USPI credentialing and ASC management team.
• Initiate Determination of Eligibility/Initial Application process for new applicants.
• Develop and lead MD-Staff training presentations for ASC leaders.

Skills

Organizational skills

Problem solving

Conflict resolution

Technical assistance

Communication skills

Education

Bachelor’s degree or equivalent

Tools

Microsoft Teams

Microsoft Word

Microsoft PowerPoint

Microsoft Excel

Microsoft Outlook

Job description

The Manager of Credentialing for USPI Ambulatory Surgery Centers serves as a liaison between USPI credentialing, the practitioners and the ASC. This includes initiating the application process, auditing of files, obtaining appropriate approvals/signatures and communication to applicant and ASC regarding privileges. The Manager will also develop and lead MD-Staff training presentations for the ASC leaders required to review/approve applications, as well as become an MD-Staff certified user.

Essential Duties and Responsibilities:

• Serve as a liaison between USPI credentialing and the Ambulatory Surgery Center management team
• Initiate the Determination of Eligibility/Initial Application process for new applicants
• Conduct audit of completed applications released by the CVO to ensure completeness, highlight red flags, etc. prior to Center Manager and Medical Director review
• Facilitate approval signatures from required signees, i.e., Medical Director, USPI leadership, etc.
• Facilitate notification letters to applicant, ASC, etc.
• Develop and lead MD-Staff training presentations to ASC Medical Directors, Center Manages and others that will be required to log-in to MD-Staff to review, recommend, and/or approve applicants for privileges.
• Provide assistance to applicants/admins regarding the credentialing process or with any technical issues, as needed.
• Other duties, as assigned.

Required:

• Bachelor’s degree or equivalent combination of related education and a minimum of 5 years of experience in a central verification office, hospital or managed care setting
• Certification by MD-Staff as a MD-Staff Certified Specialist or become certified within 3 years
• Advanced knowledge regarding the credentialing process and components, i.e., Determination of Eligibility Application, Initial Application, Reappointment Application, Privilege Delineation and Expirables.
• Knowledge of healthcare accreditation standards, i.e.., The Joint Commission (TJC) Standards, Accreditation Association for Ambulatory Care (AAAHC), Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (COP) and DNV Accreditation.
• Knowledge of the Ambulatory Surgery Center (ASC) Medical Staff Bylaws & Rules/Regulations
• Strong knowledge and skillset with AMS MD-Staff credentialing platform
• Strong computer skills, i.e., Microsoft Teams, Word, PowerPoint, Excel, Outlook, etc.
• Knowledge of Ambulatory Surgery Center (ASC) credentialing approval process
• Strong organizational, problem solving and conflict resolution skills
• Ability to lead training presentations
• Ability to work in a positive and professional manner with applicants, admins, Tenet CVO Credentialing Team and Tenet and USPI Management Teams
• Ability to work at the USPI Corporate Office in Nashville, and remotely as deemed necessary
• Ability to travel as deemed necessary

Preferred:

• Certification by MD-Staff as a MD-Staff Certified Expert
• Certification by the National Association of Medical Staff Service as either a CPCS or CPMSM

Compensation

• Pay: $70,000-$85,000 annually. Compensation depends on location, qualifications, and experience.
• Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
• Management level positions may be eligible for sign-on and relocation bonuses.

Benefits

The following benefits are available, subject to employment status:

• Medical, dental, vision, disability, life, AD&D and business travel insurance
• Manager Time Off – 20 days per year
• Discretionary 401k with up to 6% employer match
• 10 paid holidays per year
• 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, auto & home insurance.
• For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

Tenet Healthcare/United Surgical Partners International (USPI) complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.

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