Medical Staff Credentialing Manager jobs in Wisconsin

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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Assistant Manager Medical Coding & Credentialing / REMOTE
  • GetixHealth
  • Brookfield, WI FULL_TIME
  • The GetixHealth outsourced medical services division provides medical coding, healthcare consulting and credentialing services to hospitals, clinics, and medical providers throughout the United States. Our entity is expanding with new clients and are seeking a professional to assist in delivery of our outstanding healthcare services. GetixHealth supports our clients as they navigate increasing medical encounter volumes, reducing days in the revenue cycle and dealing with staffing shortages.

    Compensation:  $72,800 based on experience, Annual Bonus Eligibility

    Schedule:  8:00am - 5:00pm CST, Monday - Friday

    JOB SUMMARY

    Oversee medical coding and credentialing staff while providing contracted services to our Healthcare clients.  Provide assurance of accurate, timely and compliant services while furnishing outstanding communication.

    JOB RESPONSIBILITIES:

    • Expertise in understanding the challenges of revenue cycle management, project management and meeting strict timelines
    • Screen, plan, staff and execute workflow for new engagements
    • Manage healthcare projects or have coordinated staffing coverage
    • Oversee processing of physician credentialing with payors
    • Provides oversight of the outsourced engagements by assuring the quality of the service line product, while simultaneously meeting the client’s requests for services
    • Facilitate and coordinate the training of existing and new professional coding, consulting or credentialing staff
    • Manage healthcare projects
    • Coordinating staff coverage

    EXPERIENCE, EDUCATIONAL CERTIFICATION REQUIREMENTS:

    • High School or GED
    • Additional tertiary education / courses highly preferred
    • Excellent people and supervisory skills
    • Able to describe good customer service
    • Expertise in understanding the challenges of revenue cycle management, project management and meeting strict timelines
    • Minimum of 2 years of abstract coding experience for inpatient and outpatient services  
    • Experience and or an understanding of government and commercial enrollment is desired but not required.
    • Experience managing healthcare projects 
    • Experience coordinating staffing coverage
    • 2 Years minimum of abstract coding experience
    • Must hold one of these certificates and be able to provide copy:
      • CPC, Specialty
      • CIC
      • CCS
      • CCS-P
      • CCS-H
      • RHIT
      • RHIA

     

    Benefits:  Medical, Dental, Vision, PTO, Personal Day, 401K Match, Short-Term Disability, Employee Discounts, Employee Referral program, Company paid basic life insurance and Long-Term Disability, 

    Getixhealth is an Equal Opportunity and E-Verify Employer

     

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Medical Credentialing Specialist
  • Advanced Physical Therapy & Sports Medicine
  • Appleton, WI PART_TIME
  • Advanced Physical Therapy & Sports Medicine, SC is headquartered in Appleton, WI and currently has 28 locations in central and northeastern Wisconsin with over 130 employees.Seeking a Credentialing Sp...
  • 25 Days Ago

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Medical Site Credentialing Surveyor
  • United Language Group
  • Dodgeville, WI FULL_TIME
  • Summary - Flexible Contractor/Freelance Opportunity 1099 IMMEDIATE NEED This is not a full-time or part-time job. This is not a set-scheduled job opportunity. This is not an hourly pay job opportunity...
  • 30 Days Ago

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Manager-Medical Staff
  • HSHS St. Vincent Hospital
  • Green, WI FULL_TIME
  • Overview: Throughout communities in Illinois and Wisconsin, 15 hospitals, numerous community-based health centers and clinics, our 15,000 colleagues have built a culture based on our solid core values...
  • 25 Days Ago

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Medical Assistant 1
  • Staff Today Inc
  • Waupun, WI FULL_TIME
  • Health Advocates Network is currently seeking a Medical Assistant to work at a Facility in Waupun, Wisconsin. These are registry positions with our company. Pay Rate: $25 - $29 / hour Shift Details: 2...
  • 2 Days Ago

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Medical Assistant 1
  • Staff Today Inc
  • Boscobel, WI FULL_TIME
  • Health Advocates Network is currently seeking a Medical Assistant to work at a Facility in Boscobel, Wisconsin. These are registry positions with our company. Pay Rate: $25 - $29 / hour Shift Details:...
  • 7 Days Ago

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Principal Consultant GP, OSPF and Switching Cisco, Network Segmentation and Isolation/NYC, NY 1 Year
  • Suncap Technology, Inc.
  • New York, NY
  • Location: NYC, NY US Citizen Required Experience: BGP, OSPF and Switching Cisco Network Segmentation and Isolation Virtu...
  • 4/18/2024 12:00:00 AM

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Case Manager
  • Opex Solutions Inc
  • Smyrna, TN
  • Job Description Job Description Benefits: Bonus based on performance Tuition assistance Education: RN, or LPN required E...
  • 4/18/2024 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...
  • 4/17/2024 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...
  • 4/17/2024 12:00:00 AM

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Case Manager
  • Opex Solutions Inc
  • Smyrna, TN
  • Job Description Job Description Education: RN, or LPN required Experience: Proficient with MS office suite & Adobe produ...
  • 4/17/2024 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...
  • 4/16/2024 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...
  • 4/16/2024 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...
  • 4/16/2024 12:00:00 AM

Wisconsin is bordered by the Montreal River; Lake Superior and Michigan to the north; by Lake Michigan to the east; by Illinois to the south; and by Iowa to the southwest and Minnesota to the northwest. A border dispute with Michigan was settled by two cases, both Wisconsin v. Michigan, in 1934 and 1935. The state's boundaries include the Mississippi River and St. Croix River in the west, and the Menominee River in the northeast. With its location between the Great Lakes and the Mississippi River, Wisconsin is home to a wide variety of geographical features. The state is divided into five dist...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Manager jobs
$95,100 to $122,635

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