Operations Supervisor, Credentialing

Company Name:
McKesson Technology Solutions provides software, services, automation and consulting to hospitals, physician offices, imaging centers, home health care agencies and payers. We also provide interactive connectivity services that streamline clinical, financial and administrative communication between patients, providers, payers, pharmacies and financial institutions. Our solutions are designed to improve patient safety, reduce the cost and variability of care, improve health care efficiency and better manage revenue streams and resources.
Current Need
McKesson''s Business Performance Services division has an opening for a Credentialing Supervisor in our Charleston, SC office.
Position Description
The Credentialing Supervisor is primarily responsible for day to day tasks in the Credentialing Department, providing instruction to the staff on billing related matters and for overseeing the workflow in order to maintain a productive operation.
Supervises the staff and ensures an effective distribution and process for workflow. Conducts reviews to ensure that work is being performed in accordance with departmental policies and other regulatory agencies, and that work is being performed correctly and in a timely manner.
Oversees audit and data entry activities routinely to facilitate the accuracy and quality of the data entered and maintained.
Assists VP or Manager with compliance issues.
Maintains effective client/physician staff relationships. Responds to client questions in a timely and thorough manner. Ensures appropriate follow-up. Handles issues when staff cannot resolve them.
Provides assistance on computer, billing and customer service related questions as well as. Monitors staff understanding of policies and procedures.
Performs special projects as assigned by the VP or Manager.
Supervises assigned personnel and assists VP or Manager various employment related matters including hiring, training, orienting, disciplining, and evaluating performance.
Follows all HIPAA regulations and maintains strict confidentiality and business ethics.
Ensures all verifications, preparation and maintenance of practitioner files are in accordance with NCQA Standard.
Coordinates follow-up communications as necessary and ensures accurate records on the status of provider tasks is maintained.
Minimum Requirements
2+ years operational experience and demonstrated leadership skills.
Critical Skills
Medical and Insurance billing experience required
Working knowledge of Operations Management
Time management: the ability to organize and manage multiple priorities
Strong team player
Excellent interpersonal and communication skills, both written and verbal
Computer proficiency including Microsoft Office suite
Additional Knowledge & Skills
Certified Credentialing Specialist (CPCS) Certification preferred
2-year degree or equivalent experience
Certified Credentialing Specialist (CPCS) Certification preferred
Physical Requirements
General Office Demands
Benefits & Company Statement
We believe you should be rewarded for the important work you do. For that reason, you''ll receive a competitive compensation and benefits package when you join our team.
It starts with you. That''s a simple sentence but it says a lot. It reminds each one of us that what we do matters. Every single McKesson employee contributes to our mission - whatever your title, whatever your role, you act as a catalyst in a chain of events that helps millions of people all over the globe. By connecting and improving the business of healthcare, we''re helping to ensure that millions of patients get the treatment they need. And by choosing a career with McKesson Provider Technologies, you''ll join a team of passionate people working together to improve lives and advance healthcare.
At McKesson, we believe we can empower healthcare. And it all starts with you.
Qualified applicants will not be disqualified from consideration for employment based upon criminal history.
McKesson is an equal opportunity and affirmative action employer - minorities/females/veterans/persons with disabilities.
Agency Statement
No agencies please.

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