Credentialing Supervisor

Cambridge, MA 02138

Posted: 05/01/2019 Employment Type: Direct Hire Specialty: Accounting & Finance Job Number: 83027

A hospital in Cambridge, MA is seeking a Credentialing Supervisor to join their team. This is a fantastic opportunity for anyone with three years of administrative experience and one year of supervisor or managerial experience in a health care setting. Apply today!

Responsibilities for the Credentialing Supervisor:
  • Process applications for initial appointments and reappointments to the Medical Staff from recommendation by Department Chair to final decision by the Board of Trustees
  • Manage and interface with outside credentials verification organization (CVO) to manage primary source verification and initial processing
  • Review completed applications returned from the CVO for accuracy, prepare the application for review by Credentials Committee and Medical Staff Executive Committees
  • Enter provider information into credentialing software
  • Process requests from other hospitals, payers, providers systems as needed regarding requests for Medical Staff verification
  • Provide administrative support to the Medical Staff officers, Medical Staff Executive Committee and Credentials Committee
  • Maintain accurate records pertaining to malpractice insurance for all credentialed staff
  • Responsible for accounting of all payments received and expenses for the Medical Staff Treasurer
  • Maintain provider records for review by The Joint Commission and any external regulatory agencies
  • Maintain database in credentialing software with current information on credentialing, privileges, and staff category
  • Collaborate with Division of Quality and Performance Measurement in the Department of Quality and Safety to collect FPPE and OPPE data
  • Responsible for the annual budget for the Medical Staff Office
Requirements for the Credentialing Supervisor:
  • Associate’ s degree or work equivalent
  • 3 years of directly related administrative experience with at least one year of supervisor or managerial experience, healthcare setting preferred
  • Experience with electronic credentialing systems (Cactus preferred) or ability to train to high level of proficiency
  • Ability to organize and manage files and electronic documents in a shared file environment (e.g. Sharepoint)
  • Proficiency with Microsoft Office
  • Ability to maintain accurate and detailed records
  • Excellent telephone, verbal, and written communication skills
  • Excellent organizational skills, including ability to prioritize work and handle multiple tasks simultaneously
  • Must be eligible to work in the U.S. without sponsorship                     
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