Medical Staff Credentialing Director jobs in Portsmouth, NH

Medical Staff Credentialing Director is responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Being a Medical Staff Credentialing Director maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Additionally, Medical Staff Credentialing Director analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents files to 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 senior management. The Medical Staff Credentialing Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Medical Staff Credentialing Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)

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Credentialing Specialist
  • PMC Medical Group
  • Somersworth, NH FULL_TIME
  • Credentialing Specialist

    PMC Medical Group is a privately owned, multi-specialty medical group with locations throughout New Hampshire, providing care and compassion to patients for over 30 years, in the areas of pain management, family medicine and management of substance use disorders.

    Job description:

    The Credentialing Specialist will manage and monitor provider and facility credentials and maintain accurate data with insurance carriers to ensure a regulatory compliance and accurate payment from payers. The credentialing specialist will work closely with lead team members in Operations, HR and Accounting to ensure staff qualifications remain up to date and payer contracts remain competitive. Credentialing specialist will also work closely with the billing department to resolve any discrepancies with carrier payments.

    The Ideal Candidate will have:

    • Experience with insurance payor contracts,
    • Knowledge of provider and facility licensing requirements for NH
    • Knowledge and experience with Revenue Cycle Management
    • Strong understanding of medical terminology and health insurance practices
    • strong computer skills and experience working in electronic health record systems
    • Minimum of HS Diploma, A.S. or B.S. preferred.

    Salary dependent upon education and past experience.

    As a team member at PMC Medical Group, you’ll enjoy:

    • 9 Paid Holidays per year
    • Accrued PTO
    • Medical Benefits via an Individual Coverage Health Reimbursement Account (ICHRA)
    • Dental
    • Life Insurance & Disability
    • 401k

  • 15 Days Ago

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Travel ASCP/AMT - Travel Med Tech - Medical Technologist
  • Focus Staff Services
  • Dover, NH OTHER
  • OverviewWe currently have a client in DOVER, NH looking for a Medical Technologist (Traveling Medical Technologist)Focus Staff is seeking a traveling Certified Medical Technologist, who is responsible...
  • 1 Month Ago

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Medical Director
  • Phillips Exeter Academy
  • Exeter, NH FULL_TIME
  • Position Purpose As the lead clinician at the Academy, the medical director works closely with Academy leadership, faculty, and other administrators to provide high-quality healthcare services and sup...
  • 1 Month Ago

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Medical Director
  • Animal Health Center
  • Rochester, NH FULL_TIME
  • Description $100k Sign-on bonus & relocation bonus eligibleAnimal Health Center (AHC) in Rochester, New Hampshire is looking for a dedicated and passionate Lead Veterinarian to join their team! Key Re...
  • 23 Days Ago

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Assistant Director - Staff Life
  • graniteymca
  • Portsmouth, NH FULL_TIME
  • Assistant Camp Director – Staff Life Camp Gundalow, in Greenland NH, is seeking an Assistant Director of Staff Life for the summer 2024 season! If you are looking for a fulfilling summer job where you...
  • 13 Days Ago

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Director of Nursing
  • American Medical Associates
  • Rochester, NH FULL_TIME
  • Director of Nursing needed for a Skilled Nursing Facility in Rochester, NH!!! Qualifications of the Director of Nursing: Must have a New Hampshire RN license Must have prior experience as a Director o...
  • 9 Days Ago

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0 Medical Staff Credentialing Director jobs found in Portsmouth, NH area

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Physician-Cardiothoracic Surgical Associates
  • Catholic Medical Center
  • Manchester, NH
  • We are looking for a CT Surgeon to provide high quality, efficient, cost-effective, and state of the art cardiovascular ...
  • 4/19/2024 12:00:00 AM

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Supervisor - Medical Laboratory Scientist
  • Concord Hospital Health System
  • Concord, NH
  • Evening/Night Supervisor -Medical Laboratory Scientist Job Profile Summary Under the direction of the Laboratory Technic...
  • 4/18/2024 12:00:00 AM

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RN Employee Health
  • Hiring Now!
  • Portsmouth, NH
  • Description Introduction Do you currently have an opportunity to make a real impact with your work? With over 2,000 site...
  • 4/17/2024 12:00:00 AM

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Pulmonary Rehab Respiratory Therapist - 14 hrs/wk, days
  • Partners Healthcare System
  • Salem, MA
  • The MGB Salem Hospital Pulmonary Rehabilitation Program is looking for a dedicated, experienced respiratory therapist to...
  • 4/17/2024 12:00:00 AM

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Nurse Manager, Child Psychiatric Services - Inpatient
  • TaraVista HealthPartners
  • Amesbury, MA
  • Nurse Manager, Child Psychiatric Services - Inpatient Anna Jaques Hospital, located in the seaside town of Newburyport, ...
  • 4/17/2024 12:00:00 AM

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RN Employee Health
  • Portsmouth Regional Hospital
  • Portsmouth, NH
  • Description Introduction Do you currently have an opportunity to make a real impact with your work? With over 2,000 site...
  • 4/16/2024 12:00:00 AM

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Supervisor - Medical Laboratory Scientist
  • Concord Hospital Health System
  • Concord, NH
  • Evening/Night Supervisor -Medical Laboratory Scientist Job Profile Summary Under the direction of the Laboratory Technic...
  • 4/16/2024 12:00:00 AM

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Lead Emergency Veterinarian- Newington, New Hampshire
  • Veterinary Emergency, Critical Care & Referral Center
  • Newington, NH
  • Job Description Job Description VECC Veterinary Emergency, Critical Care & Referral Center in Newington (Portsmouth), Ne...
  • 4/15/2024 12:00:00 AM

Portsmouth is a city in Rockingham County, New Hampshire, United States. As of the 2010 census it had a population of 21,233, and in 2017 the estimated population was 21,796. A historic seaport and popular summer tourist destination on the Piscataqua River bordering the state of Maine, Portsmouth was formerly the home of the Strategic Air Command's Pease Air Force Base, since converted to Portsmouth International Airport at Pease. According to the United States Census Bureau, the city has a total area of 16.8 square miles (43.6 km2), of which 15.6 square miles (40.5 km2) is land and 1.2 square...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Director jobs
$166,083 to $216,018
Portsmouth, New Hampshire area prices
were up 1.4% from a year ago

Medical Staff Credentialing Director in Flagstaff, AZ
In response to this request for providers in ‘good standing’, a file quality letter will be displayed with the Name, Appointment Date, Reappointment Date, Department, Specialty, and Staff Status.
December 09, 2019
Medical Staff Credentialing Director in Portsmouth, OH
Warstler, MBA, CPMSM, FASPR, director, University Hospitals Medical Staff Services and Credentialing; Lisa.
February 07, 2020
Medical Staff Credentialing Director in Altus, OK
In healthcare today, we are all challenged to be more efficient, process credentialing files faster, leverage technology to work smarter, stretch our budgetary dollars, and achieve the highest possible results on accreditation audits and surveys—all while improving the patient experience and providing the highest quality of care.
January 17, 2020