133 supervisor credentialing jobs found

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

Job Description - Supervisor, Medical Staff Credentialing (260000PX) Job Description Supervisor, Medical Staff Credentialing - ( 260000PX ) Description The Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical Staff Department. Performs supervisory duties, including training, evaluating, and the day-to‑day management of the Medical Staff team. The Supervisor is accountable for quality and integrity of data entered into systems and monitors administrative activities related to the Medical Staff Office. Collaborates with the Director to assign work to team members, assuring timely completion of project milestones and deliverables as appropriate. Emphasis is placed on customer services, provider satisfaction, staff development and fiscal goals. Supervises and oversees all credentialing services, provides onboarding assistance to the medical staff, assists...

Riverside Health in Newport News, Virginia is seeking a Credentialing Supervisor to oversee centralized credentialing operations. This role is responsible for supervising credentialing specialists, ensuring timely processing of provider credentialing activities, and maintaining compliance with regulations. Candidates should have an Associate's Degree in a relevant field, experience in administrative tasks, and supervisory experience. Preferred qualifications include a Bachelor's Degree and a CPCS certification. This position offers a chance to contribute significantly to operational excellence in healthcare. #J-18808-Ljbffr

Job Summary Under limited supervision, the Credentialing Supervisor oversees system-wide credentialing and privileging operations across all Vandalia Health North hospitals (7-9 facilities). This role supervises a team of Credentialing Specialists, ensuring that credentialing, recredentialing, and privileging functions are timely, accurate, and compliant with all regulatory and accreditation standards. The Supervisor partners with the Senior Director of Medical Affairs, hospital leadership, and medical staff committees to maintain operational excellence, data integrity, and continuous improvement within the Medical Staff Office. The Credentialing Supervisor serves as the primary interface with hospital and system business owners for credentialing, privileging, and compliance-related initiatives. This position also functions as the MD-Staff super-user for Vandalia Health North, supporting system configuration, troubleshooting, training, and reporting. The Supervisor leads all...

The Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical Staff Department. Performs supervisory duties, including training, evaluating, and the day-to-day management of the Medical Staff team. The Supervisor is accountable for quality and integrity of data entered into systems and monitors administrative activities related to the Medical Staff Office. Collaborates with the Director to assign work to team members, assuring timely completion of project milestones and deliverables as appropriate. Emphasis is placed on customer services, provider satisfaction, staff development and fiscal goals. Supervises and oversees all credentialing services, provides onboarding assistance to the medical staff, assists in the supervision of various information systems used in credentialing functions, and oversees the process for delegated credentialing. Qualifications:...

Supervisor, Medical Staff Credentialing The Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical Staff Department. Performs supervisory duties, including training, evaluating, and the day-to-day management of the Medical Staff team. The Supervisor is accountable for quality and integrity of data entered into systems and monitors administrative activities related to the Medical Staff Office. Collaborates with the Director to assign work to team members, assuring timely completion of project milestones and deliverables as appropriate. Emphasis is placed on customer services, provider satisfaction, staff development and fiscal goals. Supervises and oversees all credentialing services, provides onboarding assistance to the medical staff, assists in the supervision of various information systems used in credentialing functions, and oversees the process for...

Riverside Medical Group. is seeking a Medical Staff Services Supervisor in Newport News, Virginia. This full-time role involves overseeing the credentialing operations and ensuring compliance with established timelines and quality standards. Candidates must have at least 2 years of administrative or credentialing experience, with 1 year in a supervisory role. An Associates Degree is required, and a Bachelor's Degree along with CPCS certification is preferred. Join us to make a positive impact on people's lives and enjoy great benefits. #J-18808-Ljbffr

Job Description - Supervisor, Medical Staff Credentialing (260000PX) Job Description Supervisor, Medical Staff Credentialing - ( 260000PX ) Description The Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical Staff Department. Performs supervisory duties, including training, evaluating, and the day-to‑day management of the Medical Staff team. The Supervisor is accountable for quality and integrity of data entered into systems and monitors administrative activities related to the Medical Staff Office. Collaborates with the Director to assign work to team members, assuring timely completion of project milestones and deliverables as appropriate. Emphasis is placed on customer services, provider satisfaction, staff development and fiscal goals. Supervises and oversees all credentialing services, provides onboarding assistance to the medical staff, assists...

