Top 1587 Patient services manager Jobs in Miami, Fl

Credentialing Manager
Confidential —Miami, FL
- Full-time
- 5 years
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Assistant Manager Patient Care, Med/Surg-Neuro, 2C,$20000 Bonus
Baptist Health South Florida —Miami, FL
- $102,570.20 - $136,418.37 a year
- Nursing
- RN License
- PALS Certification
- Wellness program
- Health insurance
Admissions RN
VITAS Healthcare —Kendall, FL
- $35 - $36 an hour
- Full-time
- RN License
- Mid-level
- Home health
- Disability insurance
- Health insurance
Quick Apply
Manager Social Work & Care Management, Case Management, FT,9A-5:30P
Baptist Health South Florida —Miami, FL
- $91,132.84 - $118,472.69 a year
- Full-time
- Hospital
- 5 years
- Licensed Clinical Social Worker
- Wellness program
- Health insurance
Office Manager
iRegMed —South Miami, FL
- $45,000 - $55,000 a year
- Urgently hiring
- Private practice
- Spanish
- Microsoft Excel
- Health insurance
- Employee discount
Quick Apply
6d
Patient Services Manager
Mount Sinai Medical Center - Florida —Miami, FL
- Full-time
- Hospital
- ServSafe
- Mid-level
- Wellness program
- Disability insurance
Quick Apply
7d
Patient Access Representative
Mount Sinai Medical Center - Florida —Miami, FL
- Full-time
- Hospital
- HIPAA
- High school diploma or GED
- Wellness program
- Disability insurance
Quick Apply
Front Desk Receptionist
Mount Sinai Medical Center - Florida —Miami, FL
- Full-time
- Hospital
- HIPAA
- High school diploma or GED
- Wellness program
- Disability insurance
Quick Apply
12d
Patient Finance Specialist, Full-Time, Days
Jackson Health —Miami, FL
- Full-time
- Inpatient
- High school diploma or GED
- Bachelor's degree
Quick Apply
1d
Regional Outreach Manager, Behavioral Health
Author Health —South Florida, FL
- $63,000 - $68,000 a year
- Full-time
- Spanish
- Management
- Hospital
- Mileage reimbursement
- Paid holidays
Quick Apply
Senior Customer Success Manager, Technology and Digital, FT,8A - 4:30P
Baptist Health South Florida —Coral Gables, FL
- Full-time
- Bachelor's degree
- Agile
- Business Administration
- Wellness program
- Health insurance
1d
Regional Operations Director
Elevate ENT Partners —Miami, FL
- Full-time
- 5 years
- Master's degree
- Analysis skills
12d
Social Work Case Manager, Case Management, Per Diem,12A-8A
Baptist Health South Florida —Miami, FL
- $37.25 an hour
- Per diem
- Master of Social Work
- Hospital
- Adults
- Wellness program
- Health insurance
Social Work Case Manager, Case Management, $10000 Bonus,FT
Baptist Health South Florida —Miami, FL
- $60,249.48 - $78,324.32 a year
- Full-time
- Master of Social Work
- Hospital
- Adults
- Wellness program
- Health insurance
Practice Manager I - Adult Cardiac Services - FT Days - MPG Hollywood
Memorial Healthcare System —Hollywood, FL
- Full-time
- Mid-level
- High school diploma or GED
- Conflict management
3h
Manager, Health Center
Cano Health LLC —Miami, FL
- Full-time
- Spanish
- Oracle
- BLS Certification
Quick Apply
Environmental Services Supervisor, Environmental Services, FT,7A-3:30P
Baptist Health South Florida —South Miami, FL
- $21.24 - $27.61 an hour
- Full-time
- Management
- Hospital
- Writing skills
- Wellness program
- Health insurance
Practice Manager - Adult Pulmonology - FT - Days - MPG Hollywood
Memorial Healthcare System —Hollywood, FL
- Full-time
- Mid-level
- High school diploma or GED
- Conflict management
8d
Physician Practice Manager III - Physical Med & Rehab- FT - Days - MPG
Memorial Healthcare System —Hollywood, FL
- Full-time
- Mid-level
- High school diploma or GED
- Conflict management
Manager, Patient Access (H)
University of Miami —South Miami, FL
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance

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Credentialing Manager

Confidential
Miami, FL

Quick Apply

Job Details

Full-time

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Staff supervision
Healthcare staff management
Operations management
Team leadership
HIPAA
Employee relationship building
Database management
Bachelor's degree
Data management
Attention to detail
NCQA standards
Bachelor of Business Administration
Medicaid regulations
Business Administration
Business
General management

Full Job Description

The Credentialing Manager is a key corporate functional role for the organization that administers credentialing and provider enrollment services. This role is responsible for managing and monitoring processes and procedures that support credentialing, re-credentialing, expirable data management, and ensuring compliance with state and federal regulations.

