Medical Staff Credentialing Director jobs in Rochester, 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

  • 22 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
  • 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...
  • 1 Day 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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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...
  • 19 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...
  • 15 Days Ago

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

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Advanced Practice Provider
  • Genesis Health
  • Dover, NH
  • Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on ca...
  • 4/24/2024 12:00:00 AM

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Medical Director
  • Wellpath
  • Hampstead, NH
  • Wellpath Medical Director Hampstead , New Hampshire Apply Now Make a difference every day in the lives of the underserve...
  • 4/23/2024 12:00:00 AM

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District Medical Director - Maine
  • Convenientmd
  • Saco, ME
  • Job Description Job Description At ConvenientMD were on a mission to make good health more convenient for all - working ...
  • 4/23/2024 12:00:00 AM

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Advanced Practice Provider
  • Genesis Health
  • Somersworth, NH
  • Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on ca...
  • 4/23/2024 12:00:00 AM

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Advanced Practice Provider
  • Genesis Healthcare
  • Newington, NH
  • Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on ca...
  • 4/22/2024 12:00:00 AM

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Advanced Practice Provider
  • Genesis Health
  • Newington, NH
  • Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on ca...
  • 4/22/2024 12:00:00 AM

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Advanced Practice Provider
  • Genesis Healthcare
  • Dover, NH
  • Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on ca...
  • 4/22/2024 12:00:00 AM

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Advanced Practice Provider
  • Genesis Healthcare
  • Somersworth, NH
  • Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on ca...
  • 4/22/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 45.8 square miles (118.6 km2), of which 45.4 square miles (117.6 km2) is land and 0.3 square miles (0.8 km2) is water, comprising 0.79% of the town. Rochester is drained by the Salmon Falls, Isinglass and Cochecho rivers. The highest point in Rochester is a southern extension of Nute Ridge, at 581 feet (177 m) above sea level, occupying the northern corner of the city. New Hampshire Route 16 (the Spaulding Turnpike) is a controlled-access highway that passes through the city, leading north towards Conway and south to Do...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Director jobs
$165,285 to $214,979
Rochester, 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