Credentialing Lead

Credentialing Lead—Exact Billing Solutions

Lauderdale Lakes, FL

About Exact Billing Solutions

Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental health, and autism fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.

Leadership Opportunity in Healthcare Administration

If you're an experienced healthcare credentialing professional looking for a unique opportunity with a rapidly growing company, this could be a key opportunity in your career. Our Credentialing Lead plays a crucial role in ensuring that healthcare professionals within an organization meet all necessary qualifications, certifications, and regulatory requirements. This position involves overseeing the credentialing process for medical staff, managing a team of credentialing specialists, and collaborating with various departments to maintain compliance and uphold the highest standards of quality and patient safety.

What You'll Do

• Credentialing Process Management:

  • Oversee the end-to-end credentialing process for medical staff, including physicians, nurses, allied health professionals, and other relevant personnel.
  • Develop and implement efficient credentialing workflows, ensuring accuracy and adherence to established protocols.
  • Review and evaluate credentialing applications, verifying information, licenses, certifications, references, and other pertinent documentation.
• Team Leadership and Supervision:

  • Lead and manage a team of credentialing specialists, providing guidance, training, and mentorship to ensure high-quality work output.
  • Conduct regular performance evaluations, offer feedback, and identify opportunities for skill development.
• Compliance and Regulatory Adherence:

  • Stay current with industry regulations, standards, and best practices related to credentialing and privileging.
  • Ensure that all credentialing activities are in line with federal, state, and local regulations, as well as accrediting bodies' requirements.
• Collaboration and Communication:

  • Collaborate with other departments, such as Human Resources, Legal, Admissions, and Compliance, to ensure seamless coordination of credentialing processes.
• Database Management:

  • Use credentialing software and databases to maintain accurate records of medical staff credentials, licensures, certifications, and other relevant information.
  • Generate reports and analytics to track and monitor credentialing processes and compliance metrics.

Education/Experience and Other Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, or a related field (Master's degree is a plus).
• Several years of experience in healthcare credentialing, with at least 2-3 years in a supervisory or leadership role.
• In-depth knowledge of credentialing processes, regulatory requirements, and healthcare industry standards.
• Must maintain clean background/drug screenings and driving record.

Expertise Needed

• Strong understanding of medical terminology, licensing, and certifications across various specialties.
• Excellent organizational skills with a keen attention to detail.
• Proficiency in using credentialing software and databases.
• Exceptional communication and interpersonal skills.
• Problem-solving abilities and the capacity to work well under pressure.

Benefits

• Three weeks of paid time off in first year (more added with tenure)
• Medical, dental, vision, long-term disability, and life insurance
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options
• Generous 401(k) with employer match up to 6%

Exact Billing Solutions Culture

Integrity. Dependability. Attention to detail. All our team members exhibit these qualities when it comes to doing business. And when it comes to the business of supporting a team, as a company, we offer no less to our team members. We’re a fast-paced, growing company delivering services that allow our clients to spend more time helping people. At the end of the day, it’s people, not numbers, that drive our success.

Recruiter ID: #LI-TF1

Exact Billing Solutions participates in the U.S. Department of Homeland Security E-Verify program.