Medical Staff Credentialing Manager jobs in Alabama

Medical Staff Credentialing Manager manages staff that process credentialing and recredentialing applications for medical providers. Implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Being a Medical Staff Credentialing Manager presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. Analyzes and prepares reports on trends in application status. Additionally, Medical Staff Credentialing Manager typically requires a bachelor's degree. Typically reports to a director. The Medical Staff Credentialing Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. To be a Medical Staff Credentialing Manager typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)

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Credentialing Specialist
  • ABC Home Medical Supply, Inc.
  • Tuscaloosa, AL FULL_TIME
  • The Credentialing Specialist is responsible for assisting in all aspects of the licensing and credentialing of the Company. The Specialist will process applications on behalf of the Company in order to ensure compliance and completeness of licenses and agreements with Medicare, state Medicaid agencies, federal, state and local licensing agencies and private health insurance companies.


    ESSENTIAL DUTIES AND RESPONSIBILITIES:

    Include the following as well as other duties and responsibilities, which may be assigned.


    • Assist with the maintenance of complete and accurate documentation regarding the Company, its facilities/operations, its ownership and its management to ensure proper and complete completion of licensing and credentialing applications and insurance agreements;
    • Assist with timely responses to requests for information from federal, state and local agencies and private insurance companies regarding the Company’s licensing and credentialing obligations;
    • Assist with research, maintenance and coordination of all federal, state and local licensing requirements
    • Accurate and timely completion of initial, renewal applications as well as process organizational changes via notification and/or application;
    • Assist with the maintenance of the Company database to ensure accuracy of all licenses and agreements with federal, state and local organizations and private health insurers
    • Assist with the completion of all revalidation or re-credentialing requests from Medicare, state Medicaid agencies and private health insurance companies;
    • Prepare all licensing and applications for new locations of the Company in order to obtain Medicare licensing, state licensing and accreditation
    • Contact insurance companies to initiate participation into their DME provider networks, including the completion of letters of interest and applications,
    • Maintain the Company’s database of Provider Insurance contracts,
    • Notify all pertinent Company personnel regarding new insurance contracts, fee schedules, and updating the Company’s Payer database
    • Other duties as assigned


    QUALIFICATIONS:

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily and must possess the ability to: interact professionally and ethically with team members, all levels of management, government agencies and commercial payer personal; handle multiple tasks simultaneously; provide clear, concise oral and written directives/communications; quickly assess situations and respond appropriately; handle special requests in a sensitive, professional manner. Strong attention to detail and follow through is required. Meticulous organization and filing skills. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


    QUALIFICATION REQUIREMENTS:

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


    EDUCATION AND/OR EXPERIENCE:

    • High School Diploma
    • Associate or Bachelor’s degree, or relevant healthcare experience
    • Analytical skills required, attention to detail, organized


    TRAINING:

    Our industry is a highly regulated industry, and because of that and our commitment to providing the best in class products, services, and support, we require ALL employees to complete the following training programs prior to the marketing and promotion of our products, services, and support systems:


    • Anti-Kick Back Training
    • Fraud, Abuse, and Waste Training
    • HIPAA Training
    • Systems Training


    CONTINUING EDUCATION:

    To continue to be best in class within our industry, we require all employees to participate in ongoing education to maintain / increase their competency or in the event the team member changes responsibility within the company.


    Notice:

    Employment with the Company is “at will.” This means a team member or the Company may end a team member’s employment at any time with or without reason. None of the Company’s policies, procedures, or practices, including those set forth on the Company Website and/or Intranet, are to be viewed as creating any promises or contractual rights. They are guidelines that the Company may, at its discretion, change at any time without prior notice to any team member. The information contained in this policy replaces all previous handbooks and other statements of Company policies, rules, and procedures.

