The Provider Credentialing Supervisor is responsible for conducting departmental credentialing processes and initiatives. In addition, the Credentialing Manager is responsible and accountable for the accuracy, validity, analysis and production of all results and reports. This position is also responsible for management and development of direct reports.
Responsible for the day to day management of the credentialing function and staff
Review credentialing files, obtain all primary source verifications and present completed, compliant files to region for review
Generate weekly, monthly, quarterly, and annual reports
Update and maintain all credentialing department manuals
Provide support to credentialing staff
Processes credentialing and re-credentialing applications of health care providers
Contacts medical office staff, licensing agencies, and insurance carriers to complete Credentialing and re-Credentialing applications
Bachelor’s degree preferred
2+ years of supervisory experience is required
3+ years of credentialing experience is required
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