Credentialing Manager jobs in Bradenton, FL

U
Credentialing Specialist (Medical Staff) Full Time
  • UHS
  • BRADENTON, FL FULL_TIME
  • Responsibilities

    Job Title:

    Credentialing Specialist

    Status:

    Full Time

    Schedule:

    Varied

     

     

    About Lakewood Ranch Medical Center (LWRMC):

     

    Lakewood Ranch Medical Center® (LWRMC), located in the heart of the Lakewood Ranch community, has served the people of Lakewood Ranch and surrounding areas since 2004. It is an award-winning, high-quality, acute-care hospital accredited by The Joint Commission and it consistently ranks high in terms of quality, safety and patient satisfaction.  The medical staff includes more than 750 physicians and allied health professionals who practice in a wide range of specialties.  Through the years, LWRMC has expanded its offerings to the people of Manatee and Sarasota counties by growing services and updating technologies to better serve the surrounding communities.  Services include emergency services and freestanding emergency department, general and robotic surgery, maternity care, breast health, cardiology, orthopedic surgery, stroke, sleep medicine, urology and wound care.  If you want to join a team of professionals providing the highest quality of care, look no further than Lakewood Ranch Medical Center.

     

    LWRMC offers comprehensive benefits such as:

    • Challenging and rewarding work environment
    • Competitive Compensation
    • Excellent Medical, Dental, Vision, and Prescription Drug Plan
    • Generous Paid Time Off
    • 401(K) with company match and discounted stock plan
    • Career development opportunities within UHS and its Subsidiaries

     

    Job Overview:

     

    This position will follow department policies and procedures, collect data for the verification and evaluation of providers applying for initial appointment and reappointment. Individuals in this role interact with applicants, liaisons, department chairs, and medical staff leaders.  Through the work performed individuals in this position assist the department in complying with applicable accreditation standards.  The individuals in this role are responsible for maintaining accurate and complete credentials files, maintaining credentialing database, identifying potential issues, and communicating this information to the Director of the Medical Staff. 

     

     


    Qualifications

    General Responsibilities:

    • This position will follow department policies and procedures, collect data for the verification and evaluation of providers applying for initial appointment and reappointment. Individuals in this role interact with applicants, liaisons, department chairs, and medical staff leaders.  Through the work performed individuals in this position assist the department in complying with applicable accreditation standards.  The individuals in this role are responsible for maintaining accurate and complete credentials files, maintaining credentialing database to recognize potential discrepancies and adverse information, independently investigating, and validating information. Also, the individual must be familiar with medical staff meeting management and minute taking.   Always practices service excellence. Other duties as assigned.

    General Requirements:

    • Minimum of Associate degree required; Bachelor’s degree preferred
    • CPCS certification required through National Association Medical Staff Services.
    • Minimum of 1-4 years of progressive experience in Medical Staff Services.
    • Communication and interpersonal skills, basic computer skills and customer service skills required
    • MD-Staff credentialing software knowledge preferred.
    • Excellent communications and interpersonal skills, strong computer skills and customer service skills required

     

    For more information, please contact Maya Perez, Healthcare Recruiter at 941-782-2142.

     

    EEO Statement

     

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

     

    We believe that diversity and inclusion among our teammates is critical to our success.

     

    Notice

     

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

     

     

  • 14 Days Ago

U
Credentialing Specialist Medical Staff Office Full Time Days
  • UHS
  • BRADENTON, FL FULL_TIME
  • Responsibilities Responsible for assistance to the Medical Staff Coordinator in all aspects of daily administration and coordination of associated functions for the Medical Staff; coordinates physicia...
  • 1 Day Ago

U
CREDENTIALING SPECIALIST MEDICAL STAFF OFFICE MANATEE MEMORIAL HOSPITAL
  • UHS
  • BRADENTON, FL FULL_TIME
  • Responsibilities Responsible for assistance to the Medical Staff Coordinator in all aspects of daily administration and coordination of associated functions for the Medical Staff; coordinates physicia...
  • 12 Days Ago

F
Manager
  • Floridays Woodfire Bar & Grill
  • Bradenton, FL FULL_TIME
  • Responsibilities Reports directly to the General Manager Make sure that the dining room and bar area is clean and well-maintained at all times Ensure that all foodservice operations run smoothly Placi...
  • 19 Days Ago

G
Manager
  • Glory Days Grill
  • Bradenton, FL FULL_TIME
  • Ensuring incoming staff complies with company policy Training staff to follow restaurant procedures Maintaining safety and food quality standards Keeping customers happy and handling complaints Organi...
  • 10 Days Ago

T
Manager
  • Tequila Tales
  • Palmetto, FL FULL_TIME
  • Start your Jet’s career! We’re looking for motivated, hardworking individuals who want to learn and grow with the company! The General Manager Is in charge of every function of the store If you’re a t...
  • 12 Days Ago

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F
Director of Operations
  • Fil Staffing
  • Sarasota, FL
  • Director of Operations Fil Staffing is looking for a Director of Operations to join a concierge medicine provider and wo...
  • 4/26/2024 12:00:00 AM

V
Vice President of Clinical Services (BCBA)
  • Virtus Health, LLC
  • Sarasota, FL
  • Virtus Health, a well-established privately owned ABA company, is currently seeking a Vice President of Clinical Service...
  • 4/26/2024 12:00:00 AM

D
Supervisory Tax Specialist (TCO Group Manager), NTE 1 YR (12 MONTH ROSTER) (Amended)
  • Department Of The Treasury
  • Sarasota, FL
  • Duties WHAT IS THE TAX EXEMPT/GOVERNMENT ENTITIES (TEGE) DIVISION? A description of the business units can be found at: ...
  • 4/26/2024 12:00:00 AM

D
Supervisory Tax Specialist (TCO Group Manager), NTE 1 YR (12 MONTH ROSTER) (Amended)
  • Department Of The Treasury
  • Saint Petersburg, FL
  • Duties WHAT IS THE TAX EXEMPT/GOVERNMENT ENTITIES (TEGE) DIVISION? A description of the business units can be found at: ...
  • 4/26/2024 12:00:00 AM

Q
Advanced Practice Provider
  • Quest Healthcare Solutions
  • Saint Petersburg, FL
  • ?? Exciting Opportunity for Nocturnist Hospitalist Advanced Practice Provider ?? Are you a dedicated and skilled Advance...
  • 4/25/2024 12:00:00 AM

H
Director of Operations
  • Hutchinson Consulting
  • Sarasota, FL
  • Seeking a director of operations to be part of a well-funded, innovative new company made up of a group of unique concie...
  • 4/24/2024 12:00:00 AM

M
Supervisor Coding
  • Moffitt Cancer Center
  • Tampa, FL
  • At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insigh...
  • 4/23/2024 12:00:00 AM

S
Senior Project Manager, Civil Site Development
  • Stantec
  • Tampa, FL
  • Strong communities don't just happen-they're built. They're creatively imagined, collaboratively planned, and readied to...
  • 4/22/2024 12:00:00 AM

Bradenton (/ˈbreɪdəntən/ BRAY-dən-tən) is a city in Manatee County, Florida, United States. The U.S. Census Bureau estimated the city's 2016 population to be 54,437. Bradenton is a principal city of the North Port–Sarasota–Bradenton metropolitan statistical area, which had a 2017 estimated population of 702,281. It is the county seat....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Manager jobs
$46,178 to $92,421
Bradenton, Florida area prices
were up 1.5% 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