Medical Staff Credentialing Specialist processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist handles and resolves inquiries regarding credentialing information, process, or status. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Staff Credentialing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Description
Maryland Wellness (formerly known as BACHS Healthcare) is seeking a detail-oriented Credentialing Specialist to join our team! As part of the Billing Department, this position’s primary focus is to maintain current and accurate credentialing records for providers. As the Credentialing Specialist, you will be responsible for maintaining and ensuring that every rendering provider is legally licensed and/or credentialed. You will monitor and maintain updated provider data in credentialing-related databases and advise staff members on renewal dates for licenses and credentials to help ensure they can continue to work legally without lapses. You must be able to work both independently and as part of a team to ensure that the services rendered will be covered by the respective payers. You will be responsible for conducting any necessary research to ensure that the rendering providers and organization are up to date on medical policy, local licensing and certification requirements.
This position is an incredible opportunity to make a difference in the lives of others! If you are passionate about creating positive change within your community by serving those in need, then we encourage you to apply and join our team.
At Maryland Wellness, one of our core values is diversity and inclusion. By engaging the strengths and talents of each team member, we have developed a strong organization that is capable of providing remarkable care to our clients, families, and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.
Requirements
Essential Duties & Responsibilities
Required Skills & Abilities:
Required Experience & Education
Employee Benefits
At Maryland Wellness, our employees work hard to help improve the lives and well-being of people every single day. That is why we are committed to providing competitive opportunities and comprehensive benefits that support a healthy life for you and your family when you join our team. Some of these include:
*For our fee-for-service contractor (1099) roles: we remain committed to your health and wellness, and we work diligently to ensure that you are connected with the right tools and resources to find the best plans or packages for your individual needs.
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