Univida Medical Centers · 7 hours ago
Credentialing Supervisor
UniVida Medical Centers is seeking a Credentialing Supervisor to oversee the processes and systems related to obtaining and maintaining necessary certifications and licenses for individuals or organizations. The role involves reviewing and verifying credentials, maintaining compliance, and coordinating with regulatory bodies to ensure smooth credentialing operations.
DentalHealth CareHealth DiagnosticsHospitalMedicalPersonal HealthPrimary and Urgent Care
Responsibilities
Develop and maintain credentialing policies and procedures to ensure compliance with industry standards and regulations
Conduct thorough background checks and screenings on all individuals seeking to obtain certifications or licenses
Investigate any discrepancies or potential issues that may arise during the credentialing process
Ensure that the providers meet the necessary standards and that they are properly credentialed to practice within a specific healthcare system or network
Maintain open lines of communication with all parties involved to ensure the smooth progress of the credentialing process
Coordinate with relevant regulatory bodies to obtain necessary certifications or licenses on behalf of individuals or organizations
Monitor expiration dates and ensure that certifications and licenses are renewed on time
Maintain accurate and updated records of certifications, DEA certificates and licenses, including expiration dates and renewal requirements
Provide guidance and support to individuals or organizations throughout the credentialing process
Collaborate with other departments or stakeholders to ensure smooth operations and compliance with regulatory requirements
Stay abreast of industry trends and developments to continuously enhance the credentialing program and procedures
Stay updated on the latest changes in credentialing guidelines and regulations and provide guidance and training to healthcare providers and staff to ensure compliance with these requirements
Prepares regular reports and provides updates to the healthcare organization regarding the status of credentialing, any issues or concerns, and any required actions. They ensure compliance with internal reporting standards and external regulatory requirements
Performs other related duties as assigned
Qualification
Required
Proven experience in credentialing or related field
Knowledge of industry standards and regulations related to credentialing
Strong organizational and time management skills
Excellent communication and interpersonal skills
Ability to work independently and as part of a team
Strong attention to detail and accuracy
Proficient in using credentialing software or databases
Preferred
Bachelor's degree in business administration, healthcare administration, or related field