Medical Staff Credentialing Supervisor jobs in Clearwater, FL

Medical Staff Credentialing Supervisor oversees day-to-day activities of staff that process credentialing and recredentialing applications for health care providers. Implements department procedures to facilitate organized and up-to-date provider databases. Being a Medical Staff Credentialing Supervisor administers system for tracking license and certification expirations to ensure renewals are submitted in a timely fashion. Ensures that applications are properly verified and accurately uploaded into an online credentialing database system. Additionally, Medical Staff Credentialing Supervisor resolves complex questions regarding credentialing or provider database maintenance and best practices. Prepares reports on applications and credentialing status to identify trends and improve the credentialing process. May require a bachelor's degree. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a manager. The Medical Staff Credentialing Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. To be a Medical Staff Credentialing Supervisor typically requires 3 years experience in the related area as an individual contributor. Thorough knowledge of functional area under supervision. (Copyright 2024 Salary.com)

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Credentialing Coordinator
  • ENT Associates, Inc.
  • Clearwater, FL FULL_TIME
  • Position Summary: The Credentialing Coordinator will primarily handle all credentialing for ENTA Physicians. They are responsible to process both the initial and on-going provider applications to insurance companies, hospitals, and surgical facilities. They will perform a variety of clerical and administrative duties that are necessary to run the practice efficiently.
    Reports To: Credentialing Coordinator reports directly to the CBO Director
    Flexibility: While this job description is meant to provide an overview and specific responsibilities of the Credentialing Coordinator, ENTA Management reserves the right to make changes, adjustments, and revisions, as needed, to this document and will coordinate such modifications with ENTA’s Practice Administrator and Physicians. While the normal work week is 40 hours, you may be subject to overtime (not to exceed 50 hours per week).
    Summary of General Duties:
    • Physician Credentialing (all providers)
      • Process initial and re-credentialing provider applications.
      • Conducts primary source verification via various state and national sources.
      • Responsible for credentialing, linking, and revalidating physicians and the overall ENTA group with commercial and government insurance payers.
      • Maintains working knowledge of various provider credentialing and payer credentialing policies and required procedures/forms.
      • Data entry of provider demographics and payer credentialing linking information in the credentialing software
    • Maintain databases and file documents.
    • Answer telephones and take messages or transfer calls.
    • Use computer software to create spreadsheets.
    • Prepare reports and documents for Leadership team.
    • Investigating provider participation with insurance plans when needed.
    • Assisting the CBO Director with insurance contracting when appropriate.
    • Other duties as assigned.

    Working Environment:
    • Physical demands:
      • Average percent of time during regular shift devote to:
        • Walking, Squatting, Sitting, Bending, Reaching: 75%
        • Standing: 25%
      • Average lifting requirements:
        • Lifting Requirements: 20-40 lbs.
        • Frequency of Lifting: 0-25% of the time
      • Additional physical demands:
        • Ability to grasp with both hands; pinch with thumb or forefinger; turn with hand/arm; reach for (above shoulder height).
        • Ability to type 60 wpm.
        • Ability to operate multi-line telephone system, computer keyboard and ten-key adding machine.
    • Visual, Hearing, and Mental demands: Vision adequate to perform essential functions such as read telephone displays/computer terminals for long periods of time, correctable to 20/20. Hearing is adequate to perform essential functions such as answering the telephone. Mental capacity adequate to perform essential functions such as quickly and accurately entering patient demographics and scanning documents while checking in multiple patients. Tact to deal with unfriendly individuals regarding various situations, and adequately handle stress.
    • Working Conditions: This position has an option to work from home after training has been completed. Performance, reliability, and overall fit for the role will be assessed prior to an employee being given permission to work remotely and will continue to be assessed once the employee has gone remote. Required to exhibit a positive attitude and a professional appearance and show detail and accuracy. Required to exhibit quality performance of the essential job functions to help the practice run effectively and efficiently.
    Position Requirements:
    • High School education or GED equivalent.
    • Minimum of 2 years’ experience in medical office or related business office
    • Minimum of 2 years’ experience in medical provider credentialing.
    • Previous experience with medical credentialing.
      • CAQH website navigation and information submission knowledge.
      • Insurance online web portals and application submission.
    • Computer literate—with keyboard skills and knowledge of practice management and word processing software
    • Solid understanding of scheduling efficiency and patient flow in a medical practice
    • Good analytical and problem-solving skills
    • Ability to prioritize workflow in a fast-paced environment
    • Ability to communicate effectively with patients, physicians, and staff in a courteous manner.
    • The ability to attend work on a regular basis
    • The ability to adhere to safety rules and other reasonable regulations pertaining to the job
    • The ability to refrain from negativity or excessive irritability
    • The ability to work in cooperation with other staff, leaders and physicians.
  • 24 Days Ago

