Medical Staff Credentialing Manager jobs in the United States

Medical Staff Credentialing Manager manages staff that process credentialing and recredentialing applications for health care providers. Oversees department operations to ensure compliance with all regulatory standards. Being a Medical Staff Credentialing Manager implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Analyzes reports on applications and credentialing status to identify trends and improve the credentialing process. Additionally, Medical Staff Credentialing Manager prepares files for the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Requires a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a director. The Medical Staff Credentialing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Medical Staff Credentialing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Credentialing Specialist
  • Apex Medical Billing and Credentialing
  • Dearborn, MI PART_TIME,FULL_TIME
  • THIS IS FOR A MEDICAL BILLING COMPANY- APEX BILLING AND CREDENTIALING

    Here at Apex Medical Billing and Credentialing our goal is to maximize the Practice/Providers earning potential by eliminating inefficiencies, reducing their expenses and increasing the net revenue of their practice, allowing them to spend more time with patients and less time with paperwork. We are trained, certified healthcare billing professionals who provide real-time, web-based insurance claim processing and comprehensive billing services to the medical industry.

    We are looking for a detail-oriented, flexible Credentialing Specialist. This is a full-time position, Monday through Friday between the hours of 9:00a - 5:00p. The position is not remote. The ideal candidate thrives in a fast-paced work environment and is comfortable juggling multiple tasks.

    Job Role and Responsibilities:

    • Process credentialing activities for all new and established providers, involving detailed review of documents and data.
    • Coordinates the processing of applications. Assure all applications are processed completely and in a timely manner.
    • Create and maintain detailed reports of credentialing process.
    • Identify, analyze, and resolve discrepancies, time delays and all other issues that could adversely impact the ability to effectively credential and onboard providers.
    • Tracks responses and follows-up on items not received within established time frames.
    • Review applications, prepare verification letters and maintain provider enrollment database.
    • Frequently communicate with providers and medical office staff.
    • All other related duties as assigned.

    Qualifications:

    • High School Diploma required. Associate's Degree, preferred.
    • At least 1 year of provider credentialing experience preferred, contracting experience preferred.
    • Excellent communication skills to ensure development of strong internal and external relationships with all levels of professionals.
    • Demonstrated ability to perform tasks with a high degree of quality and accuracy.
    • Sense of urgency and desire to achieve top line results.
    • Ability to manage multiple tasks while delivering results within expected timelines.
    • High level of energy to work in a fast paced environment often including time deadlines, frequent interruptions, multiple demands and multi-tasking.
    • Working knowledge of State and Federal law relating to due process and provisions of the Health Insurance Portability and Accountability Act of 1996 and all applicable standards.

    Job Types: Full-time, Part-time

    Pay: $13.00 - $15.00 per hour

    Schedule:

    • Monday to Friday

    Education:

    • High school or equivalent (Required)

    Experience:

    • Microsoft Office: 1 year (Preferred)
    • Microsoft Word: 1 year (Preferred)
    • Provider Credentialing: 1 year (Preferred)

    Ability to Relocate:

    • Dearborn, MI 48124: Relocate before starting work (Required)

    Work Location: In person

  • 23 Days Ago

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Medical Staff and Credentialing Manager
  • Clinical Management Consultants
  • Clayton, CA FULL_TIME
  • A San Francisco Bay Area Medical Center is seeking a Medical Staff and Credentialing Services Manager to join their team. The Manager Medical Staff Credentialing Services will have administrative over...
  • 20 Days Ago

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Credentialing & Medical Staff Services Manager
  • SwedishAmerican / A Division of UW Health
  • Rockford, IL FULL_TIME
  • Supervisory/Management SwedishAmerican / A Division of UW Health SAH MEDICAL STAFF OFFICE Full Time · Day Shift · 0700-1600 POSITION SUMMARY: Responsible for design, development, maintenance and opera...
  • 10 Days Ago

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Credentialing Manager
  • Chen Medical
  • Miami, FL FULL_TIME
  • Company DescriptionChenMed is transforming healthcare for seniors. We provide big answers to big problems in health care delivery.ChenMed is a full-risk primary care market leader with an innovative p...
  • 1 Month Ago

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Medical Staff Credentialing Coordinator
  • ASUR COUNSELING & TREATMENT CENTER
  • Columbus, OH PART_TIME
  • Purpose of the Role/Role Overview: Medical Staff Credentialing Coordinators perform a variety of administrative tasks related to the credentialing and recredentialing of healthcare staff. They are ess...
  • 8 Days Ago

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Medical Staff Credentialing Specialist
  • Saratoga Hospital
  • Saratoga Springs, NY FULL_TIME
  • Summary of Position: This position is responsible support the Credentialing Office and all its functions. This position reports directly to the Director of Medical Staff Quality and performs tasks and...
  • Just Posted

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City Manager - Manassas, Virginia
  • Baker Tilly
  • Manassas, VA
  • Salary: $210,700.00 - $273,000.00 Annually Location : Manassas, VA Job Type: Full-Time Job Number: 00197 Job Classificat...
  • 4/12/2024 12:00:00 AM

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CDA Credentialing Support
  • Council for Professional Recognition
  • Washington, DC
  • Job Description Job Description JOB SUMMARY Under direct supervision of the CDA Credentialing Manager, the CDA Credentia...
  • 4/11/2024 12:00:00 AM

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CyberArk - Identity Security and Access Management Lead
  • Pyramid Consulting Inc
  • Mc Lean, VA
  • Immediate need for a talented CyberArk - Identity Security and Access Management Lead. This is a Fulltime opportunity wi...
  • 4/11/2024 12:00:00 AM

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Solutions Architect SME
  • Leidos
  • Reston, VA
  • Description Leidos is seeking a Technical Solutions Architect to support a development program responsible for deliverin...
  • 3/14/2024 12:00:00 AM

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Solutions Architect
  • Leidos
  • Reston, VA
  • Description Leidos is seeking a Technical Solutions Architect to support a development program responsible for deliverin...
  • 3/14/2024 12:00:00 AM

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Expert Systems Engineer - ICAM
  • Leidos
  • Reston, VA
  • Description Leidos is seeking a Systems Engineer to support a development program responsible for delivering modern Iden...
  • 2/12/2024 12:00:00 AM

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Systems Engineer SME - ICAM
  • Leidos
  • Reston, VA
  • Description Leidos is seeking a Systems Engineer to support a development program responsible for delivering modern Iden...
  • 2/12/2024 12:00:00 AM

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Senior Systems Engineer - ICAM
  • Leidos
  • Reston, VA
  • Description Leidos is seeking a Systems Engineer to support a development program responsible for delivering modern Iden...
  • 2/12/2024 12:00:00 AM

Income Estimation for Medical Staff Credentialing Manager jobs
$96,256 to $124,124

Career Path for Medical Staff Credentialing Manager