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)
Job Overview:
We are seeking a detail-oriented Credentialing Specialist to join our team. The ideal candidate will ensure that all healthcare providers meet the necessary qualifications and standards to deliver patient care.
Responsibilities:
- Manage the credentialing process for healthcare providers, ensuring compliance with all regulations and standards
- Verify provider credentials, including education, training, licensing, and certifications
- Maintain accurate and up-to-date provider files and databases
- Communicate with providers to obtain missing or incomplete information
- Collaborate with internal teams to facilitate the credentialing process
- Stay current on industry regulations and best practices related to credentialing
Requirements:
- Previous experience in medical office credentialing or related field
- Knowledge of managed care organizations and credentialing standards
- Familiarity with medical terminology and healthcare regulations
- Strong attention to detail and organizational skills
- Excellent communication and interpersonal abilities
If you meet these requirements and are passionate about ensuring quality healthcare delivery through effective credentialing processes, we invite you to apply for this rewarding opportunity.
Job Type: Contract
Pay: $25.00 - $30.00 per hour
Expected hours: 40 per week
Schedule:
Education:
Ability to Relocate:
Work Location: In person
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