Credentialing Manager jobs in Everett, WA

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Credentialing Licensing Specialist
  • Radia Medical Imaging
  • Lynnwood, WA FULL_TIME
  • Compensation: 

    Hourly wage range is $21.19 - $29.87. Wage is based on multiple factors, including but not limited to job-related experience, knowledge, skills, abilities, and employment status. The pay range listed above is base pay; this position may be eligible for additional compensation, such as shift differential (applied to all evening and weekend hours).  

    Benefits:

    • 2 Medical plans to choose from, dental, vision, life, and LTD
    • HSA and FSA available
    • A 401(k)-employer match, with a profit-sharing component  
    • Up to 21 paid days off per year
    • 8 paid holidays annually
    • Life and disability insurance
    • Learning opportunities through professional development programs
    • Educational Assistance 
    • Service bonus
    • Discretionary annual performance-based bonus


    Radia is seeking a Credentialing Licensing Specialist to join our credentialing team! We are growing and are calling for a candidate eager to be part of a great team of credentialing specialists, partner with our physicians and work with multiple state licensing boards.  

    Shift: Monday - Friday (9am - 5pm PST)

    Location: Remote

      *There is required training for 1 week at the Lynnwood, WA office from 8 am – 4:30 pm.



    The ideal candidate can manage competing priorities and understands a multitude of state licensing requirements and/or can easily research requirements for various state licensing boards and federal DEA’s. Responsible for compiling required documents, renewals, and new applications. Finds ways to help make the process seamless for the physicians and seen as a content expert.   

    Other responsibilities include but are not limited to:

    • Provide accurate and timely updates on licensing status. 
    • Interact professionally with state licensing boards, Credentialing team, physicians, and others within and outside of the organization.
    • Effectively manage large amounts of information and documentation.
    • Maintain strict confidentiality of all physician files.
    • Maintain compliance with all regulatory, state medical boards and DEA regulatory agencies.
    • Monitor healthcare certifications and licenses to ensure compliance with state and federal regulations.
    • Maintains accurate physician and health professional information in credentialing database.
    • Creates reports using the licensure database as requested.
    • Identifies discrepancies in information and conducting follow-ups.
    • Meets and maintains HIPAA regulations regarding Protected Health Information.


    Education and Experience:   

    • AA or BA preferred
    • At least two years of work experience in Medical Licensing or Credentialing Required
    • Experience with Microsoft Office Suite applications.
    • Experience in a fast-paced team environment that requires decision making and problem solving.
    • Excellent verbal and written skills.

     

    About Radia
    Radia is one of the largest and most progressive radiology groups in the nation. Our team of more than 200 board-certified radiologists, with specialty training in everything from Mammography to Neuroradiology and Musculoskeletal to Interventional, provide more than 50 hospital and specialty clinic partners with on-site radiology coverage and interpretations. #INDCORP 

  • 19 Days Ago

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General Manager
  • Ulta Beauty, Inc.
  • Lake Stevens, WA OTHER
  • OVERVIEWExperience a place of energy, passion, and excitement. A place where the joy of discovery and uncommon artistry blend to create exhilarating buying experiences—for true beauty enthusiasts. At ...
  • 15 Days Ago

T
Community Manager
  • The Michaels Organization
  • Oak Harbor, WA FULL_TIME
  • Overview Our business is real estate, but our organization is so much more than bricks and mortar, beautiful buildings and well-managed properties. Our business is about people who need a place to cal...
  • 15 Days Ago

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General Manager
  • Papa John's | A Pizza, LLC
  • Lynnwood, WA FULL_TIME
  • Papa John's Pizza is looking for a General Manager. Qualified candidates must possess strong management and organizational skills. This position ensures high quality products and customer service are ...
  • 1 Month Ago

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Team Manager
  • Panera Bread
  • Tulalip, WA FULL_TIME
  • Our Panera cafes are upscale, friendly cafes which feature freshly baked breads and pastries. We serve made-to-order soups, salads and sandwiches as well as specialty espresso beverages. We're known f...
  • 20 Days Ago

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Team Manager
  • Panera Bread
  • Everett, WA FULL_TIME
  • Our Panera cafes are upscale, friendly cafes which feature freshly baked breads and pastries. We serve made-to-order soups, salads and sandwiches as well as specialty espresso beverages. We're known f...
  • 19 Days Ago

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0 Credentialing Manager jobs found in Everett, WA area

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Systems Security Analyst / Cybersecurity Engineer / Mostly Remote
  • Global Engineering & Technology, Inc.
  • Seattle, WA
  • This position requires a current DOE Q or DoD Top Secret security clearance. THIS IS A HYBRID-REMOTE POSITION. In its ma...
  • 4/24/2024 12:00:00 AM

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Systems Security Analyst / Cybersecurity Engineer / Mostly Remote
  • Global Engineering & Technology, Inc.
  • Seattle, WA
  • This position requires a current DOE Q or DoD Top Secret security clearance. THIS IS A HYBRID-REMOTE POSITION. In its ma...
  • 4/24/2024 12:00:00 AM

S
Program Manager III - Operational Excellence and Transformation
  • Seattle Children's Hospital
  • Seattle, WA
  • Responsibilities: The Program Manager III is responsible for management of a specific, highly complex program or group o...
  • 4/24/2024 12:00:00 AM

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WELDER LEADER
  • Department of the Navy - Agency Wide
  • Everett, WA
  • Summary You will serve as a WELDER LEADER in the DEPARTMENT OF NAVY to include work sites of Portsmouth Naval Shipyard, ...
  • 4/23/2024 12:00:00 AM

D
WELDER LEADER (PIPE EXPERT)
  • Department of the Navy - Agency Wide
  • Everett, WA
  • Summary You will serve as a WELDER LEADER (PIPE EXPERT) in the DEPARTMENT OF THE NAVY. The incumbent of this position wi...
  • 4/23/2024 12:00:00 AM

D
WELDER LEADER (EXPERT)
  • Department of the Navy - Agency Wide
  • Everett, WA
  • Summary You will serve as a WELDER LEADER (EXPERT) in the DEPARTMENT OF THE NAVY. The incumbent of this position will se...
  • 4/23/2024 12:00:00 AM

G
Systems Security Analyst / Cybersecurity Engineer / Mostly Remote
  • Global Engineering & Technology Inc.
  • Seattle, WA
  • This position requires a current DOE Q or DoD Top Secret security clearance. THIS IS A HYBRID-REMOTE POSITION. In its ma...
  • 4/22/2024 12:00:00 AM

C
Director, Provider Network Management - Seattle, WA
  • Cigna
  • Seattle, WA
  • LOCATION: This position supports the Seattle, WA market. The Director, Provider Network Management serves as an integral...
  • 4/22/2024 12:00:00 AM

Everett is the county seat of and the largest city in Snohomish County, Washington, United States. It is located 25 miles (40 km) north of Seattle and is one of the main cities in the metropolitan area and Puget Sound region. Everett is the seventh-largest city in Washington state and had a total population of 103,019 at the 2010 census. The city is located at the mouth of the Snohomish River along Port Gardner Bay, an inlet of Possession Sound (itself part of Puget Sound). American settlement on the Everett peninsula began in the 1860s, with several sawmills built to serve the area's growing ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Manager jobs
$52,858 to $105,791
Everett, Washington area prices
were up 2.9% 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