Physician Credentialing Manager

Providence Medical Center•Kansas City, KS

8d•Onsite

About The Position

We are seeking a Physician Credentialing Manager, sometimes referred to as a Provider Credentialing Manager or Credentialing Manager. The Physician Credentialing Manager, will manage the administrative and logistical aspects of verifying healthcare providers credentials to ensure they meet all required standards key duties include processing applications, maintaining accurate provider files and databases, tracking certifications, and facilitating communication between providers, committees, and regulatory bodies. The Physician Credentialing Manager will require strong attention to detail, communication, and organizational skills to ensure the organizations compliance and the providers ability to practice. Shifts Available: Days Employment Type: Full-Time Hours: 8-hour – Flex start time between 7am to 8:30am Location: Providence Medical Center – Kansas City, KS Here are some of the benefits of working at Prime Healthcare: Health, dental, and vision insurance options Paid vacation, sick time and holidays Bereavement leave, FMLA and other leave options Employer 401K options Tuition reimbursement options Life, disability, and other insurance options Many other amazing benefits

Requirements

Bachelor's degree preferred or equivalent education/experience
Certified Provider Credentialing Specialist (CPCS), or equivalent, required within a year of employment
Minimum of 5 years experience in a hospital with 2 years’ full time experience in the Medical Staff Services Department as a Medical Staff Manager or Medical Staff Coordinator
Must have strong computer, communication and writing skills with knowledge of medical terminology
To move forward in this position you must have some experience with Provider Credentials for Medical Privileges with Medical Staff.

Nice To Haves

Certification from the National Association of Medical Staff Services as Certified Professional in Medical Services Management (CPMSM), preferred

Responsibilities

Manage medical staff credentialing and re-credentialing to ensure all providers are qualified and authorized to practice
Maintain and update all provider files including licenses, certifications, DEA, board status and other required documents
Coordinate medical staff committees and meetings such as MEC, Credentials Committee, and Peer Review
Oversee medical staff bylaws, rules, regulations, policies and ensure compliance with Joint Commission, CMS, state law and hospital standards
Conduct and support quality/peer review activities including case review, performance monitoring and OPPE/FPPE tracking
Serve as liaison between hospital administration and medical staff leadership and provide support to department chairs and chiefs for provider performance, privileging and corrective actions