Medical Credentialing Lead | Compliance & Privileging

United Surgical Partners International

Maryland

On-site

USD 33,000 - 48,000

Full time

4 days ago
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Benefits offered by this job

Medical insurance
Dental insurance
Vision insurance
401(k) plan
Paid time off
Paid holidays
Health savings accounts
Employee Assistance Program
Pet insurance

Job summary

United Surgical Partners International is seeking a Credentialing Manager to verify licensing, training and certifications of medical staff and ensure compliance with federal/state standards and Joint Commission requirements.

The role involves building strong relationships with physicians, employees and vendors, and coordinating credentialing, privileging and related processes to support practitioners applying for or maintaining privileges.

Qualifications

  • Bachelor's degree preferred.
  • 1-2 years of medical credentialing experience.
  • 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 staff.
  • Ability to prioritize and handle multiple projects.
  • Knowledge of credentialing software is critical.

Responsibilities

  • Verify professional licensing, training and certifications of medical staff.
  • Ensure compliance with federal/state standards and Joint Commission requirements.
  • Establish effective relationships with physicians, employees, volunteers and vendors.
  • Collaborate with senior management to meet bylaws and credentialing goals.
  • Manage credentialing, privileging and related processes for practitioners.

Skills

Confidentiality
Reading complex instructions
Writing complex correspondence
Group presentation
Independent decision-making
Multitasking

Education

Bachelor's degree

Tools

Excel
Credentialing software

Job description

United Surgical Partners International is seeking a Credentialing Manager to verify licensing, training and certifications of medical staff and ensure compliance with federal/state standards and Joint Commission requirements.

The role involves building strong relationships with physicians, employees and vendors, and coordinating credentialing, privileging and related processes to support practitioners applying for or maintaining privileges.

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