Directly responsible for the effective management and daily operations of the Scribe program and ED incomplete board as required. This includes, but is not limited to; the recruitment, hiring, training, and evaluation of all employees within the scribe program, analyzing staffing needs, development and implementation of scribe educational curriculum, managing direct reports in Scribe Program and Incomplete Board Management Unit.
Responsibilities Oversees the day to day operations of the Payer Credentialing Team; Delegates and assigns daily tasks to a team of Payer Credentialing Specialists. Trains, and provides data, reports and presentations to all payer credentialing staff, CMG practice administrators, CMG Office Managers, executives, and other Centra employees involved in payer credentialing. Ensures all providers are enrolled with all contracted payers so that Centra can get paid for rendered services.
Maintains the database of new physicians and assures completion of payer credentialing packages. Submits complete and accurate physician applications to various health plan providers. Obtains physician's provider numbers, NPI numbers, Group numbers, etc. and loads to the practice management system.
Daily monitors work queue as assigned to Credentialing Specialists as well as own task list. Contacts physicians, providers, provider recruiters, and/or medical staff office for information that is missing from the packages as well as signatures in order to submit the applications. Liaisons with Human Resources on issues such as Family Medical Leave Act (FMLA), Workers' Compensation, recruitment, performance management, employee engagement, professional development, succession planning, etc.
Monitors changes in the payer applications as referenced on the websites and literature. Performs clerical tasks to help support the functions of the credentialing department. May perform other duties as assigned or requested and job specification can be modified or updated at any time.
Creates and maintains policy and procedures for payer credentialing. Communicates with managed care contracting for changes to payer contracts. Required
High School Diploma, GED, or Equivalent. Medical or Healthcare Management Courses.