Credentialing Manager jobs in Chattanooga, TN

C
Billing, Coding and Credentialing Specialist
  • Chattanooga Eye Institute
  • Chattanooga, TN FULL_TIME
    • Perform posting charges
    • Perform completion of claims to payers
    • Conduct duties in a professional and timely fashion
    • Submit billing data to the appropriate insurance providers
    • Process/submission of claims
    • Resolve denial instances
    • Achieve maximum reimbursement for services provided
    • Deploy, maintain and report on various programs
    • Do Medicare and other Insurance reviews
    • Conduct audits
    • Credential providers for Insurance, Hospitals and ASC
    • Work AR
    • Assist Front desk as needed

    Job Type: Full-time

    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off

    Schedule:

    • Monday to Friday

    Work Location: In person

  • 5 Days Ago

A
Administrative Assistant/Credentialing Specialist
  • Anesthesiology Consultants Exchange, P.C. (ACE)
  • Chattanooga, TN FULL_TIME
  • Job Description Anesthesiology Consultants Exchange, P.C. (ACE) is seeking an administrative assistant/credentialing specialist to join our team. The position will be responsible for general office du...
  • 8 Days Ago

D
Manager
  • Dunkin' | ZSC Enterprises
  • Calhoun, GA FULL_TIME
  • As a Dunkin' franchisee, we are committed to our employees as much as we are committed to our customers. We value hardworking and enthusiastic employees and we make it a priority to ensure their succe...
  • 11 Days Ago

S
Manager
  • SportClips
  • Dalton, GA FULL_TIME
  • Sport Clips won 9 awards in 2022 and 4 awards in 2021. In 2022, Sport Clips won for Best Company Work-Life Balance, Best Company Compensation, Best Career Growth 2022, Best CEOs for Diversity 2022, Be...
  • 12 Days Ago

N
Manager
  • NGASW LLC - Subway
  • BLUE RIDGE, GA FULL_TIME
  • Location: 2800 Scenic Dr Suite 10-11A, BLUE RIDGE, GA, 30513 This job is for an Independently Owned and Operated Subway RestaurantPosition SummaryThe Manager performs and directs overall restaurant ma...
  • 14 Days Ago

U
Manager
  • Urban Air Adventure Parks
  • Chattanooga, TN FULL_TIME
  • MANAGER JOB SUMMARY Urban Air Adventure Park is gearing up to ACTIVATE AWESOME. We are seeking a highly-motivated candidate to support our vision. In this role, the Manager motivates, instills account...
  • 15 Days Ago

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0 Credentialing Manager jobs found in Chattanooga, TN area

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RN Neonatal Transport - Children's Hospital
  • Erlanger Health
  • Chattanooga, TN
  • Job Summary: A registered professional nurse employed by Erlanger Health System is responsible for the practice of nursi...
  • 4/19/2024 12:00:00 AM

S
Project manager - Chattanooga
  • Solvenow Inc.
  • Chattanooga, TN
  • About the job Project manager - Chattanooga Join a team that has been partnering with our clients for more than 100 year...
  • 4/18/2024 12:00:00 AM

S
Bat Biologist/Environmental Scientist
  • Stantec
  • Chattanooga, TN
  • Bat Biologist/Environmental Scientist - ( 2400014O ) Description Grounded in safety, quality, and ethics, our experts le...
  • 4/18/2024 12:00:00 AM

B
Human Resources Assistant
  • BrightSpring Health Services
  • Chattanooga, TN
  • Our Company Adoration Home Health and Hospice Overview Adoration Home Health is currently seeking a full time Human Reso...
  • 4/18/2024 12:00:00 AM

H
Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Chattanooga, TN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/18/2024 12:00:00 AM

S
Dietitian Nutritionist
  • Sodexo
  • CHATTANOOGA, TN
  • Unit Description: Come work for the world’s leading private employer of Registered Dietitians! Watch us grow, again! Sod...
  • 4/17/2024 12:00:00 AM

D
Supervisory Internal Revenue Agent (12 month roster) AMENDED
  • Department Of The Treasury
  • Chattanooga, TN
  • Duties WHAT IS THE LBI - LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at:...
  • 4/17/2024 12:00:00 AM

B
Area Manager/Industrial Equipment Sales for Chattanooga, TN Area
  • Blake & Pendleton, Inc.
  • Chattanooga, TN
  • Job Description Job Description Position: We are currently have several positions available in major markets in the Sout...
  • 4/15/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 144.6 square miles (374.4 km2), of which 137.1 square miles (355.2 km2) are land and 7.4 square miles (19.2 km2), or 5.12%, are water. The most prominent natural features in and around Chattanooga are the Tennessee River and the surrounding mountains. The city is nestled between the southwestern Ridge-and-valley Appalachians and the foot of Walden's Ridge; the river separates the ridge from the western side of downtown. Several miles east, the city is bisected by Missionary Ridge. The Tennessee River is impounded by th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Manager jobs
$44,325 to $88,713
Chattanooga, Tennessee 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