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,...

Medical Staff Services Department Manager 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 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...

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...

Position Summary Find out more about this role by reading the information below, then apply to be considered. Reporting to the Director of Imaging Services, provides direct supervision of Nuclear Medicine staff and operations. Performs procedures in compliance with the Holyoke Medical Center's mission statement, policies, and standards of care and the philosophy, policies, procedures, and goals of the Nuclear Medicine department. The scope of patient services provided encompasses age groups ranging from infant to geriatrics. Accountabilities include providing appropriate services, positive customer, interdepartmental, and intradepartmental communications, while maintaining and improving competencies. Minimum Qualifications Education: Graduate of an accredited program in nuclear medicine or an allied health field Licenses/Registrations: Current certification by the Nuclear Medicine Technology Certification Board, or American Association of Radiologic xywuqvp...

About Rotech Join a Leader in Home Healthcare At Rotech Healthcare Inc ., we're more than a medical equipment provider-we're a trusted partner in patient care. As a national leader inventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home. With hundreds of locations across 45 states, our team delivershigh-quality products,exceptional service, andcompassionate supportthat helps patients live more comfortably, independently, and actively. Whether you're a clinician, technician, or healthcare administrator, your work at Rotech directly improves lives. Explore more about our mission and services at Rotech.com. Overview and Responsibilities Job Summary We are seeking a dedicated Customer Service Supervisor to join our team. In this position, you are responsible for overseeing and participating in customer service activities to maintain all Rotech...

Job Type Full-time Description POSITION SUMMARY The AR Medical Payment Specialist Supervisor is responsible for researching outstanding balances and determining correct action to be taken to ensure maximum reimbursement. Must take the lead on corrective actions for accounts with outstanding balances in a timely manner to obtain reimbursement. Responsible for processing correspondence relating to the financial status of an account. Responsible for recognizing trends for denials and reimbursement issues and reporting such to the Accounts Receivable & Collection Manager. Monitors Billing Staff performance and productivity and meets with Accounts Receivable & Collection Manager regarding updates on appropriate utilization and quality assurance. Work is typically performed in an office environment, but this position may have the option to work from home. The specific statements for this job description are not intended to be all inclusive. They represent typical...

Job Description Job Description   ** credentialing experience a plus   ** collecting experience a plus General Accountabilities Determines appropriate charges based on services provided. Reviews patient accounts to ensure accuracy and completeness of claims billing for maximum reimbursement. Reviews explanations of benefits from third party payers to determine if payment was made correctly and if denials can be re-billed. Analyzes and maintains reports to ensure timely submission of claims. Identifies problem accounts requiring further work. Provides information to insurance carriers or patients regarding patient accounts. Assists patients with billing problems. Notifies supervisor of ongoing problems. Maintains files on all documentation such as charge slips, Explanations of Benefits, and client or patient information. Prepares and distributes reports. Refers accounts to collectors in accordance with policy. Performs other related duties as assigned or requested. *The...

Cardiac Intensive Care Unit Nursing Supervisor The Cardiac Intensive Care Unit (12 CICU) is a 16-bed adult cardiac medicine intensive care unit. The unit specializes in patients who have heart failure, acute MI, cardiomyopathy, pulmonary hypertension, congenital heart defects, bridge to transplant, as well as patients requiring interventions. Patients may require the following therapies: Swan-Ganz catheter with FICK calculations, intra-aortic balloon pumps, Impella devices, CRRT, or Therapeutic Hypothermia. 12 Medical Acute Care (12 MAC) is a 32-bed adult cardiac/telemetry/stepdown unit. 12MAC nurses provide specialty care for a variety of cardiology patients. Common diagnoses include heart failure, arrhythmias, acute coronary syndrome, and pulmonary hypertension. The patient population includes those with Implanted Ventricular Assist Devises (VADs) and those receiving prostacyclin infusions. Staff members collaborate with the inter-disciplinary team to provide the best care...

Opportunities At Change Healthcare Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing Together. Job Description: The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process. Hours:...

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...

