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)
MediTelecare is the nation’s leading telemedicine provider of behavioral health care to skilled nursing, assisted living and independent living facilities seeks an experienced full-time Revenue Collection Manager. The Revenue Collection Manager (RCM) will manage the patient intake function and denial management functions. The daily functions of the RCM Manager include monitoring denials, working with an outsourced billing company, updating insurance information, KPI management, and managing the patient intake processes.
The Medical Revenue Cycle and Enrollment Manager will manage the provider enrollment process of a Company operating in 26 states. The daily functions of the position include managing the credentialing/enrollment functions, monitoring denials, working with an outsourced billing company, updating insurance information, and KPI management.