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Supervisor, Credentialing

2 months ago

Clifton Park, United States Capital District Physicians' Health Plan Full time
Grounded by a compelling mission, core values, and compassion for people, CDPHP and its family of companies offer a strong foundation for a rewarding career. Established in 1984, CDPHP is a physician-founded, member-focused, and community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values people, quality, innovation, and community, and its corporate culture supports those values wholeheartedly. CDPHP is committed to fostering a culture of belonging and takes a wholistic approach to diversity, equity, and inclusion. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.

The Supervisor, Credentialing provides oversight for the Credentialing team, covering all business needs for Strategic Solutions clients. They will assist the team with day-to-day functions, questions, and problem solving, and are responsible for coordination of workflow and review of tasks. They are responsible for staff development and overall success of the team. The Supervisor will also provide credentialing services for clients, and support the Director of Administrative Services in reviewing reports, following up with staff, and addressing issues as they arise.

  • Minimum two (2) years of credentialing experience required; multi-specialty experience preferred.
  • Minimum one (1) year supervisory, team lead or other senior level experience preferred.
  • Advanced knowledge of medical office terminology and procedures, including billing and collections required.
  • Experience with OneApp and/or Medent preferred.
  • Experience with Microsoft Office, including Word, Excel and Outlook and is required.
  • Demonstrated ability to lead, coach, train or supervise staff.
  • Demonstrated ability to work collaboratively with multiple partners to positively affect outcomes at the team, organization, and client/patient level.
  • Must be detail-oriented with strong organizational skills, including the ability to coordinate workflow.
  • Demonstrated ability to pro-actively identify problems, as well as recommend and/or implement effective solutions.
  • Demonstrated ability to provide excellent customer service and develop relationships both internally and externally.
  • Demonstrated ability to work with and maintain confidential information.
  • Excellent verbal and written communication skills.
  • Flexibility to adapt to a changing and fast-paced environment.

Education:

  • High school diploma or GED required.
  • Associate's degree preferred.
Salary ranges are designed to be competitive with room for professional and financial growth. Individual compensation is based on several factors unique to each candidate, such as work experience, qualifications, and skills. Some roles may also be eligible for overtime pay.
Our compensation packages go beyond just salary. In addition to cash compensation, employees have access to award-winning health care coverage, health and flexible spending accounts, and a 401(k) plan with company match. The company also provides a generous paid time off allowance, life insurance, and employee assistance programs.

As an Equal Opportunity / Affirmative Action Employer, CDPHP will not discriminate in its employment practices on the basis of race, color, creed, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, protected veterans status, or any other characteristics protected under applicable law. To that end, all qualified applicants will receive consideration for employment without regard to any such protected status.

CDPHP and its family of companies include subsidiaries Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRx Services, LLC.