Credentialing Manager jobs in Arizona

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Quality Analyst
  • Connected Vehicle Optimization (CVO)
  • Phoenix, AZ
  • In collaboration with the Inside Sales Manager, develop individual action plans that provide the employee realistic coaching techniques to apply. * Assist in the development of job aids, scripts ...
  • 15 hours ago

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Records Quality Analyst
  • StaffingSolutions
  • Tucson, AZ
  • Manage and maintain existing development records in the UADP's Blackbaud CRM (Lynx) Records Enhancement: Enhance development records through strategic analysis of information/data needs within Lynx
  • yesterday

M
Credentialing Specialist (Insurance Provider Credentialer)
  • M&M Staffing
  • Mesa, AZ
  • Leading Medical Accounts Receivable Management Services in Mesa is seeking an experienced Credentialer / Insurance Credentialing Specialist. Job Role: * Process health plan enrollment / credentialing ...
  • 2 days ago

M
OCSG Supervisor
  • MUFG
  • Tempe, AZ
  • In addition, in the absence of Electronic Banking Senior Manager, oversees all ACH, EDI and Instatax processing and customer service 24 hours a day, six days a week. Major Responsibilities
  • 2 days ago

F
Manager Social Work Services
  • Fresenius Medical Care
  • Tucson, AZ
  • Manages the tactical execution of Quality and Social Work initiatives, interventions and ... REQUIRED CREDENTIALS: * Masters in Social Work required * State Specific Licensure required ...
  • 4 days ago

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Business partnerships Manager 2021-2022 SY
  • Phoenix Union High School District
  • Phoenix, AZ
  • ... and credentials. * Identify meaningful career development opportunities, including career ... Manage business partnership annual grant budget and related expenses. * Monitor program data and ...
  • 4 days ago

A
Medical Staff Credentialing Specialist
  • Atlas Healthcare Partners, LLC
  • Phoenix, AZ
  • A minimum of 2-3 years of healthcare experience with 1 year directly related to hospital medical staff or managed care credentialing and/or provider enrollment. Requires a basic knowledge of medical ...
  • 6 days ago

A
Medical Staff Credentialing Coordinator
  • Atlas Healthcare Partners, LLC
  • Phoenix, AZ
  • JOB TITLE Medical Staff Coordinator MINIMUM QUALIFICATIONS Requires Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) or comparable ...
  • 6 days ago

Arizona (/ˌærɪˈzoʊnə/ (listen); Navajo: Hoozdo Hahoodzo Navajo pronunciation: [xòːztò xɑ̀xòːtsò]; O'odham: Alĭ ṣonak Uto-Aztecan pronunciation: [ˡaɺi ˡʂonak]) is a state in the southwestern region of the United States. It is also part of the Western and the Mountain states. It is the sixth largest and the 14th most populous of the 50 states. Its capital and largest city is Phoenix. Arizona shares the Four Corners region with Utah, Colorado, and New Mexico; its other neighboring states are Nevada and California to the west and the Mexican states of Sonora and Baja California to the south and so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Manager jobs
$44,771 to $89,637

Credentialing Manager
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.
March 04, 2021
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.
February 23, 2021
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.
February 17, 2021
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.
February 10, 2021
Review and update departmental policies and procedures to ensure compliance with NCQA, CMS and other regulatory agencies.
February 09, 2021
Monitor Medicaid and Medicare sanctioning reports to ensure compliance with Health Care Financing Administration (HCFA) requirements regarding prohibition of excluded provider participation.
January 31, 2021
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.
January 30, 2021
Plans and directs program for orientation of new medical staff members to the hospital environment and duties and responsibilities of medical staff membership.
January 28, 2021
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.
December 12, 2020
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.
September 13, 2020