Medical Staff Credentialing Manager jobs in Oklahoma

Medical Staff Credentialing Manager manages staff that process credentialing and recredentialing applications for health care providers. Oversees department operations to ensure compliance with all regulatory standards. Being a Medical Staff Credentialing Manager implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Analyzes reports on applications and credentialing status to identify trends and improve the credentialing process. Additionally, Medical Staff Credentialing Manager prepares files for 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 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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Medical Staff Credentialing Assistant
  • the Chickasaw Nation
  • Ada, OK FULL_TIME
  • Medical Staff Credentialing Assistant - 6970
    Ada, OK | Health | Full Time
    Posted yesterday | Apply before April 8, 2024
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    Description

    We are currently looking for a Full Time Medical Staff Credentialing Assistant to join our Clinician Services team located at the Chickasaw Nation Medical Center.

    Summary:


    Responsible for all functions related to coordinating, auditing, and monitoring of the review and approval process for credentialing and re-credentialing and for maintaining the appointment and reappointment files of the medical staff.

    Responsibilities:
    • Responds to requests for application for medical staff membership and privileges
    • Processes applications for appointment and reappointment by gathering the required data and performing primary source verification
    • Reviews privilege requests and any required documentation
    • Requests assistance from direct supervisor when unclear about request and/or documentation received
    • Reviews all submitted information for completeness and accuracy
    • Verifies licensure, education, training, and other requirements in accordance with policies and procedures
    • Reviews completed file for accuracy and identifies problem areas, issues, concerns, or new information that is to be brought to the attention of the direct supervisor
    • Assists with ensuring completed files are reviewed with the direct supervisor prior to department chief and committee approvals
    • Prepares files and any required documents to accompany files/requests to Credentials Committee, Medical Executive Committee and Governing Board
    • Performs all follow up required following Governing Board decision
    • Assists with coordinating Credentials Committee meeting, takes and prepares the minutes, prepares the agenda and packets and any other documentation/materials to be presented for review
    • Inputs all relevant data into medical staff e-files and credentialing database in a timely and accurate manner
    • Identifies and obtains current verification of expirable data elements
    • Maintains spreadsheets and databases and inputs data entry
    • Maintains files, logs, and records
    • Maintains confidentiality, security, and integrity of data and information
    • Assists with orientation, special activities and training on specific procedures, tasks or equipment
    • Provides first class customer service - courteous and helpful to all internal and external customer types
    • Greets and engages with a smile
    • Determines and meets needs
    • Seeks positive experience and outcomes
    • Answers questions in a courteous and professional manner
    • Partners with internal and external services as needed to ensure appropriate referral is made
    • Completes all training and development requirements and participates in continuing education opportunities
    • Works in a collaborative and supportive manner to support the productivity and safety of the work area, team members and customers of all types
    • Shares responsibilities for maintaining adequate supplies and equipment
    • Maintains general upkeep of work area and maintains a safe environment
    • Observes and addresses potential environmental hazards and risks
    • Maintains and promotes professionalism
    • Punctual and consistent in meeting start time, work schedule, attendance and other assigned work time metrics
    • Adheres to Chickasaw Nation dress code standards
    • May provide break coverage for others as assigned
    • May augment staff in other areas as needed based on staffing and needs ratio in regularly assigned unit
    • Maintain knowledge of and follow all laws, rules, regulations, policies and SOPs for assigned area, e.g. MICS, TICS, hospital standards, health codes, food sanitation, accounting principles, etc.
    • All other duties as assigned

    Competencies:

    Essential:
    • Follow instructions, written or oral
    • Adhere to all scheduling and attendance requirements
    • Honesty, truthfulness, reliability, accountability
    • Read, understand and apply regulations and policies
    • Possess basic knowledge of medical terminology
    • Ability to multitask
    • Ability to plan, organize and follow through on assignments
    • Communicates verbally with team, departments, guests and management


    Skills:

    Essential:
    • Must be familiar with the MS Office Suite of products


    Experience:

    Essential:
    • 2 years directly related experience

    Education:

    Essential:
    • High School, GED or Equivalent

    Nonessential:
    • Associates Degree in directly related field

    Credentials:

    Essential:
    • Standard Driver's License
    • Pass general background check

    Working Conditions:

