Medical Staff Credentialing Manager jobs in Alabama

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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Medical Credentialing Specialist- Providence Medical Staff Office
  • USA Health
  • Mobile, AL FULL_TIME
  • Overview

    USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community.

    USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region's most advanced medicine at multiple facilities, campuses, clinics and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall wellbeing of our community.


    Responsibilities

    Abides by and enforces all compliance requirements and policies and performs these responsibilities in an ethical manner consistent with the organization’s values; adheres to hospital policies including confidentiality; requires regular and prompt attendance; works the assigned schedule including overtime as required; assists with the orientation of new employees; requires minimal supervision to safely perform functions; utilizes proper body mechanics when moving equipment and or supplies that is necessary to perform essential functions; verifies education, medical school or ECFMG , internship, residency and fellowship and obtains reference from program director for residency and/or fellowship for initial appointments; obtains references from other hospitals and physicians for initial appointments and reappointments; obtains AMA information for initial appointments and reappointments via the Internet; verifies current state licensure, state controlled certificate, DEA, Board Certification, various other required certifications at initial appointments and reappointments via the Internet; Queries for criminal background checks via the Internet for initial appointments when applicable; verifies Medicare sanctions for initial appointments and reappointments, queries National Practitioner Data Bank on all initial appointments and reappointments; prepares initial and reappointment packets to submit to the Coordinator for presentation to the USA Hospitals Combined Credentials Committee for review and approval; prepares and processes temporay privileges as needed for initial applications or Important Patient Need applications with approval of appropriate Department/Service Line Chair(s) and Hospital Administration; Assist with the processing and distributing the board letter to all appointees after privileges are granted; prepares and distributes/mails reappointment packets; maintains the credientialing software by scanning and uploading privileges to the intranet as privileges are granted at initial appointments and reappointments; follows up with the Department/Service Line Chair(s) concerning privilege checklists, requesting additional documentation or training as needed; send invitation to the Medical Staff and accept the RSVPs to the General Medical Staff Meeting help up to 2 times each year (this is an evening function after work hours); prepare agenda and packets for the General Medical Staff Meeting; orders office supplies as needed; prepares various reports as required; processing request for hospital affiliation letters and volume reports; processing PMM forms to add or revise physicians to the various computer programs used throughout USA Health; maintains accurate and complete credentialing files to include he paper file, electronic, software data, and electronic storage files; maintains office filling system; communicates and uses appropriate customer relation skills with physicians, patients, families, healthcare team and staff in person, via written correspondence such as emails, and via telephone; accepts and completes all duties positively and without conflict; cooperates, helps others and improves the performance of the credentialing team; completes all mandatory unit, educational and hospital requirements; utilizes cost effective practices in performing all aspects of the job; adheres to current Infection Control and Safety Standards.


    Qualifications

    High school diploma or equivalent and five years secretarial/clerical experience in a medical business office, one year of which was in medical credentialing.


    Equal Employment Opportunity/Affirmative Action Employer

    USA Health is an EO/AA employer and does not discriminate on the basis of race, color, national origin, sex, pregnancy, sexual orientation, gender identity, gender expression, religion, age, genetic information, disability, protected veteran status or any other applicable legally-protected basis. 

  • Just Posted

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Medical Credentialing Specialist- Providence Medical Staff Office
  • USA Health Systems
  • Mobile, AL FULL_TIME
  • Overview USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education and research impact the health of pe...
  • Just Posted

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Property Manager
  • Property Manager
  • Mobile, AL FULL_TIME
  • The CLK Property Manager will manage all aspects of the property. Significant components of this job involve finding and supervising staff, ensuring financial solvency, addressing problems like delinq...
  • 6 Days Ago

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Assistant Manager
  • Office Manager
  • Birmingham, AL FULL_TIME
  • Job DescriptionAs an Assistant Manager in a property management company, you're the backbone of efficient operations, seamlessly supporting the Property Manager in overseeing daily activities. You exc...
  • Just Posted

