Provider Support and Enrollment Services Supervisor
Grand Rapids, MI 
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Posted 7 days ago
Job Description

Job Summary

Responsible for the supervision of staff members and management of processing times for initial and recredentialing. Responsible for team meetings and staff education. Acts on the behalf of the Credentialing Department as a resource/problem resolution for other departments. Collaborates with Manager of Credentialing for policies and procedures development. Coordinates system changes and represents the department in organizational process improvement initiatives.

Essential Functions

  • Instructs and monitors Credentialing Coordinators for timely processing of credentialing and recredentialing. Provide work assignments for staff. Oversee completion of assigned duties. Provide help and direction to staff as needed.
  • Recruits, trains and evaluates staff. Develops and implements staff education programs to enhance staff performance. Initiates and promotes staff development to achieve departmental goals.
  • Manages all components related to the processing of Credentialing applications to ensure compliance with Insurance Carriers and Facilities (to include but not limited to: state licenses, drug enforcement applications, malpractice insurance, hospital applications.).
  • Works collaboratively with the Hospital Medical Staff Departments and office managers to facilitate the credentialing/recredentialing process for providers.
  • Prepare for and coordinate department meetings.
  • Maintains process to ensure confidentiality of files and sensitive information.
  • Assists Billing and Revenue Integrity with resolving claim rejections related to credentialing.

Qualifications

  • Required High School Diploma or equivalent
  • Preferred Associate's Degree or equivalent
  • 2 years of relevant experience Skills, knowledge, abilities typically gained through 2+ years of related experience Required
  • 2 years of relevant experience credentialing in a medical environment Required
  • 2 years of relevant experience supervisory experience with strong leadership abilities Required
  • Knowledge of basic medical terminology. Required
  • Knowledge of Symed. Preferred

    Physical Demands

    • Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
    • Waist to Waist > 5 lbs: Seldom up to 10 lbs
    • Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
    • Waist to Overhead > 5 lbs: Seldom up to 5 lbs
    • Bilateral Carry > 5 lbs: Seldom up to 10 lbs
    • Unilateral Carry > 5 lbs: Seldom up to 5 lbs
    • Pushing Force > 5 lbs: Seldom up to 25 lbs
    • Pulling Force > 5 lbs: Seldom up to 15 lbs
    • Sitting: Frequently
    • Standing: Occasionally
    • Walking: Occasionally
    • Forward Bend - Standing: Seldom
    • Forward Bend - Sitting: Seldom
    • Trunk Rotation - Standing: Seldom
    • Trunk Rotation - Sitting: Seldom
    • Squat: Seldom
    • Supine Lying: Seldom
    • Stair Climbing: Seldom
    • Crawling / Kneeling: Seldom
    • Driving: Seldom
    • Reach - Above Shoulder: Seldom
    • Reach - at Shoulder or Below: Seldom
    • Handling: Occasionally
    • Forceful Grip > 5 lbs: Seldom
    • Forceful Pinch > 2 lbs: Seldom
    • Finger/Hand Dexterity: Frequently
    • Visual Acuity
      [None = No; Seldom = Yes]: Seldom

    Primary Location

    SITE - 4700 60th St - Grand Rapids

    Department Name

    PFS Provider Support And Enroll Services

    Employment Type

    Full time

    Shift

    Day (United States of America)

    Weekly Scheduled Hours

    40

    Hours of Work

    8:00 a.m to 5:00 p.m.

    Days Worked

    Monday to Friday

    Weekend Frequency

    N/A

    CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

    Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

    Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

    An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

    You may request assistance in completing the application process by calling 616.486.7447.


    Beaumont Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, or status as a qualified individual with a disability.

     

    Job Summary
    Company
    Start Date
    As soon as possible
    Employment Term and Type
    Regular, Full Time
    Required Experience
    2+ years
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