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Outpatient Clinic Staff Nurse LPN
  • AMA Medical Group
  • Dunedin, FL FULL_TIME
  • AMA Medical Group in Dunedin, FL is looking to hire a part-time or full-time Staff Nurse – Outpatient Clinic to take vital signs, evaluate patient needs in person and on the phone, administer prescrib...
  • 1 Month Ago

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Supervisor of Medical Records
  • Directions for Living
  • Clearwater, FL FULL_TIME
  • Salary: $55,000 Do you envision working for a dynamic, mission-driven organization which supports the community while fostering an employee culture of appreciation and fun? If your answer is yes, than...
  • 16 Days Ago

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Credentialing Specialist - CVO
  • BayCare
  • Clearwater, FL FULL_TIME
  • At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatie...
  • 1 Month Ago

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Supvr Credentialing Verification Office
  • BayCare
  • Clearwater, FL FULL_TIME
  • BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity ...
  • 30 Days Ago

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Credentialing Specialist - Health Plan
  • BayCare
  • Clearwater, FL FULL_TIME
  • Why BayCare? At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health servi...
  • 1 Month Ago

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0 Medical Staff Credentialing Supervisor jobs found in Clearwater, FL area

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Counselor HomeBuilders
  • Directions for Living
  • Clearwater, FL
  • Job Description Job Description Salary: $80,000 Hiring Multiple Candidates! Do you envision working for a dynamic, missi...
  • 4/24/2024 12:00:00 AM

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Health Unit Coordinator Prn
  • Moffitt Cancer Center
  • Tampa, FL
  • At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insigh...
  • 4/22/2024 12:00:00 AM

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Executive Assistant To Evp Svp
  • Moffitt Cancer Center
  • Tampa, FL
  • At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insigh...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Clearwater, FL
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Lead Transportation Security Officer
  • Department Of Homeland Security
  • Clearwater, FL
  • Summary Securing Travel, Protecting People - At the Transportation Security Administration, you will serve in a high-sta...
  • 4/22/2024 12:00:00 AM

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Preschool Teacher Assistant (33040) $3000 Sign on Bonus
  • Lutheran Services Florida
  • Largo, FL
  • #NOWHIRING Lutheran Services Florida (LSF) envisions a world where children are safe, families are strong, and communiti...
  • 4/22/2024 12:00:00 AM

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Public Assistance Disaster Recovery – Program Delivery Manager (PDMG) – Project Manager
  • AECOM
  • Tampa, FL
  • **Company Description** **How will you make your mark?** At AECOM, our work in providing access to clean water enables c...
  • 4/20/2024 12:00:00 AM

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Phlebotomist
  • Pride Health
  • Clearwater, FL
  • PHLEBOTOMIST I JOB DESCRIPTION Pride Health is hiring PHLEBOTOMIST I to join our clients healthcare team in all over Cle...
  • 4/20/2024 12:00:00 AM

Clearwater is a city located in Pinellas County, Florida, United States, northwest of Tampa and St. Petersburg. To the west of Clearwater lies the Gulf of Mexico and to the southeast lies Tampa Bay. As of the 2010 census, the city had a population of 107,685. Clearwater is the county seat of Pinellas County and is the smallest of the three principal cities in the Tampa-St. Petersburg-Clearwater metropolitan area, most commonly referred to as the Tampa Bay Area. Cleveland Street is one of the city's historic avenues, and the city includes Spectrum Field and Coachman Park. The city is separated ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Supervisor jobs
$64,929 to $83,504
Clearwater, Florida area prices
were up 1.1% from a year ago

Medical Staff Credentialing Supervisor in Montgomery, AL
The Supervisor of Medical Staff Credentialing will be responsible for daily operations of the medical staff office, including oversight of credentialing, privileging, bylaws and policy development, medical staff committee and peer review support, continuing medical education (CME), and compliance with The Joint Commission and other regulatory standards.
January 03, 2020
Medical Staff Credentialing Supervisor in Indianapolis, IN
The Supervisor of Medical Staff Credentialing will provide direct supervision to medical staff office employees and promotes communication and collaboration between hospital administration and the organized medical staff.
December 21, 2019