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Assistant Manager
  • Office Manager
  • Trussville, AL FULL_TIME
  • Job DescriptionAs an Assistant Manager in a property management company, you're the backbone of efficient operations, seamlessly supporting the Property Manager in overseeing daily activities. You exc...
  • Just Posted

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Medical Assistant / Medical Office Staff (Full-time)
  • Medical Clinic
  • Huntsville, AL FULL_TIME
  • 6 months medical office experience required. Must be a team player, organized and professional. Must be open to training and retain information provided.Clinical Duties: Taking and recording vitals Do...
  • 18 Days Ago

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Lead, Customer Success (local, in office)
  • Heuristic Solutions
  • Arlington, VA
  • Job Description Job Description Join a Growing Technology Team and an Awesome Customer Community! Do you... Enjoy simpli...
  • 6/11/2024 12:00:00 AM

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Credentialing Manager
  • PsychPlus
  • Houston, TX
  • Why Psychplus? The current delivery model for mental health care is broken in this country. Psychplus set out on a missi...
  • 6/10/2024 12:00:00 AM

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Credentialing Manager
  • Mindful Support Services
  • Mountlake Terrace, WA
  • About the Role: The Credentialing Manager is responsible for the day-to-day management of the Credentialing and Complian...
  • 6/10/2024 12:00:00 AM

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CREDENTIALING MANAGER
  • USA Clinics Group
  • Chicago, IL
  • At USA Clinics Group, we use our expertise to provide the best possible service for our patients. Our team members are p...
  • 6/10/2024 12:00:00 AM

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Project Coordinator
  • Northland Controls
  • Austin, TX
  • Job Details Job Location Austin, Texas - Austin, TX Description Job Description JOB MISSION The mission of the Project S...
  • 6/10/2024 12:00:00 AM

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CyberArk Engineer
  • Veracity Software Inc
  • Charlotte, NC
  • Job Title: CyberArk Engineer Duration: 12 Months Location: Charlotte, NC – Hybrid Role W2 Candidates Only Job Descriptio...
  • 6/10/2024 12:00:00 AM

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CyberArk Engineer
  • REALCODERZ
  • Charlotte, NC
  • Job Title: CyberArk Engineer Duration: 12 Months Location: Charlotte, NC – Hybrid Role Job Descriptions: · Lead computer...
  • 6/7/2024 12:00:00 AM

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Lead, Customer Success (local, in office)
  • Heuristic Solutions
  • Arlington, VA
  • Join a Growing Technology Team and an Awesome Customer Community! Do you... Enjoy simplifying complex concepts? Love bei...
  • 6/7/2024 12:00:00 AM

Alabama (/ˌæləˈbæmə/) is a state in the southeastern region of the United States. It is bordered by Tennessee to the north, Georgia to the east, Florida and the Gulf of Mexico to the south, and Mississippi to the west. Alabama is the 30th largest by area and the 24th-most populous of the U.S. states. With a total of 1,500 miles (2,400 km) of inland waterways, Alabama has among the most of any state. Alabama is nicknamed the Yellowhammer State, after the state bird. Alabama is also known as the "Heart of Dixie" and the "Cotton State". The state tree is the longleaf pine, and the state flower is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Manager jobs
$88,921 to $114,664

Medical Staff Credentialing Manager in Cedar Rapids, IA
Medical Staff Services Coordinator - Credentialing - Full-Time (40hrs/wk), Days - Corporate Services - Glendale, WI.
January 14, 2020
Medical Staff Credentialing Manager in Tampa, FL
Patient safety is the name of the game in credentialing.
January 25, 2020
Medical Staff Credentialing Manager in Nassau, NY
There are several reasons why a commercial payer, such as a managed care organization or health plan, may consider delegating all or part of its credentialing activities to qualified business partners such as IPAs, PHOs, CVOs, medical societies, even other health plans.
December 17, 2019