Medical Staff Credentialing Manager jobs in Columbia, SC

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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Managed Care Licensing and Credentialing Liaison
  • Medical Services of America
  • Lexington, SC FULL_TIME
  • Our Credentialing Support Specialist will be responsible to complete, submit and track credentialing data while demonstrating high attention to detail and accuracy with emphasis on timeliness. We are looking for a full-time specialist in our Lexington, South Carolina office.

    ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

    · Complies and maintains current and accurate data for assigned providers.

    · Maintains credentialing and re-credentialing documents. To include health plan secure portal access and validate provider profiles/demographics.

    · Prepares credentialing and licensing applications and gathers supporting documents.

    · Develops and maintains spreadsheets for monitoring as directed.

    · Maintains organizational notifications on a variety of managed care credentialing and licensing. To include relocations/openings/closures for organization.

    · Maintains internal processes to ensure timely submission of credentialing/licensing packets to meet deadlines established by Managed Care Payors.

    · Maintains internal processes to ensure that information is available to appropriate users.

    · Assembles credentialing and re-credentialing packets in a neat and orderly fashion.

    · Maintains a HIPAA compliant environment.

    · Supports and maintains a positive team environment at all times.

    · Exhibits exemplary customer service to both internal and external customers of the organization.

    · Contributes to team effort by accomplishing related tasks as requested.

    MINIMUM JOB REQUIREMENTS

    · High school diploma or GED; at least 2 years of experience directly related to the duties and responsibilities specified.

    · Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

    · Advanced computer knowledge, specifically as it relates to Microsoft Office (Word, Excel., etc.) Internet and Browsers required.

    · Advanced data entry skills required.

    · Excellent organizational skills required.

    · Excellent oral and written communication skills required.

    Job Type: Full-time

    Pay: $13.00 - $16.00 per hour

    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Application Question(s):

    • Do you currently reside in the greater Columbia, SC, area?
    • Have you completed degree(s) from an accredited institution that are above the minimum education requirement, may be substitute for experience on a year for year basis?
    • Are you willing to undergo background checks, in accordance with local laws and regulations?

    Education:

    • High school or equivalent (Required)

    Ability to Relocate:

    • Lexington, SC: Relocate before starting work (Required)

    Work Location: On the road

  • 16 Days Ago

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Medical Staff Coordinator
  • Lexington Medical Center
  • West Columbia, SC FULL_TIME
  • Medical Staff Full Time Day Shift Mon-Fri 8a-4:30pm Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communit...
  • 30 Days Ago

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Credentialing Coordinator
  • Your Health Organization
  • Columbia, SC FULL_TIME
  • Job Summary: The Credentialing Coordinator is responsible for verifying and maintaining the credentials of healthcare providers within the organization. They ensure compliance with regulatory standard...
  • 10 Days Ago

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Credentialing Coordinator
  • Your Health Organization
  • Lexington, SC FULL_TIME
  • Job Summary: The Credentialing Coordinator is responsible for verifying and maintaining the credentials of healthcare providers within the organization. They ensure compliance with regulatory standard...
  • 10 Days Ago

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Medical staff coordinator
  • MUSC
  • Camden, SC FULL_TIME
  • Job Description Summary Provides administrative support in a variety of functions to an individual, team, department, or other group in an organization. Collects, reviews and analyzes data, and prepar...
  • Just Posted

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Medical Staff Coordinator II
  • MUSC
  • Camden, SC FULL_TIME
  • Job Description SummaryProvides administrative support in a variety of functions to an individual, team, department, or other group in an organization. Collects, reviews and analyzes data, and prepare...
  • 6 Days Ago

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0 Medical Staff Credentialing Manager jobs found in Columbia, SC area

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Dishwasher - Harbison-Hielan
  • Chili's
  • Columbia, SC
  • **Dishwasher - Harbison-Hielan** 280 Q. Harbison Columbia, SC 29212 This location is operated by an independent franchis...
  • 4/22/2024 12:00:00 AM

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CWS Regional Team Leader - Foster Care / 61083102
  • State of South Carolina
  • Columbia, SC
  • Salary: $43,700.00 - $58,393.00 Annually Location : Greenville County, SC Job Type: FTE - Full-Time Job Number: 163650 A...
  • 4/21/2024 12:00:00 AM

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Field Marketing Manager - Remote
  • Pearson
  • Columbia, SC
  • As the global leader in electronic testing, Pearson VUE (www.pearsonvue.com) validates the skills and knowledge of milli...
  • 4/21/2024 12:00:00 AM

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Facilities Construction Supervisor
  • Amentum
  • Columbia, SC
  • Full Time position supporting the National Science Foundation managed United States Antarctic Program as part of the Ant...
  • 4/20/2024 12:00:00 AM

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Manufacturing Supervisor - Die Casting
  • Lincoln Search Consultants
  • Columbia, SC
  • Established company with a large part of the U.S. market share in what they manufacture located in southwest suburban At...
  • 4/20/2024 12:00:00 AM

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Guest Services Representative-weekly pay-zcs
  • InTown Suites, Inc
  • Columbia, SC
  • ** Guest Services Representative-weekly pay-zcs** **Job Category****:** Guest Services **Requisition Number****:** GUEST...
  • 4/20/2024 12:00:00 AM

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Travel Outpatient Physical Therapy Assistant - $1,295 per week
  • GetMed Allied
  • Cayce, SC
  • Jackson Therapy Partners is seeking a travel Outpatient Physical Therapy Assistant for a travel job in Cayce, South Caro...
  • 4/19/2024 12:00:00 AM

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Welcome Desk Receptionist
  • David's Bridal, LLC.
  • Columbia, SC
  • BEST. JOB. EVER! Minimal weekday hours required Generous Team Member discount $400 bonus for every referral hired with N...
  • 4/19/2024 12:00:00 AM

One of Columbia's more prominent geographical features is its fall line, the boundary between the upland Piedmont region and the Atlantic Coastal Plain, across which rivers drop as falls or rapids. Columbia grew up at the fall line of the Congaree River, which is formed by the convergence of the Broad River and the Saluda River. The Congaree was the farthest inland point of river navigation. The energy of falling water also powered Columbia's early mills. The city has capitalized on this location which includes three rivers by christening itself "The Columbia Riverbanks Region". Columbia is lo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Manager jobs
$89,229 to $115,063
Columbia, South Carolina area prices
were up 1.5% from a year ago

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With the growing numbers of employed practitioners, hospitals and health systems are looking at delegated credentialing to speed up the provider enrollment process and reduce accounts receivable write-offs and claim holds which delay or decrease the revenues received from payers for the services provided to patients.
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