Manager, Provider Services

Socket.dev; Atlanta (GA); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health benefits from day 1

Student Loan Repayment Assistance & Re

Family-focused benefits

Job summary

Emory Healthcare in Atlanta, GA is seeking a Credentialing Manager to lead credentialing for a large division (200+ providers) and ensure policy compliance across the department. You will supervise credentialing staff, coordinate privileged statuses, credentialing timelines, and enrollment processes while partnering with HR to align hiring with credentialing milestones.

Strong organizational and communication skills are essential.

Qualifications

• Bachelor's degree in healthcare or business related field.
• 5-7 years in human resources, credentialing or healthcare business office.
• Must have previous experience working with physicians.
• Previous supervisory experience of at least one year.
• Planning and organizational skills with ability to manage many projects and people.

Responsibilities

• Manages credentialing functions for a large division or department (200+ providers).
• Ensures compliance with policies, procedures and regulatory guidelines.
• Supervises credentialing staff and coordinates clinical privileging, reappointments/credentialing, provider licensing and billing enrollment.
• Coaches staff to ensure high performance standards and timely onboarding of providers.
• Recruits and hires coordinators of physician services.
• Participates in development and administration of departmental policies and procedures.
• Educates and advises staff on HR policies.

Skills

Supervisory experience

Communication skills

Organizational skills

Planning

Education

Bachelor's degree in healthcare or business related field

Job description

Overview

Be inspired. Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorshipand leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:

• Comprehensive health benefits that start day 1
• Student Loan Repayment Assistance & Reimbursement Programs
• Family-focused benefits
• Wellness incentives
• Ongoing mentorship, development, and leadership programs
• And more

Work Location: Atlanta, GA

Description

• Manages credentialing functions for a large division or department (200+ providers)
• Ensures compliance with policies, procedures and regulatory guidelines
• Supervises credentialing staff and coordinates all clinical privileging, reappointments/re-credentialing, provider licensing and billing enrollment
• Coaches staff to ensure high performance standards and timely onboarding of providers
• Recruits and hires coordinators of physician services
• Participates in the development and administration of departmental policies and procedures
• Educates and advises staff on HR policies
• Ensures employment, employee relations and affirmative action practices comply with organizational and legal requirements
• Ensures providers are licensed, privileged, and enrolled in billing by their start dates
• Partners with HR to coordinate NP/PA hiring dates with credentialing timeline
• Creates and maintains tracking reports
• Partners with hospital medical staff offices to help streamline onboarding processes
• Develops clinical evaluation processes and revises and refines them in order to meet The Joint Commissions standards and hospital standards
• Teaches and leads continual process improvement and customer service processes
• Meets with new providers with the goal of seamlessly matriculating them into the Emory system
• Ensures direct reports correctly coordinate network and badge access for each location, billing orientations, department orientations, provide appropriate HR contacts, etc.

MINIMUM QUALIFICATIONS:

• Bachelors degree in healthcare or business related field
• 5-7 years in human resources, credentialing or healthcare business office
• Must have previous experience working with physicians
• Previous supervisory experience of at least one year
• Planning and organizational skills, with the ability to manage many different projects and people at once
• Ability to communicate tactfully, verbally and in writing with department heads, managers, coworkers, and vendors to resolve problems and negotiate resolutions

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet designated ambulatory practice. We are made up of 11 hospitals-4 Magnet designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.

PHYSICAL REQUIREMENTS (MediumMax 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at [e-mail]. Please note that one week's advance notice is preferred.