Credentialing Manager jobs in Tennessee
Recently Added Credentialing Manager jobs
Credentialing Manager
- Advanced Billing Consultants
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Goodlettsville, TN
FULL_TIME
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It’s your choice, choose Advanced Billing Consultants. Advanced Billing Consultants specializes in medical billing services, accounts receivable, and information management for medical practices. Join our growing team. We promote a fun and friendly work environment. We encourage work/life balance and we offer competitive wages and benefits.The Credentialing Manager oversees credentialing and project management for Multi-specialty practices that join AdvancedHEALTH.Job Duties:
- Provide leadership and supervision to credentialing staff
- Creates and edits policies, procedures, methods, and guidelines
- Set goals and expectations for credentialing staff
- Utilizes metrics to improve performance
- Ensures that assignments are completed accurately and on time
- Monitors quality and quantity of staff workflow by performing periodic audits/reviews
- Oversees credentialing of new and current providers and locations
- Oversees the maintenance and update of information on providers including State Licenses, DEA, facility privileges, etc.
- Handle W-9 requests
- Oversees Update of provider information in Symed Database
- Assist billing department with credentialing issues
- Oversees Reporting of current credentialing status with weekly payer grids
- Oversees Initial completion of CAQH application and update as needed for re-credentialing
- Knowledge of all insurance payers to credential providers
- Advise staff of uncertain credentialing information received and any issues identified during the process in a timely fashion
- Prompt processing of all requests to credential
- Handles Pain Management Facilities
- Oversees diligent form completion for clean application when submitted
- Handles initial onboarding of all multi-specialty practices
- Perform other tasks as requested by COO
Position Requirements:- High School or Equivalent
- Minimum of 2-5 years’ experience in medical billing preferred
- Minimum of 1-3 years’ experience in medical Credentialing supervision preferred
- Knowledge of Symed (Credentialing Database) preferred
- Knowledge of Payer requirements for submitting applications
- Thorough knowledge of CAQH
Skills and Abilities:- Expectational customer service and the ability to communicate with patients, physicians, clients, coworkers and management staff
- Demonstrate commitment to quality by credentialing in compliance with all applicable regulations and requirements
- Must demonstrate strong analytical skills and proficiency with Microsoft office products
- Must have strong critical thinking skills
- Maintains effectiveness when experiencing major changes in work tasks or the work environment
- Ability to work independently without close supervision
- Ability to exercise judgement and make decisions
- Ability to perform in a high productivity, fast-paced environment
- Interpersonal skills and conflict resolution
- Attention to detail
- Excellent phone and computer skills
- Ability to maintain sensitive information in confidence
- Ability to train staff and write protocols and training materials
- Ability to meet deadlines and prioritize responsibilities
- Strong ability to uphold organizational values, work with integrity and ethically, inspire the trust of others, and treat people with respect
- Strong HIPAA and OSHA knowledge
- 13 Days Ago
Manager - Medical Staffing & Credentialing, FT, Days
- North Knoxville Medical Center
-
Knoxville, TN
FULL_TIME
- Responsible for monitoring the verification process for medical staff incumbents. Completes physician, nurse and other employee verifications and ensures that the organization and staff are in accorda...
- 1 Month Ago
Manager - Medical Staffing & Credentialing, FT, Days
- Tennova Knoxville Physician RMC - North Knoxville Medical Center
-
KNOXVILLE, TN
FULL_TIME
- Responsible for monitoring the verification process for medical staff incumbents. Completes physician, nurse and other employee verifications and ensures that the organization and staff are in accorda...
- 1 Month Ago
Automotive General Manager
- Automotive General Manager
-
Clarksville, TN
FULL_TIME
- Large Dealer looking for a qualified General Manager to run and operate an automotive store. Must have at least 5 years of automotive management experience. This is a blind ad, so you can apply and we...
- 1 Day Ago
Credentialing specialist
- Citizant
-
Memphis, TN
FULL_TIME
- Company Description Citizant 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 applicati...
- Just Posted
Credentialing Specialist
- Southern Family Dental Partners
-
Knoxville, TN
FULL_TIME
- JOB TITLE: Credentialing Specialist ? Remote FLSA STATUS: Exempt REPORTS TO: Vice President of Intergration Job Overview The Credentialing Specalist is responsible for organizing, maintaining, and ver...
- 2 Days Ago
Credentialing Manager jobs at Popular Companies
Credentialing Support Specialist
- Prometheus Federal Services
-
Washington, DC
- Job Description Job Description Prometheus Federal Services (PFS), a trusted partner to federal healthcare agencies, is ...
- 4/26/2024 12:00:00 AM
Credentialing Administrative Assistant
- Reliant Physicians PLLC
-
Las Vegas, NV
- Job Description Job Description Job Summary: Under the direction of the Credentialing Manager, assist with credentialing...
- 4/26/2024 12:00:00 AM
City Manager - Amarillo, Texas
- Baker Tilly
-
Amarillo, TX
- Salary: $285,000.00 - $305,000.00 Annually Location : Amarillo, TX Job Type: Full-Time Job Number: 00214 Job Classificat...
- 4/26/2024 12:00:00 AM
CyberArk Engineer
- Diverse Lynx
-
San Antonio, TX
- Job Title: CyberArk Engineer Location: San Antonio, TX /Remote Possible for good matching candidate Duration: Fulltime/P...
- 4/25/2024 12:00:00 AM
Case Manager
- Opex Solutions Inc
-
Smyrna, TN
- Job Description Job Description Benefits: Bonus based on performance Tuition assistance Education: RN, or LPN required E...
- 4/23/2024 12:00:00 AM
City Manager - Manhattan, KS
- SGR
-
Manhattan, KS
- The City of Manhattan, Kansas, is located in Riley County in the heart of northeast Kansas' scenic Flint Hills. Known as...
- 4/22/2024 12:00:00 AM
Administrative Liaison
- Go Urgent Care, LLC
-
Mc Gregor, TX
- SUMMARY DESCRIPTION: Under the direction of the facility manager and physician credentialing manager for the Emergency C...
- 4/22/2024 12:00:00 AM
Case Manager
- Opex Solutions Inc
-
Smyrna, TN
- Job Description Job Description Education: RN, or LPN required Experience: Proficient with MS office suite & Adobe produ...
- 4/22/2024 12:00:00 AM
About Tennessee
Tennessee borders eight other states: Kentucky and Virginia to the north; North Carolina to the east; Georgia, Alabama, and Mississippi on the south; Arkansas and Missouri on the Mississippi River to the west. Tennessee is tied with Missouri as the state bordering the most other states. The state is trisected by the Tennessee River.
The highest point in the state is Clingmans Dome at 6,643 feet (2,025 m). Clingmans Dome, which lies on Tennessee's eastern border, is the highest point on the Appalachian Trail, and is the third highest peak in the United States east of the Mississippi River. The ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Credentialing Manager jobs
$45,154 to $90,372
Most Popular Cities in Tennessee for Credentialing Manager Jobs
What does a Credentialing Manager do?
Credentialing Manager
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
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
Review and update departmental policies and procedures to ensure compliance with NCQA, CMS and other regulatory agencies.
April 26, 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
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
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
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
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
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
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