Medical Staff Credentialing Specialist jobs in Toledo, OH
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)
Recently Added Medical Staff Credentialing Specialist jobs
Credentialing Specialist
- 9000 Bon Secours Mercy Health Inc
-
Toledo, OH
FULL_TIME
- Thank you for considering a career at Bon Secours Mercy Health! Primary Function/General Purpose of Position The Credentialing Specialist facilitates Credentials Verification Organization (CVO) provider application and data collection, application processing and Primary Source Verification (PSV) for the organization. Supports the organization's on-boarding and off boarding processes. This role follows established standard operating procedures and market specific medical staff bylaws and demonstrates exceptional customer service, communication, reliability and commitment to quality. Essential Job Functions Follows a standardized comprehensive credentialing application and data collection, application processing, and primary source verification processes that comply with all applicable regulatory standards. Executes credentialing application and data collection, application processing, primary source verification for all new applicants and applicants for re-credentialing. Assures applications are correct, complete, resolves discrepancies in compliance with all applicable regulatory standards. Assures files and documents are ready for Medical Director review, including all Credential Committees and Medical Staff Office (MSO). Works with the credentialing auditors to correct any deficiencies. Organizes and maintains provider data and files. Processes applications timely and ensures that quality benchmarks are met with regards to turnaround times, accuracy of information and other CVO and regulatory metrics. Assures that provider database is maintained with new and updated accurate provider information. Follows all regulatory requirements related to the primary source verification process for medical staff and managed care compliance. Completes credentialing compliance check points to assure that files are ready for release. Maintains awareness of The Joint Commission (TJC), National Committee for Quality Assurance (NCQA), Center for Medicare/Medicaid (CMS) and other regulatory compliance guidelines through the organization's CVO provided continuing education. Demonstrates excellent professional communication skills while interacting with colleagues, customer relations and MSO representatives, and leadership to collect missing information or resolve issues. Maintains a strong respect for privacy and confidentiality. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification Certified Professional Medical Staff Management (CPMSM) or Certified Professional Credentials Specialist (CPCS) by National Association of Medical Staff Services (NAMSS) (preferred) Education High School or GED (required) Bachelor's Degree in Business, Healthcare or other related field (preferred) Master's Degree in Business, Healthcare or other related field (preferred) Work Experience 1 year recent experience in medical staff services or CVO setting (preferred) Training CredentialStream Credentialing software (preferred) Bon Secours Mercy Health is an equal opportunity employer. Many of our opportunities reward* your hard work with: Comprehensive, affordable medical, dental and vision plans Prescription drug coverage Flexible spending accounts Life insurance w/AD&D Employer contributions to retirement savings plan when eligible Paid time off Educational Assistance And much more *Benefits offerings vary according to employment status Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Department: SS Clinical Operations - Credentialing Verification All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com. For nearly 200 years, the historical founders of Bon Secours Mercy Health has been providing care to those in need. Today, the ministry is one of the top 20 health systems in the United States and part of the top performing quartile of Catholic health systems for lowest cost per case for patient care. This quality care is provided by more than 57,000 employees serving communities throughout Florida, Kentucky, Maryland, New York, Ohio, South Carolina and Virginia. The health care ministry provided care for patients more than 10.3 million times in 2017 through its network of more than 1,000 care sites. Consistent with its commitment to serve each patient with dignity, Bon Secours Mercy Health provides nearly $2 million per day in community benefit. The Mission of Bon Secours Mercy Health is to extend the compassionate ministry of Jesus by improving the health and well-being of its communities and bring good help to those in need, especially people who are poor, dying and underserved. For more information, visit www.bsmhealth.org.
- 2 Months Ago
Utilization Review & Credentialing Specialist
- ZEPF CENTER
-
Toledo, OH
FULL_TIME
- Description Zepf Center has been serving the Lucas County community for nearly 50 years. We are the leading provider of behavioral health and substance use disorder services in Northwest Ohio. Service...
