Medical Staff Credentialing Supervisor jobs in Miami, 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)
Recently Added Medical Staff Credentialing Supervisor jobs
Manage services organization credentialing and contracting specialist - Now Hiring
- Eastern Medical Center Corp
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Miami, FL
FULL_TIME
-
Job Description
- Assists in the identification of service level gaps and works with Manager of Provider Relations and Contract Managers to address recruitment opportunities
- Works with providers and network operations to ensure provider data submission and accuracy
- Develop, Assist with delivery of provider education in the following areas related to the contract, specifically with the Waiver provide population
- Relating to the development and management of a provider network,
- Work with Population Health Management in scheduling ICT meetings with contracted providers within assigned geographic area
- Identify gaps in network composition and services to assist the network contracting
- Understands, develops, tracks, monitors and reports on key program performance metrics, such as utilization, coding, and STARs/quality performance
- Communicates effectively with physicians and their office staff as well as with internal partners
- Assures compliance with respective contracts. Researches, analyzes and resolves claims, benefits, issues and authorization inquiries within delegated authority
- Influences membership growth and retention through the provider offices
- Monitors provider database of current data relating to provider and physician information
- Ensures provider directories are accurate
- Investigates compliance issues, identifies root cause, trains provider office staff on correct procedures, and provides written report of findings and recommendations
- Meets on a regular basis in person or by telephone with assigned key provider groups to cultivate and strengthen relationships. Documents office visits and provider issues on shared drive log
- Support and implement strategies relating to the development and management of a provider network
- Provide explanations and information to others on topics within area of expertise
- Prioritize and organize own work to meet deadlines
- Investigate non - standard requests and problems, with some assistance from others
- Involved in identifying and remediating operational short - falls and researching and remediating claims
- Use pertinent data and facts to identify and solve a range of problems
- Assists Provider Relations Managers with research to identify new providers for recruitment into Beacon Health Options Provider Network
- 2 Days Ago
Credentialing Specialist
- Medrina
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Miami, FL
FULL_TIME
- Join our growing team in Miami, FL, and be a valuable member supporting national healthcare provider with hundreds of sites across U.S.! The Credentialing Specialist is responsible for credentialing o...
- 17 Days Ago
Credentialing specialist
- BilliMD
-
Miami, FL
FULL_TIME
- Company Description At BilliMD, we specialize in simplifying medical billing and revenue cycle management. Our end-to-end solutions integrate seamlessly with EHR / EMR systems, freeing your staff from...
- Just Posted
Credentialing Specialist
- Gastromed, LLC
-
Coral, FL
FULL_TIME
- JOB TITLE: Credentialing Specialist REPORTS TO: Revenue Cycle Manager FLSA STATUS: Non-Exempt QUALIFICATIONS/EDUCATION: AA Degree required.Minimum two years of experience in healthcare credentialing.K...
- 2 Days Ago
Credentialing Manager
- DOCTORS HEALTHCARE PLANS, INC.
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Coral, FL
FULL_TIME
- Scope of Position: Manages staff that process credentialing and recredentialing applications for medical providers and present them to credentialing committee, by implementing and enforcing policies a...
- 1 Month Ago
Coordinator, Credentialing
- Independent Living Systems
-
Miami, FL
FULL_TIME
- ABOUT USJoin us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiari...
- 1 Month Ago
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0 Medical Staff Credentialing Supervisor jobs found in Miami, FL area
Clinical Research Coord 2 (Hussman Institute for Human Genomics)-1
- The University of Miami
-
Miami, FL
- Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click he...
- 4/25/2024 12:00:00 AM
Administrative Coordinator
- Hayes Locums
-
Fort Lauderdale, FL
- Overview: The Assignment Coordinator will bring value to the sales organization by coordinating and executing the admini...
- 4/24/2024 12:00:00 AM
Associate - Natural Resources Investments
- Arena Investors Lp
-
Miami, FL
- Arena Investors, LP is a global investment management firm that seeks to generate attractive risk adjusted, consistent a...
- 4/23/2024 12:00:00 AM
Administrative Support Assistant (OA) (12 Month Roster)
- Department Of The Treasury
-
Miami, FL
- Duties WHAT IS THE APPEALS DIVISION? A description of the business units can be found at: https://www.jobs.irs.gov/about...
- 4/23/2024 12:00:00 AM
Clinical Research Coord 2 (Hussman Institute for Human Genomics)-1
- University of Miami Miller School of Medicine
-
Miami, FL
- Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click he...
- 4/22/2024 12:00:00 AM
Clinical Research Coord 2 (Hussman Institute for Human Genomics)-1
- University of Miami
-
Miami, FL
- Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click he...
- 4/22/2024 12:00:00 AM
Associate - Natural Resources Investments
- Arena Investors, LP
-
Miami, FL
- Arena Investors, LP is a global investment management firm that seeks to generate attractive risk adjusted, consistent a...
- 4/21/2024 12:00:00 AM
Sr. Administrative Assistant - Hybrid
- The University of Miami
-
Miami, FL
- Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click he...
- 4/21/2024 12:00:00 AM
About Miami, Florida
Miami, officially the City of Miami, is the cultural, economic and financial center of South Florida. Miami is the seat of Miami-Dade County, the most populous county in Florida. The city covers an area of about 56.6 square miles (147 km2), between the Everglades to the west and Biscayne Bay on the east; with a 2017 estimated population of 463,347, Miami is the sixth most densely populated major city in the United States. The Miami metropolitan area is home to 6.1 million people and the seventh-largest metropolitan area in the nation. Miami's metro area is the second-most populous metropolis i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Supervisor jobs
$66,444 to $85,452
Miami, Florida area prices
were up 2.9% from a year ago
were up 2.9% from a year ago
What does a Medical Staff Credentialing Supervisor do?
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