925 medical staff supervisor jobs found

POSITION SUMMARY The Supervisor, Medical Staff Services & Credentialing, is responsible for the day-to-day operational supervision, oversight, and performance management of the Medical Staff Office credentialing team and administrative support functions. This role ensures that all medical staff credentialing, privileging, reappointment, and related Medical Staff processes are executed in full compliance with The Joint Commission (TJC), CMS, Medicaid, NCQA, Medical Staff Bylaws, and organizational policies. In addition, the Supervisor serves as a key operational partner to the Senior Director of Physician Services and the Delegation Analyst to ensure alignment, accountability, and consistency across credentialing and delegated credentialing functions. While the Supervisor does not own delegation work as a primary responsibility, they are expected to collaborate, escalate issues, support operational problem-solving, and provide leadership coverage as needed, including...

Supervisor of Medical Staff Services Additional Position Details: FTE: 1.000000 | Full Time | Primarily Mon - Fri / 8AM - 5PM | This is not a remote position Starting Wage for this exempt position: $39.91-$54.89 hourly, depending on experience Position Summary The Supervisor of Medical Staff Services is responsible for coordinating Asante's centralized credentialing. They collaborate with the director of Medical Staff Services to manage, direct, coordinate, facilitate, and allocate resources for the credentialing of physicians and allied health professionals requesting privileges or affiliation with all Asante hospitals and Asante Physician Partners. They supervise the credentialing specialists responsible for completing primary source verification of these practitioners for initial appointment and reappointment. They ensure regulatory and institutional compliance with credentialing standards for the Organized Medical Staff and Advanced Practice Professionals, including DNV,...

Supervisor, Medical Staff Credentialing Department:#### Medical Staff Administration Reports to: VP # Chief Medical Officer Salary:# $65K - 80K, Negotiable Job Summary: A great opportunity for someone with Credentialing#experience to supervise and coordinate the day-to-day operations of the Medical Staff Administrative office. Responsible for coordinating, monitoring and maintaining the credentialing and re-credentialing process.# Facilitates all aspects of credentialing, including appointment, reappointment, monitoring and privileging for medical staff and allied health practitioners.# Ensures compliance with accrediting and regulatory agencies (Joint Commission, DOH, CMS) regarding credentialing while developing and maintaining a working knowledge of the statutes and laws.# Responsible for the accuracy and integrity of the credentialing and clinical privileging database system and for ensuring the timeliness of credentialing/re-credentialing verification. Essential Job...

Position Summary Supervisor, Medical Staff Services About Orlando Health Wiregrass Ranch Hospital 3000 Wiregrass Ranch Blvd, Wesley Chapel, FL 33543 Opening soon in Wesley Chapel, Orlando Health Wiregrass Ranch Hospital will bring world-class healthcare closer to the growing communities of Pasco County. This state-of-the-art facility is designed to deliver advanced medical services, innovative technology, and compassionate care in a modern, patient-centered environment. As part of the Orlando Health network, Wiregrass Ranch Hospital will offer access to a comprehensive range of specialties, highly skilled physicians, and the trusted quality that Orlando Health is known for. Our mission is to provide exceptional care while fostering a culture of collaboration, excellence, and community engagement. Position Summary Oversees the day-to-day supervision and coordination of credentialing, privileging, and administrative support activities within the Medical Staff...

Supervisor Medical Staff Services Leads, plans, organizes and is responsible for the day to day operations of the Medical Staff Services Department so that all aspects of the Organized Medical Staff are supported, including credentialing activities, professional relations, meeting management, and peer review activities. Additionally, compliance is maintained, with accrediting and regulatory agencies as related to the Medical Staff, including (but not limited to) Joint Commission, DNV, HFAP, CMS, OSHA, and State and Federal Law and other standards and regulations. Major Responsibilities: Implements, coordinates, monitors, and maintains effective credentialing processes for the process of appointment, reappointment and credentialing for the designated medical staff organizations. Ensures these are executed by according to policy, to ensure compliance with bylaws, policies, and rules and regulations of the medical staff and accreditation and legal requirements. Serves as...

