Credentialing Manager

United Surgical Partners International Inc (USPI)

Baltimore, MD

JOB DETAILS
SKILLS
Accreditation Association for Ambulatory Health Care (AAAHC), Accreditation Standards, Centers for Medicare and Medicaid Services (CMS), Concrete, Content Management Systems (CMS), Disability Insurance, Establish Priorities, Facilities Planning, Healthcare, Higher Education, Life Insurance, Multitasking, National Committee for Quality Assurance (NCQA), Presentation/Verbal Skills, Professional License, Professional Services, The Joint Commission (TJC), Writing Skills
LOCATION
Baltimore, MD
POSTED
3 days ago

ASC Towson is seeking an experienced Credentialing Manager!

Job Summary: 

The Credentialing Manager verifies the professional licensing, training, and certifications of professional medical staff. The primary goal is to ensure healthcare professionals and services meet all established federal and state standards, as well as The Joint Commission standards. This position establishes effective working relationships with all constituencies including physicians, employees, volunteers and vendors. The Credentialing Manager works with Senior Management in meeting goals according to the bylaws and The Joint Commission and CMS requirements. All functions related to the credentialing, privileging, and processes to accommodate practitioners applying for or maintaining privileges.

 

Required Experience & Education:

  • Completion of college level degree (Bachelor's degree preferred) 
  • 1 - 2 years experience in medical credentialing 
  • Ability to maintain confidentiality
  • Ability to read and comprehend complex instructions, business correspondence and memos.
  • Ability to write complex correspondence.
  • Ability to effectively present information in group situations to patients, physicians and other employees of the organization.
  • Ability to apply common sense understanding to carry out detailed written or oral instructions.
  • Ability to deal with problems involving a few concrete variables in standardized situations.
  • Strong computer knowledge and technical skills; specifically, with Excel
  • Knowledge of Credentialing software is critical
  • Ability to prioritize and handle multiple projects.
  • Independent decision-making skills
  • Demonstrate a thorough knowledge and understanding of the policies and guidelines, facility credentialing plan and Bylaws and the accreditation/credentialing standards established by JCAHO, AAAHC, NCQA, and HCFA

 

Benefits:

USPI offers the following benefits, subject to employment status:

  • Medical, dental, vision, disability, and life insurance
  • Paid time off (vacation & sick leave)
  • 401k retirement plan
  • Paid holidays
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance Program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, AD&D, auto & home insurance.

 

Pay Range:  Min: $23.83 to Max: $34.55

(Wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience.)



Required Skills


Required Experience

About the Company

U

United Surgical Partners International Inc (USPI)

Strength in Numbers
United Surgical Partners International (USPI) and Tenet have combined forces to create the nation’s largest ambulatory surgery provider. Our combined network of exceptional surgical and imaging facilities includes approximately 20 imaging centers, and over 265 short-stay surgical facilities. Together, our partnerships include 50 health systems and more than 4,000 physicians.

Nationwide Experience
Our partners deliver high quality ambulatory solutions in safe, efficient and caring USPI facilities in communities of every size across 29 states. Our physician partners are focused on providing quality patient care, in part because they are invested in their USPI facility. We provide the infrastructure and support they need to perform their best. This is one of the advantages of partnering with USPI.

Quality Patient Services
We share a vision with our physician and health system partners. Our goal is to provide the quality of healthcare services we would insist upon for our own families. Since our founding in 1998, this goal has helped us grow exponentially. Today, our strategic joint venture with Tenet establishes USPI as one of the nation's leading providers of ambulatory solutions.

Operating Excellence
Our size and experience in developing and operating ambulatory facilities and strategic vision allow our facilities to achieve both high patient satisfaction and solid financial results. Moreover, because we engage physicians in the governance and growth of the facility, we also achieve excellent clinical outcomes.

COMPANY SIZE
10,000 employees or more
INDUSTRY
Healthcare Services
FOUNDED
1998
WEBSITE
http://www.uspi.com/