Medical Staff Credentialing Manager jobs in Rockford, IL

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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Credentialing & Medical Billing Specialist
  • Aishling Obstetrics & Gynecology SC/Fox Valley Vein Centers
  • Sandwich, IL FULL_TIME
  • Benefits:
    • 401(k)
    • Competitive salary
    • Employee discounts
    • Flexible schedule
    • Paid time off
    Aishling Obstetrics & Gynecology is looking for a dynamic and motivated full-time Credentialing Specialist with Medical Billing experience. In Essential functions of this role include, the credentialing process end-to-end including tracking, file review, issue resolution, and roster auditing. Position also includes aspects of claim research and insurance payment posting as well as the following:


    • Coordinates on-boarding process for new providers
    • Compiles and maintains current and accurate data for all providers for all service locations.
    • Completes provider payer enrollment applications; monitors applications and follows-up as needed.
    • Completes physician credentialing applications and obtains appropriate signatures. Handles re-credentialing as needed.
    • Follows all appropriate requirements set by the State of Illinois.
    • Maintains copies of current state licenses, DEA certifications, malpractice coverage and any other required credentialing documents for all providers
    • Maintains knowledge of current health plan and agency requirements for credentialing providers
    • Sets up and maintains provider information in credentialing databases and systems.
    • Tracks license and certification expirations for all providers to ensure timely renewals.
    • Ensures practice addresses are current with health plans, agencies, and other entities.
    • Audits health plan directories for current and accurate provider information
    • Maintains confidentiality of provider information.
    • Provides credentialing and privileging verifications.
    • Monitors credentialing process and regularly follows up with third party payors.
    • Relays information to management and billing department.
    • Builds and maintains professional relationships with third party payors.
    • Insurance payment posting
    • Insurance claim follow-up
    *Required knowledge of CAQH, NPPES, PECOS, AVAILITY, Impact and other electronic applications 


    Experience:

    • Credentialing, preferably in a medical office setting with the above areas of responsibilities. 
    • Credentialing software experience a plus.
    • Microsoft Office: 1 year (Preferred)
    • Microsoft Word: 1 year (Preferred)
    • Knowledge of EOB interpretation
    • Knowledge of CPT, HCPCS, and ICD-10 coding guidelines
     
  • 1 Month Ago

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Travel MLT - Medical Lab Technologist
  • Focus Staff Services
  • Rockford, IL OTHER
  • OverviewWe currently have a client in ROCKFORD, IL looking for a Medical Lab Technologist (Traveling Medical Lab Technologist)Focus Staff is seeking a traveling Certified Medical Lab Technologist, who...
  • 12 Days Ago

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Medical Staff Quality Coordinator
  • Mercyhealth
  • Janesville, WI FULL_TIME
  • Overview Performs duties related to the Medical Staff Quality functions, which include but are not limited to coordination of quality files for new and established healthcare providers, maintaining ma...
  • 22 Days Ago

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Medical Staff Coordinator
  • UW Health 1415 E. State St Clinic
  • Rockford, IL FULL_TIME
  • Professional - Non-Clinical UW Health 1415 E. State St Clinic Credentialing Managed SVS Full Time · Day Shift · Mon - Fri Between 7a-4:30p POSITION SUMMARY: Acts as a resource person and provides admi...
  • 24 Days Ago

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Credentialing Coordinator
  • Mercyhealth
  • Harvard, IL FULL_TIME
  • Overview Credentialing Coordinator, Medical Staff Office, Days, 80 Hrs / 2 wks Location: Mercyhealth Harvard Hospital. Hybrid work schedule opportunity avaliable after training period. Performs duties...
  • 15 Days Ago

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Credentialing Coordinator
  • Mercy Health Corporation
  • Harvard, IL FULL_TIME
  • OverviewCredentialing Coordinator, Medical Staff Office, Days, 80 Hrs / 2 wksLocation: Mercyhealth Harvard Hospital. Hybrid work schedule opportunity avaliable after training period. Performs duties r...
  • 15 Days Ago

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0 Medical Staff Credentialing Manager jobs found in Rockford, IL area

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Executive Secretary - Vice President of Enrollment
  • Beloit College
  • Beloit, WI
  • This position serves primarily as administrative assistant to the vice president of enrollment. This is a role that perf...
  • 3/29/2024 12:00:00 AM

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Night Nurse- RN or LPN - Located in Rockford, IL
  • Rosecrance Inc.
  • Rockford, IL
  • Lets change lives together. Join a purpose-driven community of champions. Now offering a $10,000 sign on bonus for all O...
  • 3/29/2024 12:00:00 AM

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Cook (Full-Time & Part-Time) - Wesley Willows Campus
  • Wesley Willows Corporation
  • Rockford, IL
  • Food Production Worker (Cook) Department: Dining Services FLSA/Classification: Non-Exempt/Hourly (Full-Time & Part-Time ...
  • 3/29/2024 12:00:00 AM

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Nurse Practitioner or Physician Assistant - Gastroenterology
  • Mercyhealth
  • Rockford, IL
  • Overview: Mercyhealth, an award-winning fully integrated health care delivery organization based in southcentral Wiscons...
  • 3/28/2024 12:00:00 AM

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Engagement Specialist Part-Time - Mobile Crisis Response (Sat-Sun 1st Shift)
  • Rosecrance
  • Rockford, IL
  • To speak with a recruiter regarding this position, click here to register for our Virtual Interview event on Thursday, F...
  • 3/28/2024 12:00:00 AM

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Travel Nurse RN - Med Surg - $2,229 per week
  • Adventist Health
  • Rockford, IL
  • RNnetwork is seeking a travel nurse RN Med Surg for a travel nursing job in Rockford, Illinois. Job Description & Requir...
  • 3/28/2024 12:00:00 AM

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CST - Team Leader - Located in Freeport, IL
  • Rosecrance Inc.
  • Freeport, IL
  • Our job is hope. Join a purpose-driven community of champions. Position Purpose: The CST (Community Support Team) provid...
  • 3/18/2024 12:00:00 AM

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CST Team Leader - Located in Rockford, IL
  • Rosecrance Inc.
  • Rockford, IL
  • Let’s change lives together. Join a purpose-driven community of champions. Position Purpose: The CST (Community Support ...
  • 3/7/2024 12:00:00 AM

Rockford is a city in Winnebago County in the U.S. state of Illinois, in far northern Illinois. Located on the banks of the Rock River, Rockford is the county seat of Winnebago County (a small portion of the city is located in Ogle County). The largest city in Illinois outside of the Chicago metropolitan area, Rockford is the third-largest city in the state and the 171st most populous in the United States According to 2010 U.S. Census Data, the City of Rockford had a population of 152,871, with an outlying metropolitan area population of 348,360. The City of Rockford's population is 147,051...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Manager jobs
$88,758 to $122,003
Rockford, Illinois area prices
were up 1.3% 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