Supervisor Credentialing VMG
Supervisor Credentialing VMG
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Salary Not Disclosed
1 Vacancy
Job Description
At Virtua Health we exist for one reason to better serve you. That means being here for you in all the moments that matter striving each day to connect you to the care you need. Whether thats wellness and prevention experienced specialists lifechanging care or something inbetween we are your partner in health devoted to building a healthier community.
If you live or work in South Jersey exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14000 colleagues including over 2850 skilled and compassionate doctors physician assistants and nurse practitioners equipped with the latest technologies treatments and techniques to provide exceptional care close to home. A Magnetrecognized health system ranked by U.S. News and World Report weve received multiple awards for quality safety and outstanding work environment.
In addition to five hospitals seven emergency departments seven urgent care centers and more than 280 otherlocations were committed to the wellbeing of the community. That means bringing lifechanging resources and health services directly into our communities through ourEat Well food access program telehealth home health rehabilitation mobile screenings paramedic programs and convenient online scheduling. Were also affiliated with Penn Medicine for cancer and neurosciences and the Childrens Hospital of Philadelphia for pediatrics.
Location:
Lippincott 301 Lippincott DriveEmployment Type:
EmployeeEmployment Classification:
RegularTime Type:
Full timeWork Shift:
1st Shift (United States of America)Total Weekly Hours:
40Additional Locations:
Job Information:
Job Summary:
Supervises the VMG CAQH Credentialing Coordinators and Specialists to ensure compliance of information with the CAQH (Council for Affordable Quality Healthcare) PECOS (Provider Enrollment Chain and Ownership System) NPPES and Cactus databases to ensure accurate and active clinician information. Supervises the enrollment process and compliance for Durable Medical Equipment. Collaborates communicates and fosters relationships with the Payer and Medical Affairs billing and VMG practice teams to ensure onboarding requirements for new clinicians are met and maintained. Assists the AVP of Clinician Contracting and Compliance in promoting VMGs Goals and Objectives.
Position Responsibilities:
Plans supervises and oversees the daily operations of the VMG Credentialing Coordinators and Specialists to ensure compliance with CAQH regulatory requirements of the Cures Act compliance with expirations of clinician licensures collaborating agreements and CAQH attestations. Supervises the staff effectively to perform at optimal levels of quality standards and oversees the human resources and payroll of the staff.
Responsible for the collaboration of the VMG Credentialing team with the Payer and Medical Affairs and other VMG departments. Foster ways for the team to understand processes. Implements new procedures and ensures team meets current procedure requirements. Preserves the data integrity in the systems and spreadsheets utilized.
Responsible for managing hiring and retention of office staff including training coaching and development. Provide orientation and training to new and monitors teams daily work and work flow and sets priorities. Escalation level for the team when clinicians are responding or difficult situations arise. Ensure that results are measured against standards while making necessary changes along the way.
Participates in all project related functions in department assists team members where required and maintains compliance with attestation for their own clinicians assigned. Responsible for planning directing strategizing and implementing projects with the team. Ensures payer audits of rosters are in compliance. Ensures departments policies are up to date streamlined and accurate.
Supports the educational and career development efforts of staff under purview. Acts as escalation point for management staff to address challenging operational and personnel as coach for development of the staffs skill set.
Understands government regulatory directives and maintains compliance with regulatory guidelines for PECOS CAQH NCQA and DME.
Position Qualifications Required:
Required Experience:
Minimum of 5 years of billing and credentialing. Minimum of 5 years of experience in a supervisory position. Excellent Communication skills (verbalwrittenlistening) in order to interact with employees at all levels and external clientele. Advanced organizational skills ability to work proactively with changing knowledge of organization policies and procedures or ability to quickly learn and operate within those parameters.
Required Education:
Associates degree required Bachelors degree preferred.
Training / Certification / Licensure:
NAMMS or Credentialing Specialist Certification preferred. Must be able to obtain within 6 months of hire.
Knowledge of Durable Medical Equipment compliance guidelines and enrollment.
Required Experience:
Manager
Employment Type
Full-Time