Newport Children's Medical Group provides expert, compassionate pediatric care for children of all ages, from newborns to adolescents, at its locations in Newport Beach, Irvine, Costa Mesa, and Laguna Beach. We are currently looking to hire a Medical Office Supervisor in the city of Newport Beach, CA . Experience in Pediatrics preferred. Job Type: Full-Time, Direct Hire Hours: Mon-Fri, 8-hour shifts Pay: $22-26 per hour Position Summary: To ensure all aspects of the medical office are managed effectively to comply with physician/company policies and procedure and state/federal regulations. To oversee the day-to-day operations of the office (e.g. administrative, financial, personnel and patient services) for the purpose of promoting an environment of excellence and professionalism. To step in and assist in all areas, both front and back office, when necessary. ESSENTIAL FUNCTIONS: Administrative: Meets with physicians routinely to maintain...

Medical Coder Location: Greater Baltimore Area Type/Duration: Contract, 13 weeks possible extensions Pay: $15-40/hour We are currently staffing for Medical Coders across several Hospital locations and units. This is a Generic Post for Personnel, who would be working in a Hospital setting in the greater Baltimore area. Specifics on Pay, Location, Unit, and Hours would be provided during your interview. JOB SUMMARY: Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of records within the facility. Meets departmental accuracy and production standards. Reviews medical records to determine the providers diagnosis/procedures for unit and assigns ICD-10-CM codes, CPT, and facility E&M levels to those diagnoses/procedures. Reviews the entire record for codable information. Uses resources (Coding references and guidelines, Coding Clinics, Auditors, CDI staff, Co-workers, internet, etc.) for guidance on coding as...

Job Description The Pharmacist Supervisor oversees pharmacy operations and manages a team of direct reports, ensuring regulatory compliance, medication safety, and efficient workflow. This role is responsible for staff training, performance development, and cross-functional communication, while supporting specialty areas such as IV operations, medication safety, or operational services. The supervisor participates in quality improvement initiatives, mentors staff and collaborates with the pharmacy leadership team to achieve departmental goals and maintain high standards of patient care. General Responsibilities: Demonstrate knowledge of standards and regulations and maintains proper documentation. Assure readiness with all regulatory agencies and compliance with department, hospital, and AH policies and procedures. Assist in the documentation, implementation, and monitoring of medication and patient safety initiatives. Maintain safe and efficient operations and...

Pharmacist Supervisor The Pharmacist Supervisor oversees pharmacy operations and manages a team of direct reports, ensuring regulatory compliance, medication safety, and efficient workflow. This role is responsible for staff training, performance development, and cross-functional communication, while supporting specialty areas such as IV operations, medication safety, or operational services. The supervisor participates in quality improvement initiatives, mentors staff and collaborates with the pharmacy leadership team to achieve departmental goals and maintain high standards of patient care. General Responsibilities: Demonstrate knowledge of standards and regulations and maintains proper documentation. Assure readiness with all regulatory agencies and compliance with department, hospital, and AH policies and procedures. Assist in the documentation, implementation, and monitoring of medication and patient safety initiatives. Maintain safe and efficient operations and...

RN Perioperative Nurse Supervisor Leadership position to utilize valued experience to perform leadership, administrative, and clinical duties serving the Vascular, Thoracic & Endovascular Service line. In addition to the responsibilities of a Surgical Nurse, the RN Perioperative Nurse Supervisor is responsible for functioning in the role of team facilitator/specialty team coordinator. Supervising health care team members on the specialty team. Assisting with orientation, training, and education of personnel on their specialty team. Acting as a liaison between surgeons, management, and team members on their specialty team and in the Operating Room as a whole. Principal Accountabilities: Preferred Knowledge of the following Vascular, Thoracic & Endovascular specialties Performs all aspects of clinical patient care Serves in a leadership role, collaborating and coordinating patient care activities among the specialty team Identifies needs and develops/modifies patient...

Job Description Job Description Overview Join a Leader in Home Healthcare At Rotech Healthcare Inc ., we’re more than a medical equipment provider—we’re a trusted partner in patient care. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home. With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. Whether you're a clinician, technician, or healthcare administrator, your work at Rotech directly improves lives. Explore more about our mission and services at Rotech.com. Responsibilities Job Summary We are seeking a dedicated Customer Service Supervisor to join our team. In this position, you are responsible for overseeing and participating in customer service...