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Credentialing Manager
  • Pathway Healthcare Services LLC
  • Birmingham, AL FULL_TIME
  • Pathway Healthcare is a leading behavioral health organization dedicated to providing comprehensive care for individuals facing mental health challenges and substance abuse issues.We believe in a holi...
  • 14 Days Ago

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Medical Receptionist
  • Pride Staff
  • Trussville, AL FULL_TIME
  • PrideStaff has clients in the area searching for experienced, proven individuals to assist with temporary, temporary-to-hire and direct hire positions. We are looking for people who are professional a...
  • 20 Days Ago

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Augmentation Medical Staff
  • MODICAN MEDICAL & SAFETY TRAIN
  • Pinson, AL FULL_TIME
  • Position Description: Modican Medical & Safety Training now has open registration for all medical personnel. Paramedics, EMT, Registered Nurse, License Practical Nurse, CNA, Medical Assistant, etc. If...
  • 10 Days Ago

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Medical Assistant / Medical Office Staff (Full-time)
  • Medical Clinic
  • Huntsville, AL FULL_TIME
  • 6 months medical office experience required. Must be a team player, organized and professional. Must be open to training and retain information provided.Clinical Duties: Taking and recording vitals Do...
  • 3 Days Ago

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Regional Dental Manager
  • Regional Manager.
  • Birmingham, AL FULL_TIME
  • We are looking for an experienced Regional Manager to join our team to oversee 12 locations with several direct reports. The ideal candidate will have a background in vision, dental, medical or retail...
  • 1 Month Ago

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Cyber Security Specialist
  • Mindlance
  • Mc Lean, VA
  • In-Person Interview is required and have to be on-site from day 1 in McLean, VA following a hybrid schedule of 3 days (T...
  • 3/29/2024 12:00:00 AM

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CyberArk Engineer
  • Tata Consultancy Service Limited
  • San Antonio, TX
  • Knowledge of various types of DB accounts such as Oracle, Netezza, SQL Server, Snowflake, Cassandra, UDB & DB2 etc. is p...
  • 3/29/2024 12:00:00 AM

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Credentialing Manager
  • DOCTORS HEALTHCARE PLANS, INC.
  • Miami, FL
  • Scope of Position: Manages staff that process credentialing and recredentialing applications for medical providers and p...
  • 3/28/2024 12:00:00 AM

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Provider Credentialing Manager
  • 10X Health System
  • North Miami Beach, FL
  • POSITION SUMMARY As a Provider Credentialing Manager, you will be responsible for managing the onboarding process for he...
  • 3/28/2024 12:00:00 AM

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City Manager - Manassas, Virginia
  • Baker Tilly
  • Manassas, VA
  • Salary: $210,700.00 - $273,000.00 Annually Location : Manassas, VA Job Type: Full-Time Job Number: 00197 Job Classificat...
  • 3/28/2024 12:00:00 AM

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Credentialing Manager
  • AMPP: Association for Materials Protection and Performance
  • Houston, TX
  • Job Description Job Description SUMMARY Oversight and responsibility for the administration, operations and customer exp...
  • 3/27/2024 12:00:00 AM

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Provider Credentialing Manager
  • 10X Health System
  • Aventura, FL
  • POSITION SUMMARY As a Provider Credentialing Manager, you will be responsible for managing the onboarding process for he...
  • 3/26/2024 12:00:00 AM

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City Manager - Hutchinson, Kansas
  • Baker Tilly
  • Hutchinson, KS
  • Salary: $165,000.00 - $190,000.00 Annually Location : Hutchinson, KS Job Type: Full-Time Job Number: 00150 Job Classific...
  • 3/25/2024 12:00:00 AM

Alabama (/ˌæləˈbæmə/) is a state in the southeastern region of the United States. It is bordered by Tennessee to the north, Georgia to the east, Florida and the Gulf of Mexico to the south, and Mississippi to the west. Alabama is the 30th largest by area and the 24th-most populous of the U.S. states. With a total of 1,500 miles (2,400 km) of inland waterways, Alabama has among the most of any state. Alabama is nicknamed the Yellowhammer State, after the state bird. Alabama is also known as the "Heart of Dixie" and the "Cotton State". The state tree is the longleaf pine, and the state flower is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Manager jobs
$82,801 to $113,815

Medical Staff Credentialing Manager in Cedar Rapids, IA
Medical Staff Services Coordinator - Credentialing - Full-Time (40hrs/wk), Days - Corporate Services - Glendale, WI.
January 14, 2020
Medical Staff Credentialing Manager in Tampa, FL
Patient safety is the name of the game in credentialing.
January 25, 2020
Medical Staff Credentialing Manager in Nassau, NY
There are several reasons why a commercial payer, such as a managed care organization or health plan, may consider delegating all or part of its credentialing activities to qualified business partners such as IPAs, PHOs, CVOs, medical societies, even other health plans.
December 17, 2019