Medical Staff Credentialing Manager

4 days ago

Lauderdale Lakes, Florida, United States ICBD Holdings LLC Full time

Medical Staff Credentialing and Contracting Specialist

About ICBD Holdings LLC

ICBD Holdings LLC is a leading provider of medical billing and credentialing services. Our team of experts specializes in the substance use disorder, mental health, and autism fields of healthcare services. We have extensive industry knowledge and a deep understanding of the specific challenges of these markets.

Job Summary

We are seeking a highly experienced Medical Staff Credentialing and Contracting Specialist to join our team. The successful candidate will be responsible for overseeing the credentialing process for medical staff, managing a team of credentialing specialists, and collaborating with various departments to maintain compliance and uphold the highest standards of quality and patient safety.

Key Responsibilities

* Credentialing Process Management:
* Oversee the end-to-end credentialing process for medical staff, including physicians, nurses, allied health professionals, and other relevant personnel.
* Develop and implement efficient credentialing workflows, ensuring accuracy and adherence to established protocols.
* Review and evaluate credentialing applications, verifying information, licenses, certifications, references, and other pertinent documentation.
* Stay current with industry regulations, standards, and best practices related to credentialing and privileging.
* Ensure that all credentialing activities are in line with federal, state, and local regulations, as well as accrediting bodies' requirements.
* Database Management:
* Use credentialing software and databases to maintain accurate records of medical-staff credentials, licensures, certifications, prefilling insurance applications, tracking progress, and other relevant information.
* Generate reports and analytics to track and monitor contracting and credentialing processes and compliance metrics.

Requirements

* Several years of experience in healthcare credentialing.
* In-depth knowledge of credentialing processes, regulatory requirements, and healthcare industry standards.
* Must maintain clean background/drug screenings and driving record.
* Strong collaboration skills for working with other departments, such as Human Resources, Legal, Admissions, and Compliance.
* Thorough understanding of medical terminology, licensing, and certifications across various specialties.
* Excellent organizational skills with a keen attention to detail.
* Proficiency in using credentialing software and databases.
* Exceptional communication and interpersonal skills.
* Problem-solving abilities and the capacity to work well under pressure.

If you are a highly motivated and experienced healthcare credentialing professional looking for a challenging opportunity with a rapidly growing company, please submit your application.

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