US Anesthesia Partners Credentialing Supervisor in Greenwood Village, Colorado

Overview

U.S. Anesthesia Partners (USAP) is the largest single-specialty anesthesia practice in the country with over 4,000 clinical providers and associates. By joining our team you will participate in a highly collaborative and dynamic environment. As an organization we are mission focused on delivering the highest quality in patient care and you will be directly supporting our talented clinical team. We extend this same commitment to quality to our associates and supply tools and resources that will ensure we win in the healthcare marketplace and support of USAP.

We are proud of our inclusive people culture that supports our associates to perform at their best. USAP is an equal opportunity employer. Candidates with physician services or related health care experience is a plus. We offer a competitive benefits package.

This position is a customer service oriented position that will direct the daily activities of a high volume credentialing department. Provides direct interaction with hospital medical staff services and other departments requiring specific provider related information. In addition this position will maintain positive relationships with our providers and facilities, ensuring that information is provided timely and problem resolution is a seamless process. This position will ensure the integrity of all information provided to facilities and or Government agencies while maintaining the utmost confidentiality.

This role is for theGreenwood Village, CO office. All new hires must submit to and pass a background and drug screening before beginning work at USAP.

Responsibilities

CREDENTIALING:

  • Direct the daily activities of the credentialing and enrollment department.

  • Effectively communicate expectations to employees.

  • Foster and encourage a fair and positive work environment.

  • Responsible for providing adequate training, guidance, support and structure to credentialing employees.

  • Responsible for monitoring department productivity and meeting work standards and hold employees accountable when standards are not being met.

  • Support senior leadership to meet departmental and organizational goals.

  • Establish and maintain an effective, professional working relationships with providers, division managers, USAP management team and medical staff service departments.

  • Identify, support and implement departmental improvements and efficiencies.

  • Ensure timely and accurate submission of all data to facilities, government agencies and managed care plans.

  • If applicable, review and present files to the QI Committee on a monthly basis for new credentialing or re-credentialing evaluations.

  • Participate in the yearly malpractice insurance renewal process working closely with the CFO, Quality Management and Risk Management department heads.

  • Ensure that any issues regarding state medical license, Federal Drug Enforcement Administration (DEA), or other pertinent agency data are resolved timely and with the utmost confidentiality.

  • Work closely with the physician recruiter and human resources to maintain accurate physician headcount and status of all recruits.

  • Ensure all departmental policies and procedures are documented, maintained and followed on an on-going basis.

  • Maintain departmental budget at or below the yearly projections.

  • Responsible for maintaining data integrity and work processes of the credentialing system. Performs other duties as assigned.

  • Occasional travel may be required to accommodate the on-boarding of new business.

  • Supervising Credentialing and Provider Enrollment Staff

MANAGED CARE:

  • Direct the daily activities of the enrollment team.

  • Ensure the timely and accurate submission of all managed care applications.

  • Oversee the maintenance of the enrollment data in the credentialing system.

  • Act as a liaison between the central business office and managed care entities to ensure the timely processing of applications for desired effective dates to minimize risk.

  • Identify and report out risks to appropriate leadership.

  • Maintain the managed care files and contract histories.

  • Establish and maintain effective working relationships with the billing department and our payers.

  • Oversee all new provider managed care projects.

Qualifications

JOB REQUIREMENTS(Knowledge, Skills and Abilities):

  • Direct supervisory experience related to maintaining appointments, reappointments and managed care enrollment for a large provider base.

  • Must be able to select, develop, effectively manage and motivate staff.

  • Demonstrate ability to work cooperatively with employees, peers, leadership, physicians, and external customers.

  • Ability to prioritize and organize work and projects to ensure focus on high impact/value added activities and meet deadlines.

  • Ability to effectively work well under pressure in a fast paced environment.

  • Ability to recognize and effectively respond to urgent situations.

  • Act decisively, making good ethical decisions based on analysis, experience and judgement in a timely manner.

  • Working knowledge of computers and general patient accounting and credentialing systems.

  • Must possess a professional pleasant disposition and tolerance for diverse personalities.

  • Must demonstrate flexibility and ability to adapt to process changes as necessary to meet the needs and goals of the company.

  • Support department and organizational goals that contribute to the success of the organization.

  • Display self-accountability and embrace personal professional growth and development.

License and Certification:

  • Membership in the National Association of Medical Staff Services (NAMSS) is encouraged

  • Certified Professional Medical Staff Services Management (CPMSM), Certified Provider Credentialing Specialist (CPCS) are positive attributes for consideration.

EDUCATION/TRAINING/EXPERIENCE:

  • Bachelor’s degree in business, healthcare administration or relevant field and five years of solid Healthcare management experience; or equivalent combination of education and experience.

  • Professional Certification is preferred

  • Five years of direct Physician interaction.

  • Five years of Supervisory/Management experience working

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

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Job ID2019-3279

LocationUS-CO-Greenwood Village

FunctionRevenue Cycle Management

Employment StatusFull-Time

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