Credentialing Team Leader

1 day ago


Knoxville, Tennessee, United States Helen Ross McNabb Center Full time
Credentialing Team Leader

Are you passionate about ensuring the highest quality of care for patients? Do you have a keen eye for detail and a knack for managing complex processes? We're seeking a skilled Credentialing Team Leader to join our team at the Helen Ross McNabb Center.

Job Summary

The Credentialing Team Leader is responsible for leading the credentialing department, ensuring that clinical providers meet all requirements to secure reimbursement for services provided on behalf of the Center. This role requires strong leadership skills, attention to detail, and the ability to manage multiple tasks and deadlines.

Key Responsibilities
  • Lead the credentialing department, including management of all relevant databases, rosters, internal/external checks, to ensure that clinical providers at all levels in the Center are appropriately credentialed to provide billable services to maintain Center revenue.
  • Assist with processing of personnel changes, maintenance of general HR information, and event support.
  • Manage training of employees on credentialing.
  • Coordinate internal and external credentialing requirements in the Center for all licensed providers, following policy, procedures, and guidelines for insurance companies we contract with.
  • Supervise team of credentialists to achieve successful credentialing services for the Center's providers.
  • Work closely with other departments, including Financial Services, Utilization Management, and Information Technology, to ensure seamless credentialing processes.
Requirements
  • Bachelor's degree in a human services or business field and 3 years of HR/credentialing experience.
  • At least 3 years of related credentialing or HR experience.
  • Computer experience in a healthcare setting required.
  • Knowledge of medical billing and human resource policies and employment law preferred.
What We Offer

The Helen Ross McNabb Center offers a competitive salary, excellent benefits, and a dynamic work environment. If you're passionate about delivering high-quality care and have the skills and experience to excel in this role, we encourage you to apply.



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