Join to apply for the Supervisor Medical Staff Svcs role at CHI Job Summary and Responsibilities The overall function and responsibility of this position is to ensure the coordination of the credentialing provided by the CHI Health Centralized Credentialing Office. This includes both internal credentialing for CHI Health Facilities as well as credentialing services provided by the CHI Health Credentialing Verification Organization. This includes providing leadership and supervision of staff in the continuous and accurate credentialing of physicians and advanced practice clinicians, assuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, federal and state), as well as Medical Staff Bylaws, Rules and Regulations, policies and procedures, and delegated contracts. Discretion is required at all times in sensitive and confidential matters. Responsibilities Has the authority to interview, hire, orient, terminate, promote, train and conduct performance...

A health care organization is seeking a Supervisor for Medical Staff Services in Kearney, Nebraska. This full-time role focuses on ensuring accurate credentialing processes for physicians and advanced practice clinicians. Responsibilities include staff supervision, liaising with internal and external customers, and managing performance. Candidates should have a Bachelor's degree with relevant experience or a Master's degree in the field. The position offers a pay range of $18.96 - $26.78 per hour and is classified at the mid-senior level. #J-18808-Ljbffr

A leading healthcare institution in Wesley Chapel seeks a Supervisor for Medical Staff Services. The role involves overseeing credentialing, privileging, and administrative support, ensuring compliance with regulatory standards. Candidates should have at least an Associate's degree in healthcare or a related field, with preferred certifications and experience in medical staff services. This position offers competitive compensation, benefits, and opportunities for professional development. #J-18808-Ljbffr

Department: 10116 Enterprise Corporate - Administration: Medical Staff Services Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: This role covers two hospital sites Condell Medical Center and Good Shepherd Hospital. It is also hybrid. 2-3 days a week in office and the rest from home. Pay Range $30.70 - $46.05 Leads, plans, organizes and is responsible for the day to day operations of the Medical Staff Services Department so that all aspects of the Organized Medical Staff are supported, including credentialing activities, professional relations, meeting management, and peer review activities. Additionally, compliance is maintained, with accrediting and regulatory agencies as related to the Medical Staff, including (but not limited to) Joint Commission, DNV, HFAP, CMS, OSHA, and State and Federal Law and other standards and regulations. Major Responsibilities: Implements, coordinates,...

Leads, plans, organizes and is responsible for the day to day operations of the Medical Staff Services Department so that all aspects of the Organized Medical Staff are supported, including credentialing activities, professional relations, meeting management, and peer review activities. Additionally, compliance is maintained, with accrediting and regulatory agencies as related to the Medical Staff, including (but not limited to) Joint Commission, DNV, HFAP, CMS, OSHA, and State and Federal Law and other standards and regulations. Major Responsibilities Implements, coordinates, monitors, and maintains effective credentialing processes for the process of appointment, reappointment and credentialing for the designated medical staff organizations. Ensures these are executed by according to policy, to ensure compliance with bylaws, policies, and rules and regulations of the medical staff and accreditation and legal requirements. Serves as resource person on credentialing/privileging,...

Job Summary Supervises team to review and request primary source information and verifications. Proactively identifies, suggests improvements to, and provides resolution for complex gaps in vendor relationships. Serves as an escalation point of contact for external queries regarding practitioner status. Evaluates applications and supporting highly complex documents. Guides team to conduct improvements to credentialing and privileging processes. Guides and supervises team to evaluate complex practitioner sanctions. Participates in surveys and audits of credentialing entities. Facilitates and implements strategic initiatives cost-effective due process. Identifies and provides leadership to resolve adverse actions/issues. Leads and evaluates audits of data between different departments. Conducts and supervises the facilitation and orientation and training to newly appointed physician leaders. Develops highly complex informational documents. Maintains working relationships with key...

Job Summary Supervises team to review and request primary source information and verifications. Proactively identifies, suggests improvements to, and provides resolution for complex gaps in vendor relationships. Serves as an escalation point of contact for external queries regarding practitioner status. Evaluates applications and supporting highly complex documents. Guides team to conduct improvements to credentialing and privileging processes. Guides and supervises team to evaluate complex practitioner sanctions. Participates in surveys and audits of credentialing entities. Facilitates and implements strategic initiatives cost-effective due process. Identifies and provides leadership to resolve adverse actions/issues. Leads and evaluates audits of data between different departments. Conducts and supervises the facilitation and orientation and training to newly appointed physician leaders. Develops highly complex informational documents. Maintains working relationships with key...

