Credentialing Manager jobs in Appleton, WI

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Medical Credentialing Specialist
  • Advanced Physical Therapy & Sports Medicine
  • Appleton, WI PART_TIME
  • Advanced Physical Therapy & Sports Medicine, SC is headquartered in Appleton, WI and currently has 28 locations in central and northeastern Wisconsin with over 130 employees.

    Seeking a Credentialing Specialist preferably with 1-3 years’ experience. This position will be 20 hours per week working Monday-Friday.

    Ideal Candidate:

    • Positive, high integrity, individual who enjoys interacting with people
    • Compiles and maintains current and accurate data for all clinicians
    • Completes clinician and clinic credentialing and recredentialing applications; monitors applications
    • High aptitude of insurance knowledge
    • Pleasant and calm phone etiquette
    • Self starting and able to recognize work that needs to be done, even if outside regular job duties
    • Assertive, able to make decisions and respectfully share information with therapists
    • Enjoys a fast past office environment with capability to problem solve
    • Tech Savvy

    Due to rapid growth, our company is seeking a credentialing specialist who is has the emotional intelligence and adaptability to interact with patients at all levels of care.

    Do you enjoy being challenged?

    Would you like a position that provides the opportunity to use your current skills you are comfortable with but enjoy continuing to expand on those skills?

    Would you like to be part of a growing company, as well as a position that will provide daily challenge for a self-motivated individual?

    We are looking for a candidate who wants to be a long term key member of our positive and dynamic team. Someone that wants to serve our patients/clients and strives to make a positive difference in our community.

    In this position, the person will be responsible for maintaing clinician credentialing up to date with insurers and other agencies.

    Job Type: Part-time

    Benefits:

    • 401(k)
    • Dental insurance
    • Disability insurance
    • Employee assistance program
    • Flexible spending account
    • Life insurance
    • Paid time off
    • Retirement plan
    • Vision insurance

    Schedule:

    • 4 hour shift
    • Monday to Friday

    Application Question(s):

    • What is your wage requirement?

    Work Location: In person

  • 1 Month Ago

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Manager
  • Fox River Brewery Waterfront Restaurant and...
  • Oshkosh, WI FULL_TIME
  • Supervises dining room operation and coordinates food delivery. Supervises and trains employees, confers with kitchen and other personnel to plan events and related activities. Estimates beverage cost...
  • 18 Days Ago

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Manager
  • Fox River Brewery Waterfront Restaurant and Brewery - Oshkosh
  • Oshkosh, WI FULL_TIME
  • Supervises dining room operation and coordinates food delivery. Supervises and trains employees, confers with kitchen and other personnel to plan events and related activities. Estimates beverage cost...
  • 24 Days Ago

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Manager
  • Fox River Brewery and Restaurant - Appleton
  • Appleton, WI FULL_TIME
  • Supervises dining room operation and coordinates food delivery. Supervises and trains employees, confers with kitchen and other personnel to plan events and related activities. Estimates beverage cost...
  • 24 Days Ago

A
Manager
  • Altitude Trampoline Park
  • Appleton, WI PART_TIME
  • INTRODUCTION Altitude Trampoline Park is looking for a fun-loving, fast-paced, goal-oriented leader. If you are independent, opinionated, and looking to run a business unlike any other, we have the jo...
  • 11 Days Ago

A
Manager
  • Appleton PR
  • Appleton, WI FULL_TIME
  • Assistant General ManagerPay rate: $16.00-$20.00
  • 12 Days Ago

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0 Credentialing Manager jobs found in Appleton, WI area

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Supervisory Tax Specialist (TCO Group Manager) NTE 1 year, MBE, MBMP 12 Month Roster
  • Department Of The Treasury
  • Appleton, WI
  • Duties WHAT IS THE SB/SE DIVISION? A description of the business units can be found at: https://www.jobs.irs.gov/about/w...
  • 4/26/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Appleton, WI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway
  • Appleton, WI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Appleton, WI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Appleton, WI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Appleton, WI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Manager of Credentialing/Provider Informatics
  • Network Health Administrative Services Llc
  • Menasha, WI
  • Manager of Credentialing/Provider Informatics Network Healths success is rooted in its mission to create healthy and str...
  • 4/23/2024 12:00:00 AM

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Team Leader Health Information Management and Services (7375KW) : """2020 S. Webster Ave, Green Bay, WI 54301 "" : Feb 18 2022 : Days, PM / Evening
  • Bellin Health
  • Green Bay, WI
  • **Job Description:** **EDUCATION & EXPERIENCE:** **Education** : Bachelors degree preferred. **Certification/Registratio...
  • 4/23/2024 12:00:00 AM

Appleton is a city in Outagamie (mostly), Calumet, and Winnebago counties in the U.S. state of Wisconsin. One of the Fox Cities, it is situated on the Fox River, 30 miles (48 km) southwest of Green Bay and 100 miles (160 km) north of Milwaukee. Appleton is the county seat of Outagamie County. The population was 72,623 at the 2010 census. Of this, 60,045 were in Outagamie County, 11,088 in Calumet County, and 1,490 in Winnebago County. Appleton is the principal city of the Appleton, Wisconsin Metropolitan Statistical Area, which is included in the Appleton-Oshkosh-Neenah, Wisconsin Combined Sta...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Manager jobs
$47,251 to $94,568
Appleton, Wisconsin area prices
were up 1.3% from a year ago

Credentialing Manager
Develops strong knowledge of the credentialing software, and full capabilities, to maximize its use and understands the functionality of the claims software, as it relates to the credentialing process.
September 07, 2022
Manage operations for the credentialing and recredentialing process to satisfactorily meet all standards as required by HMSA policies and procedures, state and federal regulatory requirements and all relevant accreditation standards pertaining to the credentialing for HMSA providers in all lines of business including commercial, Medicare, Medicaid and ACA products.
October 31, 2022
Prepares,reviews and submits credentialing applications as determined by state, federalor accrediting agency guidelines and standards for review, recommendations anddecision by the appropriate organizational committee or body.
November 22, 2022
Monitor Medicaid and Medicare sanctioning reports to ensure compliance with Health Care Financing Administration (HCFA) requirements regarding prohibition of excluded provider participation.
January 15, 2023
Maintains a thorough understanding of medical staff bylaws, Joint Commission standards, hospital organization and policies, medical staff rules and regulations, national practitioner data bank regulations and procedures, credentialing and privilege delineation procedures and medico-legal issues.
February 02, 2023
Assists in the development and implementation of medical record practices policies and procedures to ensure the timely, quality, and accurate delivery of medical record services.
March 23, 2023
Provides day to day supervision of site-specific medical record services and staff consistent with established policy and regulatory requirements, and statutes governing health information management practices.
April 03, 2023
Review and update departmental policies and procedures to ensure compliance with NCQA, CMS and other regulatory agencies.
April 26, 2023
Manages the processes of region-wide, complex information systems needs in project areas such as new business operating models, innovative approaches to IT solutions support, market research of emerging or available product functionality and operational readiness assessment.
May 10, 2023
Plans and directs program for orientation of new medical staff members to the hospital environment and duties and responsibilities of medical staff membership.
May 19, 2023