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Credentialing Manager Jobs

Credentialing And Onboarding Manager
By People 2.0 At , $65,000 - $100,000 a year
Strong communication and “people” skills are essential, with an ability to communicate effectively at all levels of management
Skills and experience we value:
Minimum 5 years experience in healthcare staffing space focused on the administrative and back-office functions
Strong interpersonal skills with a demonstrated ability to work successfully across multiple clients and effectively collaborate with others
Exceptional customer service skills and demeanor as well as attention to details
Demonstrated critical thinking and problem-solving skills
Manager Of Credentialing - Remote Position
By Envision Healthcare At Fort Lauderdale, FL, United States
Uses professional knowledge and judgement to advise functional leaders.
Develop and manage audit activities in support of quality improvements, timelines, and accountability.
Coordinate team meetings and educational trainings in collaboration with Credentialing Director.
In depth knowledge of credentialing
Demonstrates ability to lead, manage and motivate teams
Strong written, oral, and interpersonal communication skills
Manager Delegated Credentialing Jobs
By One Call At Jacksonville, FL, United States
Educational, Certification And Experience Requirements
2+ years Delegated Credentialing experience (in a Healthcare Organization or hospital credentialing setting) with at least 2 years Credentialing Management experience
Certification by the National Association Medical Staff Services (NAMSS) as a Certified Professional in Medical Services Management (CPMSM), or Certified Provider
General Knowledge, Skills & Abilities
Maintain working knowledge of regulatory credentialing requirements.
Collaborate effectively with key internal and external stakeholders, including clients, compliance/legal, account management/client success, and other matrix partners, as applicable.
Credentialing Manager Jobs
By PsychPlus At United States
Excellent organizational and time management skills, ability to multitask, high attention to detail, and follow-up skills
Monitoring of all Clinician expirables to include: licenses, board certifications, professional liability insurance, hospital privileges, and payer revalidations
Minimum of 3 year’s experience in within a Credentialing or Payer Enrollment Coordinator
Provider Group or Health Plan experience required
Experience in healthcare credentialing across Behavioral Health specialties is strongly preferred
Ability to organize and prioritize work and manage multiple priorities simultaneously to meet deadlines
Credentialing Manager Jobs
By Mindful Care At West Hempstead, NY, United States
Certification in credentialing or healthcare quality management (e.g., CPCS, CPMSM) is a plus
Strong knowledge of credentialing standards, regulations, and best practices, including delegated credentialing requirements
Manage the end-to-end credentialing process for all behavioral health providers, including physicians, advanced practice providers (APPs), therapists, and other clinical staff
Collaborate with internal departments and external organizations to obtain and verify provider credentials, licenses, certifications, and insurance information
Maintain accurate and up-to-date provider files, ensuring compliance with all regulatory requirements and accreditation standards
Conduct thorough background checks and primary source verifications for all providers, including education, training, work history, malpractice claims, and professional references
Credentialing Associate Jobs
By AbleTo Inc. At United States
Producing management reports regarding status of therapist community
Data entry into multiple platforms
Bachelor’s degree or equivalent work experience preferred
Excellent written and verbal communication skills
Tracking expirable documents such as licenses and malpractice insurance and working with therapists to obtain updated documents
Preparing notification letters and sending to therapists based on determinations made by the team
Credentialing & Enrollment Liaison Jobs
By Privia Health At United States
Follows guidelines in alignment with all health plan requirements as related to the provider certification and credentialing.
Must be able to function independently, possess demonstrated flexibility in multiple project management
Works with care centers to obtain updates to licenses, certifications, and certificates of insurance and ensures timely renewal for the same.
2+ years healthcare experience working with providers and care center staff
Demonstrated skills in problem solving and analysis and resolution
High level of attention to detail with exceptional organizational skills
Credentialing Support Tech Jobs
By State of Michigan At , Lansing, Mi Up to $200,000 a year
The Michigan Department of Education (MDE
Alternative and Remote Work Schedules:
Resume (entered or attached to the job posting)
Official copy of transcripts (when necessary)