    Essential:
    • Works in an office setting
    • Sitting up to 100% of shift
    • Walk up to 25% of shift
    • Visual acuity for detail, distance, color, depth perception
    • Infrequent travel
    • Pass pre-employment drug test

    Nonessential:
    • Standing up to 25% of shift
  • 24 Days Ago

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Medical Credentialing Specialist
  • Trinity Employment
  • Oklahoma, OK FULL_TIME
  • Credentialing Specialist / Lead | OKC, OKPay: $20-$24/HR, DOE***5 Years of Credentialing Experience Required***Hours: Full-Time, M-F 8a-5pPOSITION SUMMARY- The credentialing specialist will verify the...
  • 20 Days Ago

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Medical Staff Services Manager
  • Universal Health Services, Inc.
  • Enid, OK FULL_TIME
  • ResponsibilitiesResponsible for the development, coordination, and administration of medical staff activities in accordance with all policies and parameters established by St. Mary's Regional Medical ...
  • 24 Days Ago

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Medical Staff
  • CompleteOK
  • Stigler, OK FULL_TIME
  • CompleteOK is seeking a (Home Health) RN to join our growing team in Stigler, OK Full-Time *Flexible Schedules Top health care benefits Millage Reimbursement Complete is the trusted family owned and o...
  • 26 Days Ago

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Credentialing coordinator
  • Health Care Service Corporation
  • Broken Arrow, OK FULL_TIME
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning p...
  • 18 Days Ago

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Medical Office Staff
  • Icare Center Llc
  • Davis, OK FULL_TIME
  • Primary Job Duties: Greet, register, instruct, discharge, and provide general assistance to patients. Obtain demographic and financial information and enter into computer system/electronic medical rec...
  • 1 Month Ago

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Credentialing Manager
  • Dermatology Skin and Cancer Institute
  • Cerritos, CA
  • Job Description Job Description About the Skin and Cancer Institute: The #1 medical dermatology team in California, Neva...
  • 4/23/2024 12:00:00 AM

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Director, Conferences - Remote (Full Time / Contract)
  • Superfly
  • New York, NY
  • Job Description Job Description Superfly is an experience company obsessed with activating and amplifying communities ar...
  • 4/23/2024 12:00:00 AM

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Credentialing Support Specialist
  • Prometheus Federal Services
  • Washington, DC
  • Job Description Job Description Prometheus Federal Services (PFS), a trusted partner to federal healthcare agencies, is ...
  • 4/23/2024 12:00:00 AM

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City Manager - Manhattan, KS
  • SGR
  • Manhattan, KS
  • The City of Manhattan, Kansas, is located in Riley County in the heart of northeast Kansas' scenic Flint Hills. Known as...
  • 4/22/2024 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...
  • 4/22/2024 12:00:00 AM

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Administrative Liaison
  • Go Urgent Care, LLC
  • Mc Gregor, TX
  • SUMMARY DESCRIPTION: Under the direction of the facility manager and physician credentialing manager for the Emergency C...
  • 4/22/2024 12:00:00 AM

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City Manager - Amarillo, Texas
  • Baker Tilly
  • Amarillo, TX
  • Salary: $285,000.00 - $305,000.00 Annually Location : Amarillo, TX Job Type: Full-Time Job Number: 00214 Job Classificat...
  • 4/21/2024 12:00:00 AM

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Credentialing Administrative Assistant
  • Reliant Physicians PLLC
  • Las Vegas, NV
  • Job Description Job Description Job Summary: Under the direction of the Credentialing Manager, assist with credentialing...
  • 4/21/2024 12:00:00 AM

Oklahoma is the 20th-largest state in the United States, covering an area of 69,899 square miles (181,040 km2), with 68,595 square miles (177,660 km2) of land and 1,304 square miles (3,380 km2) of water. It lies partly in the Great Plains near the geographical center of the 48 contiguous states. It is bounded on the east by Arkansas and Missouri, on the north by Kansas, on the northwest by Colorado, on the far west by New Mexico, and on the south and near-west by Texas. Much of its border with Texas lies along the Southern Oklahoma Aulacogen, a failed continental rift. The geologic figure defi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Manager jobs
$89,036 to $114,815

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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