Medical Staff Credentialing Specialist jobs in Washington, DC
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
Supervisor, Medical Staff Credentialing
- Children's National Medical Center
-
Washington, DC
FULL_TIME
-
Description The Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical Staff Department. Performs supervisory duties, including training, evaluating, and the day-to-day management of the Medical Staff team. The Supervisor is accountable for quality and integrity of data entered into systems and monitors administrative activities related to the Medical Staff Office. Collaborates with the Director to assign work to team members, assuring timely completion of project milestones and deliverables as appropriate. Emphasis is placed on customer services, provider satisfaction, staff development and fiscal goals. Supervises and oversees all credentialing services, provides onboarding assistance to the medical staff, assists in the supervision of various information systems used in credentialing functions, and oversees the process for delegated credentialing.
Qualifications Minimum Education
Bachelor's Degree (Required)
Master's Degree (Preferred)
Minimum Work Experience
3 years of credentialing experience (Required)
Required Skills/Knowledge
Excellent written and verbal communication skills, detailed knowledge of medical staff credentialing.
Knowledge of various accreditation standards (JC, NCQA, AAAHC, DOH) and State laws
Knowledge of ECHO (or equivalent) Credentialing Data System preferred
Required Licenses and Certifications
Certified Provider Credentialing Specialist CPCS and CPMSM 2 Yrs (Required)
.
Functional Accountabilities
Credentialing- Supervises day to day activities of the credentialing services staff.
- Ensures that processes function smoothly and timely
- Develops departmental guidelines to ensure compliance with the Medical Staff Bylaws
- Oversees processes and minutes for CC.
- Provides updated credentials committee actions to managed care for submission to the various payer's
- Handles delegated credentialing audits. Develops responses and action plans as needed. Submits results to manager, medical affairs for the Credentials Committee.
- Supervises processing of initial appointments and reappointments.
- Conducts audits of completed appointments and reappointment applications.
- Provides education and feedback to staff.
- Prepares files for credentials committee actions.
- Develops automated processes in ECHO for appointments and reappointments.
- Develops process to ensure that all providers maintain current licensure, health attestations, certifications and insurance certificates.
- Provides list of providers to be deferred monthly for medical staff action.
- Develops automated processes in ECHO for tracking licensure, etc. and sending notifications.
- Supervises staff in physician on-boarding, to include assisting new doctors in application process for obtaining appropriate licensure, as well as medical staff privileges.
- Develops and applies metrics around time of hire, medical staff application date, licensure application, licenses granted and medical staff privileges approved.
- Trains staff in customer service activities and maintains high level of customer service.
- Develops automated processes in ECHO to assist in on-boarding process.
Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification
Teamwork/Communication
Performance Improvement/Problem-solving
Cost Management/Financial Responsibility
SafetyPrimary Location: District of Columbia-WashingtonWork Locations:CN Hospital (Main Campus)111 Michigan AvenueWashington 20010Job: ManagementOrganization: Chief Academic OfficerPosition Status: R (Regular) - FT - Full-TimeShift: DayWork Schedule: 8:00 - 4:30PMJob Posting: Apr 22, 2024, 3:21:35 PM
Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities. - Just Posted
Medical Staff Credentialing Specialist - Full-time with Benefits
- Frederick Health
-
Frederick, MD
FULL_TIME
- Job Summary Handles the duties and operations of the medical staff office, ensuring compliance with standards set by the Joint Commission, NCQA, and other accrediting bodies related to medical staff s...
- 12 Days Ago
Supervisor, Medical Staff Credentialing
- Children's National Hospital
-
Washington, DC
FULL_TIME
- Description The Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical St...
- Just Posted
Credentialing Specialist
- TDB Communications, Inc.
-
Columbia, WA
FULL_TIME
- The Credentialing Specialist will be responsible for providing credentialing support, to include employment and education verifications, coordination with the customer and provider to ensure onboardin...
- Just Posted
Credentialing Specialist
- Reef Systems
-
Arlington, VA
FULL_TIME
- Credentialing Specialist Job Description: The purpose of this position is to provide credentialing and privileging services and support to the Army National Guard. The candidate will support in transi...
- 7 Days Ago
Credentialing Specialist
- MedVanta Interco, LLC.
-
Bethesda, MD
FULL_TIME
- Position Summary / Scope of Responsibility MedVanta is the nation's largest physician-owned and operated next generation management services organization (MSO). Our services are specifically designed ...
- 24 Days Ago
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0 Medical Staff Credentialing Specialist jobs found in Washington, DC area
Psychometrician
- Kaizen Approach, Inc
-
Annapolis Junction, MD
- Are you ready to be part of a dynamic team that supports your well being and professional development? If so, we are cur...
- 4/25/2024 12:00:00 AM
Credentialing Specialist (Federal) 5834
- Vector Talent Resources, Inc.
-
Reston, VA
- Job Title: Credentialing Specialist Location: Hybrid - Brentwood, TN Client: Global technology company Contract Duration...
- 4/24/2024 12:00:00 AM
TRAVEL NURSE RN - LABOR/DELIVERY IN CLINTON, MD
- Care Team Solutions
-
Clinton, MD
- Details: Must Have 2+ Years of recent Labor and Delivery experience. Specialty: Labor and Delivery Discipline: Registere...
- 4/24/2024 12:00:00 AM
TRAVEL NURSE RN - ER/TRAUMA - $2,362 PER WEEK IN LA PLATA, MD
- GO Healthcare Staffing
-
La Plata, MD
- Our client in La Plata MD has a 12HR NIGHT travel position for an RN with current ER experience. The ideal candidate mus...
- 4/24/2024 12:00:00 AM
TRAVEL NURSE RN - STEPDOWN - $2,455 PER WEEK IN BALTIMORE, MD
- GO Healthcare Staffing
-
Baltimore, MD
- Our client in Baltimore MD has a 12HR NIGHT travel position for an RN with current Step Down experience. The ideal candi...
- 4/24/2024 12:00:00 AM
TRAVEL NURSE RN - MED/SURG IN CLINTON, MD
- Care Team Solutions
-
Clinton, MD
- Details: Must Have 2+ Years of recent Medical/Surgical/Telemetry experience. Specialty: Medical/Surgical/Telemetry Disci...
- 4/23/2024 12:00:00 AM
TRAVEL NURSE RN - TELEMETRY - $2,158 PER WEEK IN LA PLATA, MD
- GO Healthcare Staffing
-
La Plata, MD
- Our client in La Plata MD has a 12HR NIGHT travel position for an RN with current Med/Tele experience. The ideal candida...
- 4/23/2024 12:00:00 AM
TRAVEL NURSE RN - TELEMETRY - $2,214 PER WEEK IN BALTIMORE, MD
- GO Healthcare Staffing
-
Baltimore, MD
- Our client in Baltimore MD has a 12HR DAY travel position for an RN with current Tele experience. The ideal candidate mu...
- 4/23/2024 12:00:00 AM
About Washington, District of Columbia
Washington, D.C. is located in the mid-Atlantic region of the U.S. East Coast. Due to the District of Columbia retrocession, the city has a total area of 68.34 square miles (177.0 km2), of which 61.05 square miles (158.1 km2) is land and 7.29 square miles (18.9 km2) (10.67%) is water. The District is bordered by Montgomery County, Maryland to the northwest; Prince George's County, Maryland to the east; Arlington County, Virginia to the south; and Alexandria, Virginia to the west.
The south bank of the Potomac River forms the District's border with Virginia and has two major tributaries: the An...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$49,644 to $62,448
Washington, District of Columbia 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