Jobs · Human Resources · North Carolina

Manager of Credentialing - Full Time Days

Cape Fear Valley Health · Fayetteville, NC · 1 wk ago
Human ResourcesFull-time
Facility Cape Fear Valley Medical Center Location Fayetteville, North Carolina Department Physician Financial Services Job Family Management Work Shift Days (United States of America) Summary Oversee, lead and coordinate the payer enrollment activities associated with employed and certain contracted providers, hospitals and group practices within Cape Fear Valley Health System. Major Job Functions The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time: Work with Physician groups and Hospital departments on enrollment activities to ensure proper paymentWorks closely with Medical Group and Medical Staff Services to ensure all providers and new groups are onboarded from a payer enrollment perspectiveWork with CAQH and other organizations on the processing of credentialing applicationsEnsures NPI registry, PECOS, NPPES and NC Medicaid systems have consistent information related to CFV entitiesEnsure that enrollments, reenrollments and revalidations are handled timely, accurately and consistentlyProvides quality control measures to ensure that staff are properly trained and executing functions accurately and timelyOther duties as assigned Minimum Qualifications The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job: Education And Formal Training Associate’s degree required OR 4 years’ experience as a practice manager or administrator will be considered in lieu of degreeBachelor’s degree preferred Work Experience 2 years’ experience working with a large multi-specialty health system with knowledge and experience in credentialing and/or provider enrollment required Knowledge, Skills, And Abilities Required Proficiency in reading, writing, and speaking the English languageExcellent interpersonal skills with the ability to interact with internal hospital department leadership as well as outside organizationsStrong written and verbal skills, be results oriented, and exemplify a team player attitudeExpert skills in Microsoft Word, Excel, PowerPoint and AccessAbility and willingness to work on a variety of activities and projectsAbility to work with people in a tactful, diplomatic manner Physical Requirements Present a professional imageVisual and auditory acuity Required Licenses And Certifications Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity

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