Credentialing Manager WFH

Description

Introduction

The Credentialing Manager for Anesthesia Services is responsible for overseeing the daily operations and activities for direct reports to ensure provider files are processed within a timely manner to meet designated start dates. The Credentialing Manager works to ensure department productivity and quality standards are met or exceeded by coordinating staffing and developing efficient workflows. The Manager guides the staff in their day-to-day responsibilities, including mentoring and training the staff as needed. Proficient in facilitation and interpersonal communication, the Manager also consistently demonstrates skills in organization, prioritization, professionalism and coaching others. 

Job Summary and Qualifications

• Manages provider credentialing and enrollment process; ensuring completion is done in a timely fashion to expedite revenue flow.
• Provide daily oversight, direction, support, and leadership to direct reports.
• Coordinate and communicate continuously with other departments to share information, best practices, systems issues, process, solutions, and training needs.
• Works collaboratively with key strategic partners to include facility Medical Staff Leadership, Healthtrust, department directors, and Parallon leadership to accomplish organizational and program goals.
• Communicate credentialing and enrollment updates to senior leadership as needed.
• May carry up to a 20% Credentialing workload; Updates and maintains provider enrollment/credentialing files as necessary.
• Ability to travel if needed.
• Ensure compliance with company and departmental policies and procedures.
• Proactively review and provide data analysis and financial impact assessments.
• Establish and review internal controls to ensure goals, objectives, standards, and benchmarks for the department are met or exceeded.
• Determine staff hours, number of personnel, and resources required for efficiency.
• Screen, interview, and hire new employees.
• Evaluate staff performance and recommend appropriate merit increases and promotions.
• Counsel staff regarding disciplinary and performance issues.
• Mentor staff for career development.
• Ensure training needs are met.
• Conduct regular staff meetings.
• Maintain working knowledge of all regulatory bodies that impact policies and procedures.
• Maintain working knowledge of workflow, systems, and tools used in the department.
• Promote continuous improvement and best practice in processes and performance for improving department functions.
• Lead in the creation and maintenance of a positive working environment.
• Review employee engagement results and facilitate the development of action plans.
• Review, correct, and approve employees’ hours in a timely manner.
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”.
• Other duties as assigned.

EDUCATION and EXPERIENCE: 

• Bachelor’s Degree in Business or related field required. Equivalent work experience may substitute education requirements.
• Minimum three years’ experience in related area preferred with two of these years being healthcare management experience. 
• NAMSS CPCS Certification preferred.

KNOWLEDGE, SKILLS AND ABILITIES:

• Effective working knowledge of healthcare systems management, hospital management, healthcare financial management, hospital-based physician practice accounting and third-party reimbursement issues, patient flow, and clinical operations.
• Ability to see shifts inside the business and proactively work to make changes and quickly implement or act on new ideas.
• Ability to remain fluid by changing and updating how we do business by continuous innovation.
• Willingness and desire to learn new things and dig deeper than the surface

Benefits

HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Credentialing Manager WFH where your passion for creating positive patient interactions are valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

Physician Services Group is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare’s graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare's commitment to the care and improvement of human life.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Credentialing Manager WFH opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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