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)
Recently Added Medical Staff Credentialing Manager jobs
Medical Staff Credentialing Assistant
- the Chickasaw Nation
-
Ada, OK
FULL_TIME
-
Medical Staff Credentialing Assistant - 6970Ada, OK | Health | Full TimePosted yesterday | Apply before April 8, 2024ApplySave
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
- 14 Days Ago
Medical Credentialing Specialist
- Trinity Employment Specialists
-
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...
- Just Posted
Medical Site Credentialing Surveyor- Independent Contractor
- United Language Group
-
Broken Arrow, OK
CONTRACTOR
- 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...
- 24 Days Ago
Certified Medical Assistant- Correctional
- Staff Today Inc.
-
Sapulpa, OK
CONTRACTOR
- Health Advocates Network is currently seeking a Certified Medical Assistant- Correctional to work at a Facility in Cushing , OK. These are registry positions with our company.Shift: DaysRate: $27/hrQu...
- 6 Days Ago
Medical Office Manager
- Abundant Medical Solutions
-
Tulsa, OK
FULL_TIME
- We are seeking a highly organized and experienced Medical Office Manager to join our team! Medical Office Manager Pay: DOE- highly competitive Medical Office Manager Hours: M-Thurs 8am to 5pm and Frid...
- 1 Month Ago
Credentialing Specialist
- Red Rock Behavioral Health Services
-
Oklahoma, OK
FULL_TIME
- SummaryThe Credentialing Specialist ensures all clinicians are credentialed with the Oklahoma Health Care Authority, Medicare, and other Private Insurance Companies. Assist in keeping Red Rock’s crede...
- 7 Days Ago
Medical Staff Credentialing Manager jobs at Popular Companies
Human Resources Credentialing Manager
- Acacia Network
-
Bronx, NY
- Human Resources Human Resources Credentialing Manager Bronx, NY : 6/4/2024 Job Description Job ID#: 3914 Job Category: H...
- 6/11/2024 12:00:00 AM
Credentialing Manager
- PsychPlus
-
Houston, TX
- Why Psychplus? The current delivery model for mental health care is broken in this country. Psychplus set out on a missi...
- 6/10/2024 12:00:00 AM
Credentialing Manager
- Mindful Support Services
-
Mountlake Terrace, WA
- About the Role: The Credentialing Manager is responsible for the day-to-day management of the Credentialing and Complian...
- 6/10/2024 12:00:00 AM
CREDENTIALING MANAGER
- USA Clinics Group
-
Chicago, IL
- At USA Clinics Group, we use our expertise to provide the best possible service for our patients. Our team members are p...
- 6/10/2024 12:00:00 AM
Project Coordinator
- Northland Controls
-
Austin, TX
- Job Details Job Location Austin, Texas - Austin, TX Description Job Description JOB MISSION The mission of the Project S...
- 6/10/2024 12:00:00 AM
CyberArk Engineer
- Veracity Software Inc
-
Charlotte, NC
- Job Title: CyberArk Engineer Duration: 12 Months Location: Charlotte, NC – Hybrid Role W2 Candidates Only Job Descriptio...
- 6/10/2024 12:00:00 AM
Health Information / Credentialing Manager
- Banner Rehabilitation Hospital Phoenix
-
Phoenix, AZ
- Overview: Banner Rehabilitation Hospital - Phoenix *In Partnership with Select Medical* Health Information and Credentia...
- 6/8/2024 12:00:00 AM
CyberArk Engineer
- REALCODERZ
-
Charlotte, NC
- Job Title: CyberArk Engineer Duration: 12 Months Location: Charlotte, NC – Hybrid Role Job Descriptions: · Lead computer...
- 6/7/2024 12:00:00 AM
About Oklahoma
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
$89,502 to $115,413
Most Popular Cities in Oklahoma for Medical Staff Credentialing Manager Jobs
What does a Medical Staff Credentialing Manager do?
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