Manager of Credentialing - #9825289

Description

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