Medical Staff Credentialing Specialist, Sr. jobs in Jackson, MS

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. sets up and maintains provider information in an online credentialing database system. Tracks license and certification expirations for all providers to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist, Sr. may require an associate degree or equivalent. May require certification as a Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor or manager. 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)

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Medical Credentialing Specialist
  • Rankin Rural Medical Clinic
  • Richland, MS CONTRACTOR
  • About us

    Rankin Rural Medical Clinic is patient-centric, engaging, and collaborative. We work to provide convenient, quality, affordable healthcare to families in Rankin County.

    Duties and Responsibilities

    •Reviews and screens initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal, state, and local regulations, guidelines, policies, and standards.

    •Conducts primary source verification, collects and validates documents to ensure accuracy of all credentialing elements; assesses completeness of information and qualifications relative to credentialing standards.

    •Identifies, analyzes, and resolves extraordinary information, discrepancies, time gaps and other idiosyncrasies that could adversely impact ability to credential and enroll practitioners

    Monitors files to ensure completeness and accuracy; reviews all file documentation for compliance with quality standards, accreditation requirements, and all other relevant policies.

    Enters, updates, and maintains data from provider applications into the credentialing database.

    Prepares, issues, electronically tracks, and follows up on appropriate verifications.

    Communicates clearly with providers and their liaisons.

    Maintains professional growth and development through seminars, workshops, and professional affiliations to enhance understanding of various regulations and legislation of the rural healthcare industry.

    Performs miscellaneous job-related duties as assigned.

    Minimum Job Requirements

    • High school diploma or GED; at least 5 years of experience directly related to the duties and responsibilities specified.
    • Completed degree(s) from an accredited institution that are above the minimum education requirement may be substituted for experience on a year for year basis.

    Knowledge, Skills and Abilities Required

    • Ability to communicate effectively both orally and in writing.
    • Customer service skills.
    • Ability to respond to emails timely and effectively.
    • Information research skills.
    • Knowledge of medical provider credentialing and accreditation principles, policies, processes, procedures, and documentation.
    • Working knowledge of clinical and/or hospital operations and procedures.
    • Ability to use independent judgment and to manage and impart confidential information.
    • Ability to maintain confidentiality and discretion in all communications on behalf of credentialing applicants and/or applications.
    • Ability to make administrative/procedural decisions and judgments.
    • Demonstrated advanced working knowledge of Microsoft Word and Excel.
    • Ability to learn new applications to function effectively in a remote work environment.
    • Skill in establishing priorities with independent coordination of day-to-day aspects.
    • Advanced skills in computerized spreadsheeting and database management.

    Job Type: Contract

    Pay: $17.00 - $19.15 per hour

    Benefits:

    • Flexible schedule

    Schedule:

    • Monday to Friday

    Education:

    • High school or equivalent (Required)

    Experience:

    • Medical credentialing: 5 years (Required)

    Work Location: Hybrid remote in Richland, MS 39218

  • 11 Days Ago

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Credentialing specialist
  • Blue Cross and Blue Shield of Mississippi
  • Flowood, MS FULL_TIME
  • Healthy Careers Start Here At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellnes...
  • 24 Days Ago

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Manager - Med Staff Credentialing
  • Merit Health River Oaks
  • Flowood, MS FULL_TIME
  • Responsible for monitoring the verification process for medical staff incumbents. Completes physician, nurse and other employee verifications and ensures that the organization and staff are in accorda...
  • 10 Days Ago

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Provider Credentialing Specialist
  • Blue Cross & Blue Shield of Mississippi
  • Flowood, MS FULL_TIME
  • Healthy Careers Start Here At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellnes...
  • 15 Days Ago

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Staff RN - RFT - Medical
  • KINGS DAUGHTERS MEDICAL CTR
  • Brookhaven, MS FULL_TIME
  • Assumes the responsibility for providing professional care to a designated patient population. Accountable for supervision of the Licensed Practical Nurse and non-professional staff assigned to the un...
  • 6 Days Ago

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Staff RN - PRN - Medical
  • KINGS DAUGHTERS MEDICAL CENTER
  • Brookhaven, MS FULL_TIME
  • Assumes the responsibility for providing professional care to a designated patient population. Accountable for supervision of the Licensed Practical Nurse and non-professional staff assigned to the un...
  • 12 Days Ago

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0 Medical Staff Credentialing Specialist, Sr. jobs found in Jackson, MS area

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Internal Revenue Agent (Compliance Automation Specialist - Examiner) 12 MONTH ROSTER (Amended)
  • Department Of The Treasury
  • Jackson, MS
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 3/28/2024 12:00:00 AM

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Staff Psychologist
  • Department of Veterans Affairs
  • Jackson, MS
  • Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement ...
  • 3/28/2024 12:00:00 AM

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Jackson, MS
  • Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Examiner-Joint Committee Specialist) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Jackson, MS
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at: h...
  • 3/27/2024 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
  • Jackson, MS
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SB/SE)DIVISION? A description of the business units can be found at: ht...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent/ Senior Revenue Agent (Examiner)- (6 Month Roster) - Amended
  • Department Of The Treasury
  • Jackson, MS
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LBI) DIVISION? A description of the business units can be found at:...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent/ Senior Revenue Agent (Examiner)- (12 Month Roster)- Amended
  • Department Of The Treasury
  • Jackson, MS
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LBI) DIVISION? A description of the business units can be found at:...
  • 3/27/2024 12:00:00 AM

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Gastroenterology Registered Nurse - U.S. Air Force Academy
  • Katmai Government Services
  • Job Title Gastroenterology Registered Nurse - U.S. Air Force Academy Location USAF ACADEMY, CO US (Primary) Job Type Ful...
  • 3/24/2024 12:00:00 AM

Jackson is located primarily in northeastern Hinds County, with small portions in Madison and Rankin counties. The Pearl River forms most of the eastern border of the city. A small portion of the city containing Tougaloo College lies in Madison County, bounded on the west by Interstate 220 and on the east by U.S. Route 51 and Interstate 55. An unconnected section of the city surrounds Jackson–Evers International Airport in Rankin County. In the 2010 census, only 622 of the city's residents lived in Madison County, and only 1 lived within the city limits in Rankin County. The city is bordered t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$45,296 to $55,704
Jackson, Mississippi area prices
were up 1.2% from a year ago