Strategic Leadership

Analyze and implement process improvements to enhance credentialing efficiency.
Serve as a primary resource to employees with regards to issues, interpretation and application and department policies and procedures.
Conduct periodic audits of credentialing files and staff work product.

Operational Excellence

Coordinates with practice management, licensing agencies, and insurance carriers to complete credentialing and re-credentialing applications.
Develop and implement departmental controls and procedures to ensure accuracy and efficiency.
Ensure compliance with the credentialing requirements of the health plan partners and related regulatory and accrediting agency requirements.

Collaboration and Reporting

Collaborate with leadership on policy development and standardization of criteria/processes across the organization.
Monitor external credential databases to ensure data is updated and ready for quick retrieval and use by interested parties.
Oversee processes and review all reports related to adverse actions such as sanctions, licensure actions or limitations, and credentialing-related complaints.

Compliance

Ensure compliance with state and federal regulations related to the delivery and documentation of patient care.
Monitor the renewal of licenses and other documents subject to expiration, and ensure updates are forwarded to facilities and healthcare partners as renewals are received.
Develops and provides regular reports and presentations on the operations and progress of credentialing functions, including activity related to approvals, denials, and appeals.

Team Development

Direct the output of a team of employees and provide ongoing training as needed regarding new guidelines or updated processes/policies.
Foster a positive, collaborative work environment that promotes teamwork and cross-functional cooperation.

KNOWLEDGE, SKILLS & ABILITIES

Excellent communication skills (written and verbal), as well as exceptional people skills.
Exceptional leadership abilities, a problem-solving mindset, and a focus on team engagement and transparency.
Strong understanding and use of web-based credentialing applications.
Ability to manage multiple priorities in a fast-paced environment while working professionally, courteously, collaboratively, and cooperatively as part of a team.
Ability to build partnerships with management, staff, and stakeholders to achieve department and organizational goals and objectives.
Attention to detail and ability to analyze large amounts of data.
Proficient with Microsoft Office Suite, database administration, and scanning applications.

EDUCATION & EXPERIENCE

Minimum of 5 years of credentialing experience with at least 2 years in a supervisory role.
Bachelor's degree in business administration or a healthcare-related field.
Master's degree and/or relevant field preferred.
Database management skills include querying, reporting, and document generation.

SUPERVISORY RESPONSIBILITIES

Manage the Credentialing process and its associates.

WORKING CONDITIONS

General office working conditions.

Job Type: Full-time

Benefits:

401(k)
Dental insurance
Disability insurance
Health insurance
Life insurance
Paid time off
Vision insurance

Work Location: In person

Quick Apply

Refine Your Search

patient services manager jobs in miami, fl

Credentialing Manager

Assistant Manager Patient Care, Med/Surg-Neuro, 2C,$20000 Bonus

Admissions RN

Manager Social Work & Care Management, Case Management, FT,9A-5:30P

Office Manager

Patient Services Manager

Patient Access Representative

Front Desk Receptionist

Patient Finance Specialist, Full-Time, Days

Regional Outreach Manager, Behavioral Health

Senior Customer Success Manager, Technology and Digital, FT,8A - 4:30P

Regional Operations Director

Social Work Case Manager, Case Management, Per Diem,12A-8A

Social Work Case Manager, Case Management, $10000 Bonus,FT

Practice Manager I - Adult Cardiac Services - FT Days - MPG Hollywood

Manager, Health Center

Environmental Services Supervisor, Environmental Services, FT,7A-3:30P

Practice Manager - Adult Pulmonology - FT - Days - MPG Hollywood

Physician Practice Manager III - Physical Med & Rehab- FT - Days - MPG

Manager, Patient Access (H)

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