Medical Staff Credentialing Supervisor jobs in Tennessee

Medical Staff Credentialing Supervisor oversees day-to-day activities of staff that process credentialing and recredentialing applications for medical providers. Ensures that applications are properly verified and accurately uploaded into an online credentialing database system. Being a Medical Staff Credentialing Supervisor administers system for tracking license and certification expirations to ensure renewals are submitted in a timely fashion. May require a bachelor's degree. Additionally, Medical Staff Credentialing Supervisor typically reports to a manager. The Medical Staff Credentialing Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Thorough knowledge of functional area under supervision. To be a Medical Staff Credentialing Supervisor typically requires 3 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)

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Credentialing Specialist
  • ABC Home Medical Supply, Inc.
  • South Pittsburg, TN 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.

  • 23 Days Ago

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Credentialing Specialist
  • ABC Home Medical Supply, Inc.
  • Mount Juliet, TN 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 t...
  • Just Posted

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Medical Site Credentialing Surveyor
  • United Language Group
  • Waverly, TN 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...
  • 6 Days Ago

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Manager - Medical Staffing & Credentialing, FT, Days
  • North Knoxville Medical Center
  • Knoxville, TN FULL_TIME
  • Responsible for monitoring the verification process for medical staff incumbents. Completes physician, nurse and other employee verifications and ensures that the organization and staff are in accorda...
  • 7 Days Ago

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Manager - Medical Staffing & Credentialing, FT, Days
  • Tennova Knoxville Physician RMC - North Knoxville Medical Center
  • KNOXVILLE, TN FULL_TIME
  • Responsible for monitoring the verification process for medical staff incumbents. Completes physician, nurse and other employee verifications and ensures that the organization and staff are in accorda...
  • 25 Days Ago

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Credentialing Specialist - Medical Staffing, FT, days
  • Tennova Knoxville Physician RMC - North Knoxville Medical Center
  • KNOXVILLE, TN FULL_TIME
  • Responsible for completion, follow up and tracking of provider credentialing and recredentialing applications. High school diploma or equivalent At least 1 year of healthcare experience.
  • 16 Days Ago

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Credentialing Coordinator
  • Goldfish Medical Staffing
  • Plano, TX
  • Job Description Job Description $35-50k salary, depending on experience Local DFW candidates only. Position located at o...
  • 3/28/2024 12:00:00 AM

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Credentialing Coordinator
  • NextStep Recruiting
  • Lewisville, TX
  • Job Description Job Description NextStep Recruiting has joined hands with an amazing Healthcare organization as they are...
  • 3/27/2024 12:00:00 AM

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Credentialing Coordinator
  • Momentum Resource Solutions
  • New York, NY
  • Job Description Job Description Key Responsibilities: 1. Maintain communication with the credentialing contacts at facil...
  • 3/27/2024 12:00:00 AM

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CREDENTIALING COORDINATOR
  • Temple University
  • Philadelphia, PA
  • Provides support and assistance to the Credentialing Specialists in all aspects of credentialing and re-credentialing ac...
  • 3/27/2024 12:00:00 AM

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Credentialing Coordinator I
  • Arizona Priority Care
  • Chandler, AZ
  • Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing Whole-Person care to Senior and Medi...
  • 3/27/2024 12:00:00 AM

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Credentialing Coordinator
  • VCU Health
  • The Credentialing Coordinator is responsible for all aspects of the initial credentialing, re-credentialing and privileg...
  • 3/26/2024 12:00:00 AM

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Medical Staff Credentialing Coordinator
  • Presbyterian Healthcare Services
  • Santa Fe, NM
  • Overview: Supports the Medical and Allied Health Staff credentialing/primary sourcing verification program by coordinati...
  • 3/26/2024 12:00:00 AM

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Credentialing Coordinator
  • Pacifica Hospital of the Valley
  • Los Angeles, CA
  • Job Description Job Description GENERAL DESCRIPTION: The Medical Staff / CME Coordinator is a professional who coordinat...
  • 3/25/2024 12:00:00 AM

Tennessee borders eight other states: Kentucky and Virginia to the north; North Carolina to the east; Georgia, Alabama, and Mississippi on the south; Arkansas and Missouri on the Mississippi River to the west. Tennessee is tied with Missouri as the state bordering the most other states. The state is trisected by the Tennessee River. The highest point in the state is Clingmans Dome at 6,643 feet (2,025 m). Clingmans Dome, which lies on Tennessee's eastern border, is the highest point on the Appalachian Trail, and is the third highest peak in the United States east of the Mississippi River. The ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Supervisor jobs
$60,649 to $80,351

Medical Staff Credentialing Supervisor in Indianapolis, IN
The Supervisor of Medical Staff Credentialing will provide direct supervision to medical staff office employees and promotes communication and collaboration between hospital administration and the organized medical staff.
December 21, 2019
Medical Staff Credentialing Supervisor in Montgomery, AL
The Supervisor of Medical Staff Credentialing will be responsible for daily operations of the medical staff office, including oversight of credentialing, privileging, bylaws and policy development, medical staff committee and peer review support, continuing medical education (CME), and compliance with The Joint Commission and other regulatory standards.
January 03, 2020