Medical Staff Credentialing Manager jobs in Denver, CO

Medical Staff Credentialing Manager manages staff that process credentialing and recredentialing applications for medical providers. Implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Being a Medical Staff Credentialing Manager presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Analyzes and prepares reports on trends in application status. Additionally, Medical Staff Credentialing Manager typically requires a bachelor's degree. 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 Staff Credentialing Specialist - Remote
  • Matrix Providers
  • Denver, CO FULL_TIME
  • Matrix Providers - Caring for America's military family


    Matrix Providers is seeking an experienced Medical Staff Credentialing Specialist

    Join our corporate team working from your home-based office in the U.S.!

    Our ideal candidate will have a thorough understanding of the Medical Staff credentialing process, requirements, and compliance needs, the ability to meet deadlines, and a desire to remain productive and available to the team and our candidates during their credentialing process.

    In this 100% remote opportunity, you will be part of a collaborative team to ensure all aspects of the credentialing process are completed in a timely and accurate manner, utilizing an eye for detail and a proactive approach to obstacles.

    *Because this is a fully remote position, candidates should have experience working independently and the ability to stay focused and productive during their workday in order to meet the objectives of the position. Availability during core business hours is required, and you will be expected to attend required meetings, as assigned.*

    Status: Full-time / Remote

    • Compensation: This is an hourly position, paid Bi-weekly.
    • Schedule: Some flexibility in hours is allowed, but employees must be available during "core" work hours and work at least 40 hours a week.
    • Benefits: Competitive financial package with a comprehensive insurance package including health, dental, vision, and life coverage.
      • Generous Accrued Paid Time Off (PTO) & 10 Paid Holidays
      • 401(k) Plan

    The Credentialing Specialist must have the following qualifications:

    • Time management skills
    • Strong attention to detail
    • Organizational skills
    • Ability to multitask or compartmentalize when needed
    • Effective communication skills
    • Ability to manage multiple providers during the credentialing process
    • General office skills include but are not limited to typing, Microsoft Office suite, e-fax, Google Chrome
    • Effective communications with various departments to verify information as needed
    • Healthcare credential specialist experience preferred

    Education:

    • High School Diploma Required
    • Bachelor'sDegree preferred

    Scope of Work:

    • Credentialing of New Hires
    • Final review of application forms before submission
    • Communicating with new providers to ensure information is received in a timely manner
    • Make sure documents are completed and submitted within set deadlines
    • Conduct verification of credentials to ensure good standings
    • Review credentialing files and work with healthcare providers to obtain missing, incomplete, and expiring items.
    • Review and report adverse actions as required
    • Coordinate completion of occupational health and security requirements as needed
    • Regular attendance and participation in team meetings and/or conference calls as scheduled
    • Work well in both independent and team settings to ensure balanced workloads
    • Strong verbal and written communication skills
    • Ability to endure large volumes of data entry & information management
    • Strong time management skills, especially with demanding and recurring deadlines
    • Ability to be innovative, establish priorities, and make decisions independently
    • Capable of handling sensitive and confidential information appropriately
    • Maintain consistent contact with healthcare providers to ensure that expectations are clear and requirements are completed promptly.
    • Utilize advanced problem-solving skills to resolve issues and conflicts that may arise.
    • Maintains knowledge of current facility/clinic and agency requirements for credentialing providers.
    • Prepares and submits applications for appointment and hospital/clinic privileges reappointment as needed.
    • Tracks license, DEA, and professional liability expiration are for client providers.
    • Maintains confidentiality of provider information.
    • Provides credentialing and privileging verifications
    • Demonstrated ability to multitask with several providers at one time while submitting completed packages timely and accurate.
    • This job description may not cover or contain a comprehensive listing of activities, duties, or responsibilities required for this job. Duties, responsibilities, and activities may change at any time, with or without notice.

    Matrix Providers is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. For our EEO Policy Statement, please click here.