- 6 Days Ago
Staff Development Specialist - 496903
- University of Toledo
-
Toledo, OH
FULL_TIME
- Job no: 496903 Work type: Staff - Full-Time Location: Health Science Campus Hospital Categories: Nursing, Healthcare Positions, Full-Time, None Title: Staff Development Specialist Department Org: Staf...
- 27 Days Ago
Provider Contract Support Specialist
- Medical Mutual
-
Rossford, OH
FULL_TIME
- Description Note: This position will be hybrid (in-office & work from home). The Provider Contract Support Specialist position allows you the flexibility to work at home as long as you reside within a...
- 21 Days Ago
Staff RN, Float Pool Transition Incentives up to $15,000
- University of Toledo Medical Center
-
Toledo, OH
FULL_TIME
- Through June 30, 2023, UTMC is offering a hiring bonus to recruit staff nurses to the hospital. New hires are eligible for a $15,000 sign-on bonus for experienced Registered Nurses and $7,500 for newl...
- 9 Days Ago
Medical Records Specialist
- Certus Healthcare- Waterville
-
Waterville, OH
FULL_TIME
- Heritage Village of Waterville, owned and operated by Certus Healthcare, is seeking a Medical Records Specialist to join our team! We offer full benefits, 401K, tuition reimbursement and competitive w...
- 3 Days Ago
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0 Medical Staff Credentialing Specialist jobs found in Toledo, OH area
Travel Nurse RN - ICU - Intensive Care Unit - $1,899 per week
- Care Team Solutions
-
Monroe, MI
- Care Team Solutions is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Monroe, Michigan....
- 4/19/2024 12:00:00 AM
Travel Nurse RN - PCU - Progressive Care Unit - $2,780 per week
- Travel Nurses Inc.
-
Toledo, OH
- Travel Nurses, Inc. is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Toledo, Ohio. J...
- 4/19/2024 12:00:00 AM
Travel Nurse RN - ICU - Intensive Care Unit - $1,899 per week
- Hiring Now!
-
Monroe, MI
- Care Team Solutions is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Monroe, Michigan....
- 4/18/2024 12:00:00 AM
Travel Nurse RN - ICU - Intensive Care Unit - $2,532 per week
- Hiring Now!
-
Monroe, MI
- Care Team Solutions is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Monroe, Michigan....
- 4/18/2024 12:00:00 AM
Travel Nurse RN - ICU - Intensive Care Unit - $1,967 per week
- Hiring Now!
-
Toledo, OH
- RNnetwork is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Toledo, Ohio. Job Descripti...
- 4/17/2024 12:00:00 AM
Travel Nurse RN - PCU - Progressive Care Unit - $2,009 per week
- Hiring Now!
-
Toledo, OH
- RNnetwork is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Toledo, Ohio. Job Descrip...
- 4/17/2024 12:00:00 AM
Travel Nurse - Telemetry
- Hiring Now!
-
Toledo, OH
- Advantis Medical is seekingTelemetry RNsfor a 13 week travel assignment inAkron, Ohio! Assignment Details: Specialty: Te...
- 4/16/2024 12:00:00 AM
Trauma Data Analyst - Trauma Services System - Full Time - Days - Remote
- Promedica
-
Toledo, OH
- **Must reside within 150 miles of Toledo** **Position is a remote position following two weeks of onsite training** Proj...
- 4/15/2024 12:00:00 AM
About Toledo, Ohio
Toledo (/təˈliːdoʊ/) is a city in and the county seat of Lucas County, Ohio, United States. Toledo is in northwest Ohio, at the western end of Lake Erie bordering the state of Michigan. The city was founded in 1833 on the west bank of the Maumee River, and originally incorporated as part of Monroe County, Michigan Territory. It was re-founded in 1837, after conclusion of the Toledo War, when it was incorporated in Ohio.
After the 1845 completion of the Miami and Erie Canal, Toledo grew quickly; it also benefited from its position on the railway line between New York City and Chicago. The first...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$43,087 to $54,200
Toledo, Ohio area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does a Medical Staff Credentialing Specialist do?
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