Gwinnett Hospital SUPERVISOR CREDENTIALING AND PAYOR LIAISON(Job Id 3334) in Lawrenceville, Georgia
Work Type : FULL TIME
Facility: RESOURCE CENTER
Department: CBO GPG GMSI
Shift/Hours : 8:30AM-5:00PM Monday-Friday
Responsible of the day to day operations of the GMG Credentialing team and their assignments. Including but not limited to the amount of providers each associate has to work daily. This individual is the main contact with our payers as it relates to credentialing. The Supervisor is responsible to set up monthly meetings with our payer's rep. in order to discuss credentialing status or updates. Same forum would be use by the Billing and Supervisor in the Revenue cycle. This individual is also in charge of updating credentialing in our Cactus system and responsible that the data integrity is kept up at all times. Additionally, the Supervisor is expected to update all Managers, supervisors, IT, and the CBO of changes occurring to our provider's credentials via a Master Credentialing sheet. Monitor staff absentisms, lateness and PTO/PTU time and report it to management.
High School Diploma or equivalent required. Bachelor degree preferred
Experience on Physician's credentialing.
Supervisor experience preferred.
Knowledge of Governmental and Commercial credentialing
Proficiency in database management and word processing.
Excellent Verbal and written communication skills.
Medical terminology and knowledge of ICD and CPT Codes needed.