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Manager, Credentialing Applications and Administrative Support

Facility:Crozer-Keystone Health NetworkDepartment:Central Billing Office-CKHNSpringfield,PAManagementFull-time,Day Shift,9-5Req #28344

Thismanager is responsible for day to day management of the CKHS/CKHN ProviderCredentialing applications and the CKHN provider credentialing process. Keyto this position is assuring that the Hospital Medical Staff Office and theCKHN Billing Office maintain communications and continuously optimizeonboarding and offboarding clinicians using the Echo Cred management system. They supervise the credentialing team toensure all clinical providers are verified/authorized to begin billing forclinical services and monitor compliance status on a continual basis.

This position works closely with other health system departments and
insurance contacts to ensure appropriate provider information is shared across
business units. Additionally, this position works with health plans to ensure provider rosters are continuallyupdated and accurate. Reports to Executive Director, Revenue Cycle &Decision Support

Job Requirements


Overall management ofall CKHN Credentialing staff who provide Patient Billing support services in the CKHN Billing Office.


Responsible formanaging Credentialing system application and ensure system integrity and
management and accountable to CHKS Director of Medical Staff Office and
Executive Director CKHN Revenue Cycle


Provides guidance anddirection to team members on system issues, new systems development, softwareevaluations, business process design, and enhancement of existing systems.


Responsibilitiesinclude but are not limited to support the recruiting, training, coaching and
development of team members.


Responsible to workwith the IT teams to managing the lifecycle of applications from selection andimplementation to sun setting or termination.


Coordinates additionof all new providers to appropriate systems and maintains current informationin those systems.


Ensures insuranceenrollment for all Providers is properly completed in a timely fashion to allowproviders to see patients in facilities.


Responsible fortracking all credentialing documents and expirations in systems. Sends
reminders and follows up to ensure Company and provider remain in compliance.


Ensures processes forand distributes monthly credentialing status reports to CKHN leadership andproviders.


Works closely andcommunicates with other department managers, insurance companies and facilitiesand able to provide a high level of customer service for internal and external
contacts.


Able to interacteffectively with a wide variety of people and levels of management.


Maintainsconfidentiality of all information and abides with HIPAA and PHI guidelines at
all times.

Job Requirements

Education and Training:

Bachelor's Degree, advanced degree a plus

Experience:

2-4 years Provider Credentialing or industry
experience or 3-5 years' experience in a multi-specialty physician group
billing office and/or

2-4 years' experience with Hospital based
credentialing and systems and/or

2-4 years of systems management experience in
a healthcare environment

Knowledge and experience in insurance and
patient billing

Knowledge and experience working with a
Practice Management Billing System

Project Management

Demonstrated leadership and supervisory skills



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