The Office of Educator Excellence
15 and 35 personal days
Credentialing Coord Sr Jobs
By One Call At , $22.45 - $33.70 an hour
Typically requires a minimum of 3 years of experience performing hands on Credentialing Cycle Management experience.
Excellent problem solving, time management, and work prioritization skills.
GENERAL KNOWLEDGE, SKILLS & ABILITIES:
Manage and maintain continuing medical education records for practitioners/providers.
Must be able to successfully maintain multiple projects simultaneously, manage and meet multiple deadlines, be detail-oriented, and possess strong organizational skills.
Clerical office, data entry, e-filing, and customer interfacing/communication experience required (preferably in a healthcare setting).
Credentialing Analyst-Junior Jobs
By Equifax At , Atlanta, 30309, Ga
Previous experience in a production environment (non-call center).
Proficient PC skills, including MS Office products and internet search engines.
Experience with WinZip and moving/saving electronic files.
Perform daily investigative functions related to the verification of existing Equifax customers.
Review and analyze current client data based upon established guidelines.
Acquire, review, document and save all information obtained from the investigation.
Credentialing Representative 2 Jobs
By Humana At , San Antonio, 78229, Tx
Experience and knowledge in CAQH Application process
Ability to work independently in a remote environment and ability to work on a virtual team
Excellent communication skills, both verbal and written
Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
Associate's or Bachelor's Degree in Business, Finance or a related field
Previous experience in a dental provider setting (dental assistant or front office)
Credentialing Lead Jobs
By PsychPlus At United States
Excellent organizational and time management skills, ability to multitask, high attention to detail, and follow-up skills
Monitoring of all Clinician expirables to include: licenses, board certifications, professional liability insurance, hospital privileges, and payer revalidations
Minimum of 3 year’s experience in within a Credentialing or Payer Enrollment Coordinator
Provider Group or Health Plan experience required
Experience in healthcare credentialing across Behavioral Health specialties is strongly preferred
Ability to organize and prioritize work and manage multiple priorities simultaneously to meet deadlines
Credentialing Contractor Jobs
By hims & hers At United States
Audit and verify compliance with NCQA and state level requirements for providers to practice.
Data entry of new applications/licenses in the credentialing database.
Must demonstrate exceptional communication skills, listening effectively and asking questions when clarification is needed.
Excellent computer skills including Excel, Word, Google Suite, and Internet use.
Categorize and resolve (escalating when necessary) credentialing related support issues
Assist with organizing, maintaining, and verifying all aspects of the credentialing process while updating current files on practitioners.
Credentialing Verifier Virtual Jobs
By HCA Healthcare At Nashville, TN, United States
Education assistance (tuition, student loan, certification support, dependent scholarships)
High School graduate or GED, Associate degree or an equivalent combination of education and experience is preferred
At least 1 year of office experience including data entry, typing and computer proficiency
Family support through fertility and family building benefits with Progyny and adoption assistance.
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Notify your Manager of questionable information received or any barriers to completion
Credentialing Associate Jobs
By Competency & Credentialing Institute (CCI) At , Remote $20 an hour
Excellent written and verbal communication skills with the ability to explain
Strong analytic, problem solving, and research skills to sufficiently
The ideal candidate will have a combination of education, training and
The Credentialing Associate facilitates a positive customer experience for
experience that includes a minimum of two (2+) years working experience
Benefits Include: Medical Insurance, Dental Insurance, Paid Time Off,
Medical Staffing And Credentialing Manager
By aptihealth At Saratoga Springs, NY, United States
Working knowledge of Credentialing Standards and Guidelines in Credentialing, Recredentialing, and other regulatory/compliance requirements.
Competitive pay, benefits, and stock options
Continuously provide excellent customer service skills by following up with external providers and partners accurately and professionally.
Associate's degree or equivalent experience
At least 3 years’ experience in medical Credentialing.
Competent in all aspects of Credentialing and adhering to all company policies, procedures, state, federal, and certification agencies.
Manager, Credentialing Jobs
By ArchWell Health At , Remote

ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where ...

