Medical Staff Credentialing Specialist, Sr. processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist, Sr. 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, Sr. handles and resolves inquiries regarding credentialing information, process, or status. May provide guidance or expertise to less experienced specialists. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Medical Staff Credentialing Specialist, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Job Title: Provider Credentialing Specialist
Location: Remote (8AM-5PM EST)
Experience Required: 1 Year of Provider Credentialing or Similar Experience
Top Skills (Must Have): Proficiency in MS Office, especially Excel; Self-starter and motivated
Summary:
As a Provider Credentialing Specialist, you will be responsible for overseeing the credentialing and primary source verification processes for practitioners and healthcare organizations. Your role will involve coordinating all aspects of the credentialing process in accordance with organizational policies and procedures.
Essential Functions:
Processing Specialist:
Recredentialing/Termination Specialist:
Ongoing Monitoring/Watch Follow-up Specialist:
Delegation Specialist:
Knowledge/Skills/Abilities:
Required Education: High School Diploma or equivalent
Required Experience: 1 year of relevant experience
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