Job Description

ESSENTIAL FUNCTIONS

• Manages the ongoing needs of physicians for credentialing of hospitals, insurances, and CME requirements.
• Establishes and maintains effective communication with physicians/providers and other departments as required.
• Organizes and manages specified provider meetings including but not limited to physician retreat, PA retreat, and other recognition programs as needed.
• Manages CME credits and reimbursements for all Providers.
• Provides ongoing supervision of the credentialing department.
• Manages the credentialing portion of our proprietary scheduling software.
• Functions as a member of the credentialing team.
• Train Credentialing and support staff on the correct use of credentialing software.
• Responsible for maintaining the privacy of all physicians, PA’s, and PT’s professional and personal information obtained in the performance of duties. Also responsible for support staff maintenance of privacy rules.

EDUCATION

• High school diploma/GED or equivalent working knowledge preferred.

EXPERIENCE

• Three plus years experience with credentialing physicians and providers.
• Three plus years experience in a manager or supervisory role within credentialing.

KNOWLEDGE

• Knowledge of the credentialing process.
• Knowledge of computer systems.
• Knowledge of credentialing paperwork and timelines.
• Knowledge of credentialing timelines and regulations.

SKILLS

• Skill in establishing good working relationships with internal and external customers.
• Skill in organizing daily work assignments for various providers.
• Skill in managing multiple work assignments and set priorities.
• Skill in meeting demanding deadlines.

ABILITIES

• Ability to establish good working relationships with internal and external customers.
• Ability to communicate effectively with physicians, credentialing agencies, and staff.
• Ability to be organized and efficient in daily work activities/projects.
• Ability to exercise independent judgment and decision-making abilities.

ENVIRONMENTAL WORKING CONDITIONS

• Normal office environment.
• Some travel within the community.

PHYSICAL/MENTAL DEMANDS

• Requires sitting and standing associated with a normal office environment.
• Some bending and stretching are required.
• Manual dexterity using a calculator and computer keyboard.

ORGANIZATIONAL REQUIREMENTS

• HOPCo Mission, Vision, and Values must be read and signed.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.