Medical Staff Credentialing Manager jobs in Orange, CA

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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Credentialing Specialist - Medical Staff Administration - F/T Days
  • UC Irvine Medical Center
  • Orange, CA FULL_TIME
  • Updated: Apr 3, 2024
    Location: Orange
    Job Type:
    Department: Medical Staff Admin

    UC Title: MED STF SVC SPEC 2
    Position Number: 40324627
    Reports to: Director
    Working Title: Credentialing Specialist 2
    Cost Center: Medical Staff Admin (428710)
    Bargaining Unit: No Bargaining Unit
    FLSA: Nonexempt
    Date Created: 12/19/2023
    Job Code: 005525
    Hours: 40
    Shift: Not Applicable
    FTE: 1


    Position Summary:

    With oversight and direction, the incumbent is responsible for processing credentialing and privileging applications and ensuring compliance with organizational policies and accrediting and regulatory standards. Provides support for all aspects of the credentialing process as needed.


    Total Compensation

    In addition to the salary range listed below, we offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our:

    Compensation practices (https://www.hr.uci.edu/partnership/totalrewards/compensation.php) and

    Benefits (https://careersucirvine.ttcportals.com/pages/benefits).


    Salary Range:

    Hourly Rate
    Minimum $24.71 Midpoint $33.29 Maximum $41.86

    Required Qualifications:

    Ability to establish and maintain effective working relationships across the Health System
    Ability to maintain a work pace appropriate to the workload
    Must demonstrate customer service skills appropriate to the job
    Previous administrative and/or clerical support experience
    Strong analytical and problem-solving skills and the ability to plan strategically
    Ability to multi-task, prioritize projects, and manage time efficiently and effectively
    Discretion and judgment in the handling of confidential and/or sensitive information
    Excellent written and verbal English communication skills
    Advanced knowledge and experience with MS Office Suite (Outlook, Word, Excel, PowerPoint, SharePoint)

    Preferred Qualifications:
    Experience with MD-Staff Credentialing Database Software
    NAMSS certification as CPCS
    Knowledge of University and medical center organizations, policies, procedures and forms
    Previous experience in a Credentialing Verification Office or Medical Staff Office setting
    Familiarity with medical terminology


    Conditions of Employment:

    The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

    • Background Check and Live Scan
    • Legal Right to Work in the United States
    • Vaccination Policies
    • Smoking and Tobacco Policy
    • Drug Free Environment

    The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

    • California Child Abuse and Neglect Reporting Act
    • E-Verify
    • Pre-Placement Health Evaluation

    Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

    Closing Statement:

    The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

    We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.

    UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI’s Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday – Friday from 8:30 a.m. – 5:00 p.m.

  • 17 Days Ago

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Credentialing Specialist
  • ABC Home Medical Supply, Inc.
  • Irvine, CA 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...
  • 1 Month Ago

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Credentialing & Contracting Coordinator
  • Matics Medical Office Services
  • Orange, CA FULL_TIME
  • Matics Medical Office Services provides comprehensive billing services for behavioral health practices across the United States, including psychotherapy, psychiatry, ABA, and chemical health. Our goal...
  • 27 Days Ago

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Medical Staff Coordinator
  • Saddleback Memorial Medical Center
  • Laguna Hills, CA FULL_TIME
  • Medical Staff Coordinator - (SAD005440) Description Title: Medical Staff Coordinator Location: Laguna Hills, CA Department: Status: Part-Time Shift: Days (8hr) Pay Range*: $33.11/hr - $48.04/hr At Mem...
  • 27 Days Ago

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MEDICAL OFFICE STAFF(must be fluent in English and Korean)
  • Medical Office
  • Irvine, CA FULL_TIME
  • KIM MEDICAL GROUP IN IRVINEWe are a well established solo internal medicine doctor's office in Irvine.We have an immediate opening for a front office staff, working 35-40 hours per week. You will be j...
  • 30 Days Ago

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Credentialing Specialist
  • Smile Brands
  • Costa Mesa, CA OTHER
  • Overview Smile Brands is a dominant player in the dental space and we are seeking a Credentialing specialist to join our team. In this role your focus and responsibilities include maintaining and veri...
  • 6 Days Ago

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0 Medical Staff Credentialing Manager jobs found in Orange, CA area

Orange is a city located in Orange County, California. It is approximately 3 miles (4.8 kilometers) north of the county seat, Santa Ana. Orange is unusual in this region because many of the homes in its Old Town District were built before 1920. While many other cities in the region demolished such houses in the 1960s, Orange decided to preserve them. The small city of Villa Park is surrounded by the city of Orange. The population was 139,812 as of 2014. The city has a total area of 25.2 square miles (65 km2), 24.8 square miles (64 km2) of which is land and 0.4 square miles (1.0 km2) of which i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Manager jobs
$106,459 to $137,281
Orange, California area prices
were up 3.0% 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.
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Medical Staff Credentialing Manager in Lima, OH
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January 24, 2020