| Medical Staff Credentialing Director Job Description |
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| The following is a full job description for Medical Staff Credentialing Director. Here are the requirements and responsibilities for Medical Staff Credentialing Director along with statistics. If after reading this page you determine that Medical Staff Credentialing Director is not the position you are looking for, you may want to try one of these similar titles: Medical Staff Credentialing Manager, Medical Staff Credentialing Specialist, Medical Staff Credentialing Specialist, Sr., Medical Staff Credentialing Supervisor, Medical Billing Specialist, Medical Writer III, Associate Medical Director, Medical Director, Staff Nurse - RN II |
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| Requirements and Responsibilities For Medical Staff Credentialing Director |
| Responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to senior management. Typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. |
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| Also referred to as: Medical Credentialing Services Director, Medical Provider/Practitioner Credentialing Director |
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| Similar Jobs: Medical Staff Credentialing Manager, Medical Staff Credentialing Specialist, Medical Staff Credentialing Specialist, Sr., Medical Staff Credentialing Supervisor, Medical Billing Specialist, Medical Writer III, Associate Medical Director, Medical Director, Staff Nurse - RN II |
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| Level of Education: Medical Staff Credentialing Director Salaries with No Diploma, Medical Staff Credentialing Director Salaries with a High School Diploma or Technical Certificate, Medical Staff Credentialing Director Salaries with an Associate's Degree, Medical Staff Credentialing Director Salaries with a Bachelor's Degree, Medical Staff Credentialing Director Salaries with a Master's Degree or MBA, Medical Staff Credentialing Director Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
