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)
About us
Desert Sage Behavioral Health is a small business in Tucson, AZ. We are professional, agile, innovative and our goal is to have in house credentialling that is seamless and above the average.
Our work environment includes:
Overview:
We are seeking a highly organized and detail-oriented individual to join our team as a Credentialing Specialist. As a Credentialing Specialist, you will play a crucial role in ensuring that our healthcare providers meet all necessary qualifications and standards. This is an excellent opportunity for someone with experience in medical office administration and managed care.
Responsibilities:
- Conduct thorough credentialing and re-credentialing processes for healthcare providers
- Verify and review provider applications, licenses, certifications, and other relevant documentation
- Ensure compliance with all regulatory requirements and standards
- Maintain accurate and up-to-date provider credentialing files
- Communicate with providers and internal teams to resolve any credentialing issues or discrepancies
- Collaborate with insurance companies and other external stakeholders to facilitate the credentialing process
- Stay informed about industry changes and updates related to credentialing requirements
- Assist with audits and quality assurance initiatives
Qualifications:
- High school diploma or equivalent; associate's or bachelor's degree preferred
- Previous experience in medical office administration or managed care is highly desirable
- Familiarity with medical terminology and healthcare industry standards
- Strong attention to detail and ability to maintain accurate records
- Excellent organizational skills and ability to prioritize tasks effectively
- Strong communication skills, both written and verbal
- Proficient in using computer systems and software applications
If you are a motivated individual with a passion for ensuring quality healthcare delivery through effective credentialing processes, we encourage you to apply for the position of Credentialing Specialist.
Job Type: Contract
Pay: $19.14 - $19.92 per hour
Schedule:
People with a criminal record are encouraged to apply
Experience:
Ability to Commute:
Ability to Relocate:
Work Location: In person
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