Credentialing Support Associate Jobs
By Guardian Life At United States
1-3 years credentialing experience, preferably in a managed care setting
Strong computer, data entry, and clerical skills required.
Knowledge of dental industry preferred.
Excellent interpersonal, oral, and written communication skills required.
Critical thinking, detail oriented, and strong organizational skills required.
Previous experience working with CAQH application highly desired.
Manager Credentialing - Remote
By UnitedHealth Group At , Indianapolis, 46262, In $67,800 - $133,100 a year
Oversee the tracking and maintenance of all provider data in provider data management system, ensuring high quality standards are maintained
Healthcare and Managed Care experience
Undergraduate degree or equivalent experience
4+ years credentialing/payer enrollment experience
Government and commercial payer enrollment knowledge
Demonstrated knowledge of credentialing procedures, policies, and terminology (i.e., NCQA)
Associate Director Credentialing - Remote
By UnitedHealth Group At , Secaucus, 07096, Nj $101,200 - $184,000 a year
Lead and develop a high-performing team with accountability that emphasizes people and performance management, coaching and development, and employee engagement
Leverage technology and change management to improve quality, speed to market delivery and increased cost savings
Healthcare and Managed Care experience
Proven solid analytical skills with ability to drive transformational, provider-centric change and manage long-term programs
Provide leadership to and is accountable for the performance of managers and/or senior level professional staff
Bachelor's degree or equivalent experience

Are you looking for an exciting opportunity to manage the credentialing process for a growing healthcare organization? We are looking for a Credentialing Manager to join our team and help ensure that our providers are credentialed in a timely and accurate manner. You will be responsible for overseeing the entire credentialing process, from initial application to ongoing maintenance. If you have experience in healthcare credentialing and are looking for a challenging and rewarding role, this could be the perfect job for you!

Overview:

A Credentialing Manager is responsible for ensuring that all staff members meet the necessary qualifications and certifications to perform their job duties. This includes verifying credentials, managing the credentialing process, and maintaining records of all staff credentials.

Detailed Job Description:

The Credentialing Manager is responsible for overseeing the credentialing process for all staff members. This includes verifying credentials, managing the credentialing process, and maintaining records of all staff credentials. The Credentialing Manager is also responsible for ensuring that all staff members meet the necessary qualifications and certifications to perform their job duties. This includes verifying educational qualifications, certifications, and other credentials. The Credentialing Manager is also responsible for ensuring that all staff members maintain their credentials and that any changes to their credentials are updated in the system.

What is Credentialing Manager Job Skills Required?

• Excellent organizational and communication skills
• Ability to manage multiple tasks and prioritize effectively
• Knowledge of credentialing processes and procedures
• Ability to work independently and as part of a team
• Knowledge of relevant software and databases
• Ability to maintain confidentiality

What is Credentialing Manager Job Qualifications?

• Bachelor’s degree in a related field
• At least 3 years of experience in a related field
• Knowledge of credentialing processes and procedures
• Knowledge of relevant software and databases
• Excellent organizational and communication skills

What is Credentialing Manager Job Knowledge?

• Knowledge of credentialing processes and procedures
• Knowledge of relevant software and databases
• Knowledge of relevant laws and regulations
• Knowledge of medical terminology

What is Credentialing Manager Job Experience?

• At least 3 years of experience in a related field
• Experience in a healthcare setting
• Experience with credentialing processes and procedures

What is Credentialing Manager Job Responsibilities?

• Verify credentials of all staff members
• Manage the credentialing process
• Maintain records of all staff credentials
• Ensure that all staff members meet the necessary qualifications and certifications to perform their job duties
• Ensure that all staff members maintain their credentials and that any changes to their credentials are updated in the system
• Monitor and review credentialing processes and procedures
• Ensure compliance with relevant laws and regulations
• Provide guidance and support to staff members regarding credentialing processes and procedures