We are hiring Credentialing Director with extensive experience to join our team in Denver (on site) and Texas .
Requirements:
Proficient MS Office and PC user
Excellent verbal and written communication skills
Excellent time management, organization, and multitasking skills
Excellent critical thinking and problem-solving skills
Direct and oversee credentialing staff in the day-to-day management of the overall credentialing process
Ensure timeliness and accuracy of the credentialing process
Facilitate communications between departments and applicants throughout credentialing
Research complex credentialing issues and serve as a subject matter expert (SME) as needed
Oversee completion of all credentialing files for government contract employee candidates.
Direct credentialing staff in the day-to-day management of the overall credentialing process
Facilitate contact with various business units to include subcontractors and military installations
Recommend effective solutions to complex credentialing issues
Effectively handle and delegate multiple tasks to ensure timely deliverables and balanced workloads
Coordinates the management of the credentialing database and associated modules
Coordinates the management of electronic credentialing applications, to ensure distribution, receipt, processing, and timely delivery to treatment facility
Coordinates and delegates the management of the expirable process to ensure all contracted provider licenses and certificates remain current, ensuring appropriate notification prior to expiration
Monitors and reports turnaround times for processing of credentials applications, with continued focus on delivery of a high-quality product, with the greatest efficiency, in the least amount of time
Develops, recommends, and/or implements changes, revisions, and enhancements as appropriate to current operating environment
Analyzes credentialing standards and develops criteria to ensure compliance; revises general aspects of credentialing and privileging process as necessary; makes recommendations for and implements changes in policies and procedures
Prepares for and coordinates credentialing audits in compliance with delegated credentialing contracts
Functions as primary credentials contact for all internal and external inquiries; develops and maintains positive internal and external working relationships
Education:
Bachelor's Degree or higher
NAMSS CPCS or CPMSM certification
Other Duties:
This job description may not cover or contain a comprehensive listing of activities, duties or responsibilities required for this job. Duties, responsibilities, and activities may change anytime with or without notice.
Would you like to get more info? Directly reach out to me at susan.hopkins@matrixproviders.com