Medical Staff Credentialing Specialist jobs in Oceanside, CA

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)

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Credentialing Specialist
  • GLIA HEALTH MANAGEMENT LLC
  • San Marcos, CA FULL_TIME
  • Benefits:
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Opportunity for advancement
    • Paid time off

    The Neuron Clinic is a busy outpatient neurology practice with locations in Chula Vista, Temecula, and San Marcos, CA. We are passionate about delivering high-quality patient care that is science based. We are the fastest growing neurology group in Southern California with growing opportunities for career and leadership development.

    We are seeking a healthcare professional that is passionate about quality care and making a difference in our patients lives.

    Why Join the Team?
    • Competitive Compensation
    • Generous Health Insurance Coverage: Medical & Dental
    • Retirement Plan - Dollar for Dollar match
    • Paid Vacation Accruals
    • Paid Holidays
    • Work alongside extremely talented highly specialized doctors
    • Excellent Work-life Balance
    Summary
    Credentialing Specialists obtains, verifies, and analyzes all information on medical staff applicants for membership and privileges, and for reappointment. They ensure that applications new and existing are completed and reviewed to meet compliance regulations. Credentialing Specialist ensures provider credentialing with health plans. Credentialing Specialists often work independently. This requires the employee to be able to manage their workload effectively to meet set deadlines.

    Essential Duties and Responsibilities
    • Maintain compliance with all regulatory and accrediting institutions
    • Assess volume of applications to strategize production for timely outcomes
    • Facilitate communication with internal and external parties to properly update any needs
    • Participate in the development of internal credentialing processes
    • Keep accurate and compliant records in licensing, credentials, and insurance contracts
    Preferred Education and Experience
    • Demonstrated knowledge of credentialing principles, credentialing requirements/regulations related to an outpatient care facility
    • 1 year of experience in Healthcare, credentialing area preferred
    • Cert Provider Credential Spec (CPCS) or Cert Pro Medical Services Management (CPMSM) certificationMedical assisting education or other related education either in progress or completed, highly preferred
    Special Conditions of Employment
    • Furnish proof of COVID-19 vaccination
    Knowledge Skills and Abilities
    • Self-motivated and desire to learn and grow in healthcare
    • Strong attention to detail
    • Excellent analytical and critical thinking skills
    • Excellent verbal and written communication skills and the ability to communicate effectively with patients, providers and payors
    • The ability to prioritize and multitask efficiently and effectively
    • Strong commitment to actively supporting an ethical working environment
    • Strong knowledge of computer-based systems such as Excel, Word, and the Internet with the ability to quickly learn new systems.
    • Ability to compose, proofread and edit documents for accuracy
    • Bilingual English/Spanish preferred
    Schedule
    • 8 hour shift
    • Monday - Friday
  • Just Posted

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Credentialing Specialist
  • Southern California Spine
  • El Centro, CA CONTRACTOR
  • Would you like an exciting position as a Credentialing Specialist with growth potential with a talented group of teammates who genuinely cares about you as much as they do patient care? Then Southern ...
  • 24 Days Ago

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Credentialing Specialist
  • Southern Indian Health Council, Inc
  • Alpine, CA FULL_TIME
  • Job AnnouncementPosition Title: Credentialing SpecialistDepartment: BillingSupervised By: Revenue Cycle ManagerLocation: Alpine and CampoStatus: Hourly / Non-ExemptPosted: March 14th 2024Closing Date:...
  • 26 Days Ago

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Credentialing Specialist
  • ACES ABA
  • San Diego, CA FULL_TIME
  • Job Title: Credentialing Specialist Location: Remote Pay Range: $24.00-$26.00 (dependent on experience) About ACES: ACES is a rapidly growing autism services company dedicated to enhancing the quality...
  • 26 Days Ago

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Health System Specialist (Credentialing Coordinator)
  • Indian Health Service
  • Winterhaven, CA FULL_TIME
  • The primary purpose of this position is to develop, analyze, evaluate, and coordinate a variety of assignments and initiatives that assure a comprehensive system of primary care services in support of...
  • 11 Days Ago

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MEDICAL STAFF SERVICES DIRECTOR
  • El Centro Regional Medical Center
  • El Centro, CA FULL_TIME
  • Office Full Time Mar 18, 2024 The Medical Staff Services Director is responsible for the overall organization, coordination and administration of the Medical Staff Services Department and Professional...
  • 1 Month Ago

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0 Medical Staff Credentialing Specialist jobs found in Oceanside, CA area

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Physicist
  • Aya Healthcare
  • Escondido, CA
  • Aya Healthcare has an exciting 13-week contract opportunity in Escondido, CA! Job Details: JOB TITLE: Medical Physicist ...
  • 4/25/2024 12:00:00 AM

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Internal Revenue Agent- Senior Revenue Agent (Examiner), 12-month Roster
  • Department Of The Treasury
  • San Marcos, CA
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at:...
  • 4/25/2024 12:00:00 AM

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Physicist
  • Aya Healthcare
  • Escondido, CA
  • Aya Healthcare has an exciting 13-week contract opportunity in Escondido, CA! Job Details: JOB TITLE: Medical Physicist ...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - DIRECT HIRE (12 Month Register) AMENDED
  • Department Of The Treasury
  • San Marcos, CA
  • Duties WHAT ARE THE APPEALS (AP), LARGE BUSINESS AND INTERNATIONAL (LB&I), SMALL BUSINESS SELF-EMPLOYED (SB/SE) AND TAX ...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Examiner-Joint Committee Specialist) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • San Marcos, CA
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at: h...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - (Temp NTE 1 Year, MBE, MBMP) 12 MONTH ROSTER (AMENDED)
  • Department Of The Treasury
  • San Marcos, CA
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SB/SE)DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Employment Tax Specialist - Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • San Marcos, CA
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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LPN Med Care Manager
  • Sunrise Senior Living
  • Oceanside, CA
  • Overview The LPN Medication Care Manager is responsible for providing the highest degree of quality care and services by...
  • 4/16/2024 12:00:00 AM

Oceanside is a coastal city located on California's South Coast. It is the third-largest city in San Diego County, California. The city had a population of 167,086 at the 2010 census. Together with Carlsbad and Vista, it forms a tri-city area. Oceanside is located just south of Marine Corps Base Camp Pendleton. Oceanside is at 33°12′42″N 117°19′33″W / 33.21167°N 117.32583°W / 33.21167; -117.32583 (33.211566, -117.325701). According to the United States Census Bureau, the city has a total area of 42.2 square miles (109 km2), of which 41.2 square miles (107 km2) is land and 0.9 square miles ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$47,949 to $60,316
Oceanside, California area prices
were up 2.6% from a year ago

Medical Staff Credentialing Specialist in Shreveport, LA
The University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance.
December 08, 2019
This position will review credentialing/privileging information for accuracy and primary source verify all information in accordance all regulatory agencies and University of Kentucky policies and procedures.
December 06, 2019
Medical Staff Credentialing Specialist in Brownsville, TX
In addition, the Medical Staff Services Facility Specialist provides information and guidance regarding medical staff bylaws, medical staff ruled and regulations, allied health professionals (AHP) policies, Joint Commission for Accreditations of Healthcare Organizations (JCAHO) and Center for Medicare and Medicaid Services (CMS) and other regulatory agencies as they pertain to medical staff and allied health professionals.
December 05, 2019
Medical Staff Credentialing Specialist in Cincinnati, OH
Under minimal supervision coordinates, monitors and maintains the credentialing and re-credentialing process for the Medical Staff and Allied Health Professionals.
February 13, 2020