SUMMARY: This position is responsible for supporting the Professional Medical Billing team by posting payments, capturing/working denials, and working outstanding accounts receivable (A/R) balances and other assigned duties as needed. They will be responsible for assisting in analysis and resolutions of clinic reimbursement issues, clinical statistics, recommending CDM updates for clinic services and assisting Management with other billing responsibilities as assigned. ESSENTIAL FUNCTIONS : Perform posting charges and completion of claims to payers on time Review transmitted claim via clearing house, working rejected claims as needed Review patient bills for accuracy and completeness, and obtain any missing information Prepare, review, and transmit claims using billing software, including electronic and paper claim processing Follow up on unpaid claims within a standard billing cycle timeframe Check each insurance payment for accuracy and compliance with...

Job Description Job Description SSM Health Dermatology's mission is to strive as a team for excellence by providing the most comprehensive, patient-centered care every day. We are looking for a Patient Scheduling Representative to contribute in their own unique way to our Company’s exceptional services and performance for our patients Objective: Under the general guidance of leadership, the Medical Billing Supervisor is responsible for the daily oversight of billing and revenue cycle operations, ensuring timely and accurate submission of claims, resolution of denials, and compliance with all payer requirements. This role directly supervises billing team members, provides performance management, conducts routine employee development meetings, and monitors key performance metrics to support organizational efficiency and financial objectives. The Medical Billing Supervisor serves as an advanced resource to staff, providers, and internal departments, while maintaining a high...

Provider Coding Specialist Join Team Tidelands and help people live better lives through better health! Provider Coding Specialist Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider we are also one of our area's largest employers. More than 2500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day. A Brief Overview Under the supervision of the Coding Supervisor the Provider Coding Specialist is responsible for analyzing and assigning ICD-10-CM diagnostic codes CPT and HCPCS codes to professional surgical patient accounts based on the medical information provided and consistent with regulatory guidance and best practices in the industry and Organization policy and procedure. Abides by the Standards of Ethical Coding as set forth by AHIMA and AAPC. Abstracting required clinical information from the medical record. Queries physicians as...

Salary Range: $30.55 - $46.75 Hourly Would you like to have a career that makes a daily difference in people's lives? Do you want to be part of a caring, respectful, diverse community? If you answered yes to these questions, keep reading! HealthPoint is a community-based, community-supported and community-governed network of non-profit health centers dedicated to providing expert, high-quality care to all who need it, regardless of circumstances. Founded in 1971, we believe that the quality of your health care should not depend on how much money you make, what language you speak or what your health is, because everyone deserves great care . Position Summary: Responsible for oversight and supervision of daily back office medical center operations, ensuring implementation and compliance with all HealthPoint policies and procedures. Compensation is dependent on skills and experience. Your contribution to the team includes: Responsible for new employee...

Summary This position plans, directs, controls and supervises the overall financial, operational and functional activities of assigned physician practices within MyMichigan Health, assists in the short and long-term planning of assigned practices to maximize growth, efficiency, profitability and maintenance of the practices. Manages the day-to-day practice operations to ensure compliance to all organizational and department policies and procedures follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement Amendments (CLIA) regulations, and all appropriate regulatory agencies. The Supervisor will be responsible for scheduling and processing worked hours for pay; will assist in the annual budget process; and may have responsibility for patient record transfer and retention process. They will oversee the training and evaluations of any employees, students, and float staff. They serve as administrative representative, patient advocate and...

Insurance Billing And Collections Specialist Education, Experience, and Licensing Requirements: High school diploma, GED, or equivalent University/college degree, or experience in medical records, claims or billing areas is an asset. CCA (AHIMA) CCS (AAPC) or greater Expectations of Role: Manages the insurance billing and collections processes. Excellent organizational skills and attention to detail. Processes, tracks claims, and ensures accuracy and timeliness in the billing process. Provides excellent customer service to our clients. Inputs patient information into the practice's billing software. Submits claims to insurance companies and follows up on unpaid claims. Posts ERA payments, resolves any issues that arise with claims or payments. Maintains accurate records of billing and collection activities. Generates monthly reports to track billing and collection performance. Accounts for coding and abstracting of patient encounters, including procedural...

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates plan of action...