Credentialing Manager

Confidential Company  •  Houston, TX

8 - 10 years experience  •  Patient Care

$70K - $80K
Posted on 10/10/17 by Sarah Hendricks
Confidential Company
Houston, TX
8 - 10 years experience
Patient Care
$70K - $80K
Posted on 10/10/17 Sarah Hendricks

Practice Overview

Radiology Partners is the largest and fastest growing on-site radiology practice in the US.  We are an innovative practice focused on transforming how radiologists provide consistently exceptional services to hospitals, imaging centers, referring physicians and patients. With our state-of-the art clinical technology, specialized expertise, access to capital, and retention of top physician talent, Radiology Partners reliably exceeds the expectations of our clients, patients, and partners. We serve our clients with an operational focus, and, above all, a commitment to quality patient care. Our mission is To Transform Radiology.

Position Summary

Radiology Partners is seeking a Manager, Credentialing who will be responsible for the team of credentialing specialists assigned to credential our Radiologists nationwide. The perfect individual will love rolling up their sleeves and getting into the nitty gritty. They will have a passion for developing new processes and appreciate the importance of credentialing to our organization. Come join our team and make a difference!

Position Duties and Responsibilities

  • Oversee, recruit, train, develop and manage credentialing team
  • Create relationships with stakeholders both inside and outside the organization
  • Create and teach new processes
  • Ensure new physicians and new facilities are being credentialed appropriately and timely
  • Develop and ensure compliance with policies, procedures, and best practices
  • Develop and implement projects to standardize facility credentialing processes
  • Develop and manage standard audit processes to ensure quality
  • Deliver high quality service to operations team and ensure tight credentialing deadlines are met
  • Measure and improve credentialing processes to minimize credentialing time
  • Provide updates on credentialing status to Credentialing management

Desired Professional Skills and Experience

  • Bachelor’s degreerequired
  • Minimum of 7years credentialing experiencerequired; 2 – 3years of experience leading credentialing teams
  • Certified Professional Medical Services Management (CPMSM) or Certified Professional Credentialing Specialist (CPCS) certification required
  • Working knowledge of credentialing accreditation regulations, policies and procedures, and NCQA standards also preferred
  • Experience with process design preferred
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