Medical Staff Credentialing Manager jobs in Missouri

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 Insurance Credentialing Coordinator
  • Saint Joseph Medical Center
  • Kansas, MO FULL_TIME
  • Medical Insurance Credentialing Coordinator
    Facility St. Joseph Medical Group (Kansas City Physician Care)
    Location US-MO-Kansas City ID 2024-163738 Category Business Professional Position Type Full Time Shift Days Job Type Non-Exempt
    Overview

    At St. Joseph Medical Group and Kansas City Physician Care, our dedicated team of professionals is committed to our core values of quality, compassion, and community. Affiliated with St. Joseph Medical Center, St. Joseph Medical Group and Kansas City Physician Care are actively seeking new members to join their award-winning teams!

    Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

    Responsibilities

    Responsible for tracking provider enrollments, re-credentialing, and new contract applications with commercial and government health plans. Perform CAQH maintenance. Effectively communicate the contracting and enrollment process, addressing and providing regular updates to Regional Directors. Possess comprehensive knowledge of managed care company and plan requirements. Monitors and maintains websites for pending revalidations and credentialing requests.

    Qualifications

    EDUCATION, EXPERIENCE, TRAINING

    1. Associates degree preferred or equivalent education/experience.

    2. Certified Provider Credentialing Specialist (CPCS) preferred

    3. Must have strong computer, communication, and writing skills.

    4. Must be proficient in Microsoft Office: Word, Excel, and PowerPoint.

    5. Must exhibit a positive attitude and willingness to learn. 6. Knowledge of managed care plans, PECOS, NPPES,CAQH

    #LI-AZ

    Connect With Us!
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    We believe that all persons are entitled to equal employment opportunity and does not discriminate against qualified employees or applicants because of race, color, national origin, ancestry, sex, marital status, child birth or related medical condition or any other protected category as defined by State or Federal Law. We are an equal opportunity employer and do not discriminate against applicants due to veterans status, disability, race, gender or other protected characteristics.

     

  • 3 Days Ago

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Medical Insurance Credentialing Coordinator
  • St. Joseph Medical Group (Kansas City Physician...
  • Kansas, MO FULL_TIME
  • Overview: At St. Joseph Medical Group and Kansas City Physician Care, our dedicated team of professionals is committed to our core values of quality, compassion, and community. Affiliated with St. Jos...
  • 3 Days Ago

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Manager-Medical Staff
  • Mercy
  • Saint Louis, MO FULL_TIME
  • We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts o...
  • 29 Days Ago

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Manager-Medical Staff - Mercy South
  • Mercy
  • Saint Louis, MO FULL_TIME
  • We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts o...
  • 1 Month Ago

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Manager-Medical Staff - Mercy South
  • Mercy
  • St. Louis, MO FULL_TIME
  • We're a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts o...
  • 1 Month Ago

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Augmentation Medical Staff
  • MODICAN MEDICAL & SAFETY TRAIN
  • Kansas, MO FULL_TIME
  • Position Description: Modican Medical & Safety Training now has open registration for all medical personnel. Paramedics, EMT, Registered Nurse, License Practical Nurse, CNA, Medical Assistant, etc. If...
  • 3 Days Ago

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Human Resources Credentialing Manager
  • Acacia Network
  • Bronx, NY
  • Human Resources Human Resources Credentialing Manager Bronx, NY : 6/4/2024 Job Description Job ID#: 3914 Job Category: H...
  • 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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Health Information / Credentialing Manager
  • Banner Rehabilitation Hospital Phoenix
  • Phoenix, AZ
  • Overview: Banner Rehabilitation Hospital - Phoenix *In Partnership with Select Medical* Health Information and Credentia...
  • 6/8/2024 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

Missouri is landlocked and borders eight different states as does its neighbor, Tennessee. No state in the U.S. touches more than eight. Missouri is bounded by Iowa on the north; by Illinois, Kentucky, and Tennessee across the Mississippi River on the east; on the south by Arkansas; and by Oklahoma, Kansas, and Nebraska (the last across the Missouri River) on the west. Whereas the northern and southern boundaries are straight lines, the Missouri Bootheel protrudes southerly into Arkansas. The two largest rivers are the Mississippi (which defines the eastern boundary of the state) and the Misso...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Manager jobs
$92,211 to $118,906

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