Credentialing Manager jobs in Lewiston, ME
Recently Added Credentialing Manager jobs
Credentialing Assistant
- MaineHealth
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Westbrook, ME
FULL_TIME
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Summary
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Position Summary
- The Credentialing Assistant performs a variety of administrative and clerical functions for the MaineHealth CVO. Incumbents in the role provide administrative and credentialing support including answering incoming calls, preparing and responding to correspondence, sending credentialing applications, and performing other tasks as assigned. This role requires strong communication and organizational skills and the ability to multi-task. Strong computer skills to include Word & Excel is required.
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Required Minimum Knowledge, Skills, and Abilities (KSAs)
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Education: High school diploma or GED preferred. Associates degree or an equivalent combination of education and experience is preferred.
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License/Certifications: Certified Provider Credentialing Specialist (CPCS) preferred.
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Experience: At least one year of office experience including data entry, typing and computer proficiency.
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Strong work ethic and self-starter, able to effectively manage multiple priorities and adapt to change within a fast-paced environment.
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Must be detail-oriented and have critical thinking skills.
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Experience with credentialing and/or healthcare operations is a plus.
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- 23 Days Ago
Breakfast Server
- Residential Community Manager
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Portland, ME
PART_TIME
- Calling all Restaurant Rockstars! The Hilton Garden Inn Portland Airport is now hiring for a Breakfast Server Part Time. Must be detail oriented, able to work on own and in a team, and must have good ...
- 1 Day Ago
New Client Coordinator and Credentialing Representative
- Health Affiliates Maine
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Auburn, ME
FULL_TIME
- Although Health Affiliates Maine recommends vaccination against COVID-19 this is not a requirement for employment with our agency at this time.Health Affiliates Maine has an opening for a New Client C...
- Just Posted
HSPD-12: Government Badging & Credentialing Specialist (Maine)p
- Citizant
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Augusta, ME
FULL_TIME
- Company DescriptionCitizant is a leading provider of professional IT services to the U.S. government. We seek to address some of our country's most pressing challenges in the areas of Agile applicatio...
- 1 Month Ago
HSPD-12: Government Badging & Credentialing Specialist (Maine - REF1556F)
- Citizant
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Augusta, ME
FULL_TIME
- Company DescriptionCitizant is a leading provider of professional IT services to the U.S. government. We seek to address some of our country’s most pressing challenges in the areas of Agile applicatio...
- 1 Month Ago
Manager
- Sarah's Scoops
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Boothbay, ME
PART_TIME,OTHER,TEMPORARY
- Hiring a seasonal manager for small family owned ice cream stand May to October 2024. Age minimum 18 years old and have at least one year of of management experience. ```Duties```- Oversee daily opera...
- 8 Days Ago
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0 Credentialing Manager jobs found in Lewiston, ME area
About Lewiston, Maine
Lewiston (/ˈluːɪstən/; officially the City of Lewiston, Maine) is the second largest city in Maine and the most central city in Androscoggin County. The city borders the coastal sideways of the Gulf of Maine and is south of Augusta, the state's capital, and north of Portland, the cultural hub of Maine. It is one-half of the Lewiston-Auburn Metropolitan Statistical Area, commonly referred to as "L.A." or "L-A." Lewiston exerts a significant impact upon the diversity, religious variety, commerce, education, and economic power of Maine. It is known for a relatively low cost of living, substantial...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Manager jobs
$47,738 to $95,544
Lewiston, Maine area prices
were up 1.6% from a year ago
were up 1.6% from a year ago
What does a Credentialing Manager do?
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