Manager of Credentialing

4 weeks ago

Lafayette, United States Core Clinical Management LLC Full time
Job DescriptionJob DescriptionDescription:

Core Clinical Partners stands at the forefront of Emergency and Hospital Medicine, delivering unparalleled services through a model that emphasizes patient-centric care and operational excellence. Our corporate values – Genuine, Accountable, Dynamic, Respectful, and Fun – are the pillars that uphold our commitment to revolutionize healthcare delivery.


The Credentialing Manager is responsible for managing a team that partners with medical providers, hospitals, insurance companies, operations leaders and other stakeholders to ensure clinicians are credentialed. This position develops and manages credentialing standards, best practices, and tools; and oversees all aspects of hospital and financial credentialing.


Essential Duties:

  • Train, develop, and assist employees in their essential duties
  • Manage employee performance using clear expectations, accountability, goals, and feedback
  • Foster open lines of communication with employees, clinicians, and stakeholders
  • Oversee quality assurance of data and credentialing practices
  • Serve as a point of escalation for questions and concerns
  • Resolve issues that arise and escalate when appropriate
  • Stay abreast of credentialing and recredentialing requirements for each client group
  • Cascade updates and beneficial information to team members and stakeholders
  • Perform functions of a credentialing specialist as needed to support volume
  • Other duties as assigned

Skills, Knowledge, Abilities:

  • Ability to build and maintain trust with employees, colleagues, and clients
  • Exhibit growth mindset and team-orientated behaviors
  • Utilize independent judgment on determining areas of collaboration, escalation, and autonomy?
  • Collaborate with professionals internal and external to the company and across geographic locations
  • Identify and execute opportunities for improvement
  • Knowledgeable on credentialing requirements and workflows for providers at differing client groups
  • Familiar with healthcare jargon and terminology related to credentialing
  • Excellent verbal and written communication skills
  • Excellent interpersonal and customer service skills
  • Excellent organizational skills and attention to detail
  • Navigate competing priorities and effectively work in a fast-paced environment
  • Manage information flow in a timely and accurate manner
  • Proficient in Microsoft Office and credentialing related software
Requirements:

Education:

  • High School Diploma or GED required

Experience:

  • Prior credentialing experience required
  • Supervision or managerial experience preferred
  • Experience with MS Outlook, Word, and Excel
  • Experience with MS Teams and credentialing software preferred

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