Manager, Provider Services (Hybrid)

Prestige Staffing is searching for a Manager of Provider Services for the Anesthesiology Dept. for a local healthcare system. This  is a direct hire exempt role and will be in the office to meet the entire staff, train and bond. Once comfortable then they role will be hybrid. Pay is $59, 000-79,000 depending on experience.

Summary:

Manages credentialing functions for a large division or department (200+ providers).

• Ensures compliance with policies, procedures and regulatory guidelines. Supervises credentialing staff and coordinates all clinical privileging, reappointments/re-credentialing, provider licensing and billing enrollment.
• Coaches staff to ensure high performance standards and timely onboarding of providers.
• Participates in the development and administration of departmental policies and procedures. 
• Develops and executes the strategic direction of the credentialing and enrollment team to ensure provider friendly and efficient processes to ensure a consistent direction across the department.
• Facilitates and oversees the major processes for credentialing of physicians and advance practice providers into the facilities and payor enrollment with Managed Care, Medicaid, and Medicare Enrollment working individual files as needed.
• Develop collaborative relationships with key stakeholders, including – departmental physician, anesthetist, NP/PA, and administrative leadership, system credentialing and enrollment leadership, offices of System Credentialing, and the Office of Managed Care.
• Educates and advises staff on Credentialing and Enrollment policies and partners with the centralized credentialing team and hospital medical staff offices to streamline onboarding processes and ensure practices comply with organizational and legal requirements.
• Ensures providers are licensed, privileged, and enrolled in billing by their start dates.
• Partners with HR to coordinate hiring dates with credentialing and enrollment timelines.
• Teaches and leads continual process improvement and customer service processes.
• Meets with new providers with the goal of seamlessly matriculating them into the Emory system.
• Ensures direct reports correctly coordinate network and badge access for each location, billing orientations, department orientations, etc. 
• Partners with Finance, Patient Financial Services and Anesthesia Coding team to ensure proper billing provider set up in EPIC, billing effective dates for all payors are updated and all credentialing and enrollment edits are reviewed and resolved timely to achieve maximum reimbursement for services rendered. 

Requirements:

• Bachelors degree in healthcare or business related field
• 5 least years of comprehensive credentialing and enrollment experience in an acute care hospital, managed care, or credentialing verification organization
• 2 years of supervisory experience as well as experience working with physicians
• Planning and organizational skills, with the ability to manage many different projects and people at once. 
• Ability to communicate tactfully, verbally and in writing with department heads, managers, coworkers, and vendors to resolve problems and negotiate resolutions. 
• Must be very experienced in using Excel, Word, PowerPoint, & Morrissey on a daily basis. 
• Excellent written and oral communication
• Extremely organized and used to managing projects 
• Must be able to form relationships with the team and people within the facility. 
• Working manager who knows what is priority, what they can handle and what to delegate
• Experience working with credentialing in the anesthesia department is strongly preferred
• EPIC experience is a huge plus