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)
Department: Business Office
Status/Schedule: Full Time
Shift: Days
Location: Hartford, KY
For more information contact: Melinda Fields, mfields@ochcares.com
Qualifications:
Job Description:
Responsible for adding, updating, and maintaining our organization’s provider information and registries with all insurance payers.
Responsible for maintaining PECOS, KY Medicaid, and other provider revalidations for the whole organization to ensure no lapses in credentialing and network status occurs.
Organized and able to meet deadlines as given.
Able to communicate with other departments and administration regarding participation status of all onboarded providers.
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