    Matrix Providers endeavors to make www.matrixproviders.com accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact our Recruiting Hotline Number, 1-877-807-8277, TTY LINE, 385-722-8109. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

  • 9 Days Ago

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Credentialing Specialist
  • Summit Medical Consultants LLC
  • Denver, CO FULL_TIME
  • Job Description Summit Medical Consultants is recruiting for a full time Credentialing specialist to join our growing team. The Credentialing Specialist will manage and maintain internal credentialing...
  • 1 Month Ago

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CREDENTIALING SPECIALIST
  • Summit Medical Consultants PLLC
  • Denver, CO FULL_TIME
  • Job description Summit Medical Consultants is recruiting for a full time Credentialing specialist to join our growing team. The Credentialing Specialist will manage and maintain internal credentialing...
  • 1 Month Ago

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Credentialing Specialist
  • ABC Home Medical Supply, Inc.
  • Centennial, CO FULL_TIME
  • The Credentialing Specialist is responsible for assisting in all aspects of the licensing and credentialing of the Company. The Specialist will process applications on behalf of the Company in order t...
  • 8 Days Ago

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Medical Staff Services Manager
  • Denver Health
  • Denver, CO FULL_TIME
  • We are recruiting for a Medical Staff Services Manager to join our team!We are here for life's journey.Where is your life journey taking you?Being the heartbeat of Denver means our heart reflects some...
  • 4 Days Ago

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Supervisory Health System Specialist (Credentialing and Privileging Manager)
  • US Veterans Health Administration
  • Aurora, CO FULL_TIME
  • Duties Major duties include: Identifies and presents to leadership the resources necessary for accomplishing the mission and function of the facility's C&P program. Manages the C&P staff; sets and adj...
  • 10 Days Ago

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0 Medical Staff Credentialing Manager jobs found in Denver, CO area

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RN Associate Nurse Manager Interventional Radiology Days
  • UCHealth
  • Aurora, CO
  • Description BSN and 3 years of experience in related clinical areas required. 2+ years of recent RN experience in Body I...
  • 3/27/2024 12:00:00 AM

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Program Manager RN
  • UCHealth
  • Aurora, CO
  • Description Focus on Professional Practice Evaluation (Peer Review): Fact Finding: Will review, as necessary, the medica...
  • 3/27/2024 12:00:00 AM

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NCCER Executive Director
  • Pearson
  • Denver, CO
  • NCCER Executive Director At Pearson, we're committed to a world that's always learning and to our talented team who make...
  • 3/27/2024 12:00:00 AM

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RN Associate Nurse Manager Interventional Radiology Days
  • Uchealth
  • Aurora, CO
  • Description BSN and 3 years of experience in related clinical areas required. 2+ years of recent RN experience in Body I...
  • 3/26/2024 12:00:00 AM

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Program Manager RN
  • Uchealth
  • Arvada, CO
  • Description Focus on Professional Practice Evaluation (Peer Review): Fact Finding: Will review, as necessary, the medica...
  • 3/26/2024 12:00:00 AM

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Project Director
  • BlueTeam
  • Denver, CO
  • Project Director - Private Sector - BlueTeam We are... BlueTeam is a U.S.based service provider specializing in commerci...
  • 3/25/2024 12:00:00 AM

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Director, Investor Partnerships
  • Deerpath Capital
  • Denver, CO
  • Company Description Deerpath Capital is a leading direct lending firm specializing in providing first lien, senior debt ...
  • 3/24/2024 12:00:00 AM

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Supervisor Behavioral Health
  • UCHealth
  • Aurora, CO
  • Description Summary: Monitors the quality of counseling services provided with educational interventions. Work Schedule:...
  • 3/5/2024 12:00:00 AM

Denver is in the center of the Front Range Urban Corridor, between the Rocky Mountains to the west and the High Plains to the east. Denver's topography consists of plains in the city center with hilly areas to the north, west and south. According to the United States Census Bureau the city has a total area of 155 square miles (401 km2), of which 153 square miles (396 km2) is land and 1.6 square miles (4.1 km2) (1.1%) is water. The City and County of Denver is surrounded by only three other counties: Adams County to the north and east, Arapahoe County to the south and east, and Jefferson County...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Manager jobs
$91,597 to $125,906
Denver, Colorado area prices
were up 0.4% from a year ago

Medical Staff Credentialing Manager in Wichita Falls, TX
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.
December 04, 2019
Medical Staff Credentialing Manager in Memphis, TN
Medical staff services professionals deal with credentialing every day, but how do background checks complement this critical process.
February 18, 2020
Medical Staff Credentialing Manager in Lima, OH
Medical staff services is a self-governing body within a healthcare organization and is responsible for keeping with independent practitioners who serve healthcare facilities.
January 24, 2020