Manager, Provider Services

Emory•Atlanta, GA

5d•Onsite

About The Position

Manages credentialing functions for a large division or department (200+ providers). Ensures compliance with policies, procedures and regulatory guidelines. Supervises credentialing staff and coordinates all clinical privileging, reappointments/re-credentialing, provider licensing and billing enrollment. Coaches staff to ensure high performance standards and timely onboarding of providers. Recruits and hires coordinators of physician services. Participates in the development and administration of departmental policies and procedures. Educates and advises staff on HR policies. Ensures employment, employee relations and affirmative action practices comply with organizational and legal requirements. Ensures providers are licensed, privileged, and enrolled in billing by their start dates. Partners with HR to coordinate NP/PA hiring dates with credentialing timeline. Creates and maintains tracking reports. Partners with hospital medical staff offices to help streamline onboarding processes. Develops clinical evaluation processes and revises and refines them in order to meet The Joint Commissions standards and hospital standards. Teaches and leads continual process improvement and customer service processes. Meets with new providers with the goal of seamlessly matriculating them into the Emory system. Ensures direct reports correctly coordinate network and badge access for each location, billing orientations, department orientations, provide appropriate HR contacts, etc.

Requirements

Bachelors degree in healthcare or business related field
5-7 years in human resources, credentialing or healthcare business office
Must have previous experience working with physicians
Previous supervisory experience of at least one year
Planning and organizational skills, with the ability to manage many different projects and people at once
Ability to communicate tactfully, verbally and in writing with department heads, managers, coworkers, and vendors to resolve problems and negotiate resolutions

Responsibilities

Manages credentialing functions for a large division or department (200+ providers)
Ensures compliance with policies, procedures and regulatory guidelines
Supervises credentialing staff and coordinates all clinical privileging, reappointments/re-credentialing, provider licensing and billing enrollment
Coaches staff to ensure high performance standards and timely onboarding of providers
Recruits and hires coordinators of physician services
Participates in the development and administration of departmental policies and procedures
Educates and advises staff on HR policies
Ensures employment, employee relations and affirmative action practices comply with organizational and legal requirements
Ensures providers are licensed, privileged, and enrolled in billing by their start dates
Partners with HR to coordinate NP/PA hiring dates with credentialing timeline
Creates and maintains tracking reports
Partners with hospital medical staff offices to help streamline onboarding processes
Develops clinical evaluation processes and revises and refines them in order to meet The Joint Commissions standards and hospital standards
Teaches and leads continual process improvement and customer service processes
Meets with new providers with the goal of seamlessly matriculating them into the Emory system
Ensures direct reports correctly coordinate network and badge access for each location, billing orientations, department orientations, provide appropriate HR contacts, etc.