Supervisor, Credentialing Verification Ops at Emory Healthcare

Tucker, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

09 Jan, 26

Salary

0.0

Posted On

11 Oct, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, Verification, Documentation Review, Compliance Monitoring, Database Management, Staff Training, Process Development, Performance Evaluation, Accreditation Standards, Medical Staff Services, Problem Solving, Leadership, Mentorship, Communication, Team Management, Attention to Detail

Industry

Hospitals and Health Care

Description

Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, and leadership programs And more Description OVERVIEW: Supervises the system central credentialing unit and is responsible for the day-to-day operations of the Central Verification Office (CVO). Creates processes and procedures and trains credentialing specialists. Reviews documentation and follows up on any identified issues. Ensures accuracy and timely completion of credentialing files and provides feedback and training to specialists when issues are identified. Follows up on escalated issues raised by verification specialists. Monitors compliance with established policies and procedures. Establishes deadlines and develops standards and evaluates performance against these standards in conjunction with Credentialing and Enrollment Manager. Ensures databases are accurately maintained and complete. Hires, trains and supervises staff in conjunction with the Credentialing and Enrollment Supervisor. Performs related responsibilities as required. MINIMUM QUALIFICATIONS: An Bachelor's degree in medical staff service science, business, or a related field of study or at least 4 years of comprehensive medical staff services experience in an acute care hospital, managed care or credentialing verification organization. Current National Association Medical Staff Services (NAMSS) certification as a as a CMSC (medical staff services coordinator) or CPCS (certified provider credentialing specialist) preferred. Those without certification must obtain it within the first year of employment. Must maintain active certification. A working knowledge of accreditation standards and credentialing related state and federal regulations. Experience with database management computer applications preferred. Additional Details Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

Responsibilities

Supervises the Central Verification Office and manages day-to-day operations. Responsible for creating processes, training staff, ensuring compliance, and maintaining accurate databases.