Find your WHY at Reid Health:
Responsible for ensuring the medical staff credentialing process is timely, within established parameters and meets all regulatory and legal standards. Responsible for management and implementation of all physician office and credentialing/network enrollment activities utilizing considerable latitude and independent judgement.
Responsible for retention of Providers.
Will orient, train, and supervise assigned staff. Evaluates and disciplines employees and interviews and makes recommendations regarding hiring of employees.
Our values of Excellence, Empathy, Integrity and Accountability are essential to exceed our customers’ expectations. At Reid, we look for individuals who believe in our core values and demonstrate a genuine desire to make a positive impact to those we serve. We take pride in employing people who show up every day with a commitment to these values along with our mission and vision. We are one team working toward a common goal of providing outstanding customer care and service to our communities. If you have a calling to serve and are looking for meaningful and purposeful work, Reid Health is the place for you.
To lead our communities to well-being, one person at a time. It is not just what we do – it is who we are.
Overview of Responsibilities:
- Relates formally and informally to a wide range of people in a variety of positions and levels throughout the organization, including physicians, allied health professionals, administrative staff, and other external entities.
- Supervises Medical Staff Services department personnel. Coordinates assignments to ensure timely and correct job completion, assuring that the workflow is smooth.
- Builds and maintains positive working relationships with co-workers and leaders across the Organization.
- Maintains budgetary compliance by controlling inventory and waste, planning purchases, limiting staff overtime, and striving for overall efficiency in operations.
- Approves timecard edits, enters schedules into API, and maintains attendance records. Writes corrective actions and counsels staff regarding attendance issues.
- Thoroughly and effectively orients, trains, evaluates, counsels, and retrains employees in proper procedures for assigned duties.
- Performs both 90-day and annual performance evaluations timely.
- Counsels and/or initiates disciplinary actions in an appropriately fair, consistent, and professional manner.
- Writes and implements assigned portion of the action plans related to employee opinion surveys.
- Actively involved in the interviews and makes recommendations regarding hiring of new employees.
- Coordinates the medical staff credentialing process and maintains records while ensuring confidentiality.
- Is the subject matter expert in medical staff affairs and is responsible for maintaining adherence with state, federal, and DNV standards.
- Completes Medicare, Medicaid Provider Enrollment applications for physicians and other Health Care Providers.
- Coordinates and enrolls providers with Managed Care plans, Networks, and Third Party Administrators.
- Coordinates timely notification to relevant hospital departments of changes to provider master files.
- Maintains continuity between applicants and active providers within the Physicians Master File.
- Responsible for obtaining CAQH and NPI numbers for providers and state licensures as requested.
- Maintains Credentialing/Network Enrollment Policy & Procedure Manual ensuring compliance with legal and regulatory requirements.
- Provides support in medical staff committee meetings and manages communication processes within the medical staff.
- Responsible for provider onboarding process, ensuring compliance with regulatory requirements.
- Implements strategies and programs for the retention of providers.
- Performs other duties and responsibilities as assigned.
Education/Experience:
- Associate Degree or higher in business or healthcare related field.
- A minimum of two years Medical Staff credentialing experience required.
- Must be proficient in Microsoft Office programs including Word, Excel, and PowerPoint.
- A minimum of two years management experience in healthcare or related field preferred.
- Knowledge of DNV accreditation standards preferred.
Licensure and Certification:
Certification through the National Association of Medical Staff Services (CPCS or CPMSM) required or ability to attain.
Schedule Details:
Salaried.
What We Offer:
Unexpected Perks: Daycare, Doordash, SmartDollar, Daily Pay, therapy dogs, massages, Forbes rated Best Places to Work 2022.
Stay Connected:
Not quite what you are looking for? Submit your information here for general consideration. One of our employment specialists will be in touch with next steps.
Other Information:
EEO Statement: Reid Health is an Equal Opportunity Employer.
No Search Firms: Reid Health does not accept unsolicited assistance from search firms for employment opportunities.
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