Medical Staff Credentialing Director jobs in Altoona, PA

Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Being a Medical Staff Credentialing Director maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Additionally, Medical Staff Credentialing Director analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to 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 senior management. The Medical Staff Credentialing Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Staff Credentialing Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)

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Director Billing and Credentialing
  • Gloria Gates Management
  • Altoona, PA FULL_TIME


  • At Gloria Gates CARE, our mission is to empower Medicaid and Medicare patients in underserved healthcare landscapes across the United States by pioneering a new standard of compassionate excellence. Through an integrated approach to whole-person care, we strive to transcend traditional healthcare models, ensuring comprehensive support that addresses not only physical health but also mental, emotional, and social well-being.
    We are looking for a Director Billing and Credentialing to join our crew based in Altoona, Pa.  This crew member will work with providers and administrative leadership to perform various aspects of medical billing to include posting, authorizations, denials and collections.  In addition, the Billing and Credentialing Coordinator will process applications and perform primary source verification for appointment and credentialing of Gloria Gates CARE practitioners while maintaining a current and accurate database of credentialing information.


    QUALIFICATIONS:
    • High school diploma or equivalent required
    • Associate's or Bachelor's degree preferred.
    • Excellent data entry and computer software application skills required and must have a desire to maximize the use of technology to automate processes.
    • Detail oriented person with excellent communication and interpersonal skills required.
    • 3-5 years of prior billing and credentialing experience preferred.


  • 1 Month Ago

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Medical Staff
  • Penn Highlands Healthcare
  • Brookville, PA FULL_TIME
  • Penn Highlands Healthcare is adding a medical oncologist to our well-established practice at a new practice location. The new practice would share time between Clarion, PA and Punxsutawney, PA . Based...
  • 23 Days Ago

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Medical Director- Addiction Medicine: Altoona, PA
  • CLEANSLATE MEDICAL GROUP OF PENNSYLVANIA
  • Altoona, PA FULL_TIME
  • CleanSlate is a nationwide medical group providing office-based outpatient treatment for the America’s crisis of addiction. Our Mission is to improve the quality of life for people suffering from opio...
  • 7 Days Ago

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Staff Development Director (RN)
  • CHR Consulting Services, Inc.
  • Bellefonte, PA FULL_TIME
  • Plans the training schedule;*Assesses work of departments to determine training necessary to help employees of such departments relate to resident care;*Ascertains courses which would assist nursing a...
  • 20 Days Ago

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Medical Staff Secretary
  • Mount Nittany Health
  • State College, PA OTHER
  • Why Mount Nittany Health? At Mount Nittany Health, we provide high-quality patient care with a unique combination of the latest in clinical technology and compassionate medical professionals. We are c...
  • 22 Days Ago

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Medical Staff Assistant
  • Penn Highlands Healthcare
  • Du Bois, PA FULL_TIME
  • Penn Highlands Healthcare has been awarded on the Forbes list of Best-in-State Employers 2022. This prestigious award is presented by Forbes and Statistica Inc., the world leading statistics portal an...
  • 1 Month Ago

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0 Medical Staff Credentialing Director jobs found in Altoona, PA area

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Registered Vascular Tech - Vascular Surgery Office, Albany
  • Hiring Now!
  • Cresson, PA
  • Department/Unit: Surgery Vascular Tech Work Shift: Day (United States of America) Registered Vascular Technologist (RVT)...
  • 4/19/2024 12:00:00 AM

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Reg Vascular Tech II - Vascular Surgery Office, Albany
  • Hiring Now!
  • Cresson, PA
  • Department/Unit: Surgery Vascular Tech Work Shift: Day (United States of America) Registered Vascular Technologist (RVT)...
  • 4/19/2024 12:00:00 AM

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Reg Vascular Tech II, Vascular Surgery Office, Albany
  • Hiring Now!
  • Cresson, PA
  • Department/Unit: Surgery Vascular Tech Work Shift: Day (United States of America) Registered Vascular Technologist (RVT)...
  • 4/19/2024 12:00:00 AM

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Patient Care Technician (Part Time) - Nights - T11 Trauma
  • University of Pittsburgh Medical Center
  • Altoona, PA
  • Are you looking for an entry level patient support position to start and grow a rewarding healthcare career? UPMC Altoon...
  • 4/18/2024 12:00:00 AM

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Patient Care Technician (Part Time) - Evenings - T11 Trauma
  • University of Pittsburgh Medical Center
  • Altoona, PA
  • Are you looking for an entry level patient support position to start and grow a rewarding healthcare career? UPMC Altoon...
  • 4/18/2024 12:00:00 AM

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Respiratory Sales Specialist, Altoona, PA (Harrisburg, PA/York, PA)
  • Verona Pharma
  • Altoona, PA
  • Respiratory Sales Specialist, Altoona, PA (Harrisburg, PA/York, PA) The Company: Our mission is to improve the health an...
  • 4/18/2024 12:00:00 AM

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Respiratory Therapist - CRT/RRT
  • University of Pittsburgh Medical Center
  • Altoona, PA
  • Respiratory Therapist CRT/RRT Fulltime Day shift with rotation - Three 12 hour shifts AFSCME Union Posted: 5/12/2022 We ...
  • 4/17/2024 12:00:00 AM

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Facilities Management Director
  • Encompass Health
  • Altoona, PA
  • The Facilities Management Director is responsible for ensuring that the company Rehabilitation Hospital, satellite clini...
  • 4/15/2024 12:00:00 AM

Altoona is a city in Blair County, Pennsylvania, United States. It is the principal city of the Altoona Metropolitan Statistical Area (MSA). The population was 46,320 at the time of the 2010 Census, making it the eleventh most populous city in Pennsylvania. The Altoona MSA includes all of Blair County and was recorded as having a population of 127,089 at the 2010 Census, around 100,000 of whom live within a 5-mile (8.0 km) radius of the Altoona city center according to U.S. Census ZIP Code population data. This includes the adjacent boroughs of Hollidaysburg and Duncansville, adjacent township...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Director jobs
$146,760 to $190,885
Altoona, Pennsylvania area prices
were up 1.5% from a year ago

Medical Staff Credentialing Director in Flagstaff, AZ
In response to this request for providers in ‘good standing’, a file quality letter will be displayed with the Name, Appointment Date, Reappointment Date, Department, Specialty, and Staff Status.
December 09, 2019
Medical Staff Credentialing Director in Portsmouth, OH
Warstler, MBA, CPMSM, FASPR, director, University Hospitals Medical Staff Services and Credentialing; Lisa.
February 07, 2020
Medical Staff Credentialing Director in Altus, OK
In healthcare today, we are all challenged to be more efficient, process credentialing files faster, leverage technology to work smarter, stretch our budgetary dollars, and achieve the highest possible results on accreditation audits and surveys—all while improving the patient experience and providing the highest quality of care.
January 17, 2020