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Emory Healthcare/Emory University Supervisor, Credentialing Verification Operations in Atlanta, Georgia

Description

JOB DESCRIPTION:

  • Supervises the system central credentialing unit and is responsible for the day-to-day operations of the Central Verification Office (CVO).

  • Creates processes and procedures and trains credentialing specialists.

  • Reviews documentation and follows up on any identified issues.

  • Ensures accuracy and timely completion of credentialing files and provides feedback and training to specialists when issues are identified.

  • Follows up on escalated issues raised by verification specialists. Monitors compliance with established policies and procedures.

  • Establishes deadlines and develops standards and evaluates performance against these standards in conjunction with Credentialing and Enrollment Manager.

  • Ensures databases are accurately maintained and complete. Hires, trains and supervises staff in conjunction with the Credentialing and Enrollment Supervisor. Performs related responsibilities as required.MINIMUM QUALIFICATIONS:

  • An Bachelor's degree in medical staff service science, business, or a related field of study or at least 4 years of comprehensive medical staff services experience in an acute care hospital, managed care or credentialing verification organization.

  • Current National Association Medical Staff Services (NAMMS) certification as a CMSC (medical staff services coordinator) or CPCS (certified provider credentialing specialist.)

  • Must maintain active certification. A working knowledge of accreditation standards and credentialing related state and federal regulations.

  • Experience with database management computer applications preferred.

Additional Details

Salary Range $26.25 - 34.78

The grade and salary of the position are based on specific criteria met within the qualifications of each levels relevant experience, skills, performance and internal equity.

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Division Emory Healthcare Inc.

Campus Location Atlanta, GA, 30345

Campus Location US-GA-Atlanta

Department EHI Medical Staff

Job Type Regular Full-Time

Job Number 115461

Job Category Revenue Cycle & Managed Care

Schedule 8a-4:30p

Standard Hours 40 Hours

Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.

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