The Credentialing Department is responsible for credentialing the Physicians, Nurse Practitioners, CRNA’s (Certified Registered Nurse Anesthetists), and Physician Assistants) for the Henry Ford Medical Group. This position works with and guides the Credentialors in their duties as well as performs credentialing duties.
Processes initial staff applications and re-credentialing applications of practitioners for HFHS hospitals, ambulatory facilities, and networks. This process involves data entry, data collection, verification, and analysis of this data to create an extensive report on a practitioner’s qualifications for review by medical staff leadership.
Provides department staff with assistance during the credentialing process ensuring an appropriate investigation has been executed, appropriate documentation has been obtained and maintained within the database, and credentials file.
Assigns workload to credentialing team. Assists in prioritizing the workload by effectively using various reports and analyzing information. Responds effectively to time-sensitive requests.
Monitors by reports staff productivity and department performance; ensuring department expectations, criteria, and goals are met and seeks opportunities for continuous quality improvement.
Manages department onboarding process and acts as credentialing team educator.
Responsible for monitoring the weekly State of Michigan Health License Disciplinary Action Report, documenting findings and alerting appropriate leadership and health plans.
Assist in preparing and participates in Delegated Credentialing Audits.
Assists in creating department policies, procedures, processes and ensures implementation and compliance with regulatory and accrediting agency requirements.
Certification as CPCS (Certified Provider Credentialing Specialist) OR
Certification as CPMSM (Certified Professional in Medical Staff Management), required.
Associates Degree in Medical Staff Services, Human Resources or Business, required. Bachelor’s Degree, preferred.
Extensive knowledge of The Joint Commission and National Committee on Quality Assurance Standards.
Two (2) years of experience participating in health plan delegation audits.
Minimum six (6) years of credentialing experience.
Minimum three (3) years of centralized verification office (CVO) experience.
Minimum of four (4) years of experience and knowledge of working in a credentialing database (Morrisey, Visual Cactus, Echo, Vistar, etc.).
Proven ability to lead projects and co-workers.
High level of energy to work in a fast paced environment often including time deadlines, frequent interruptions, multiple demands and multi-tasking.
Ability to perform detailed work efficiently and with a high degree of accuracy. Highly organized.
Ability to interpret information and make judgments quickly.
Ability to interact professionally with practitioners and other external customers. Strong quantitative and analytical skills.
Internal Number: 193905
About Henry Ford Health System
Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health care systems, is a national leader in clinical care, research and education. The system includes the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory network and many other health-related entities throughout southeast Michigan, providing a full continuum of care. In 2015, Henry Ford provided $299 million in uncompensated care. The health system also is a major economic driver in Michigan and employs more than 24,600 employees. Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient. The health system is led by President and CEO Wright Lassiter III. To learn more, visit HenryFord.com.