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)
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
Knowledge, Skills and Abilities Required
Job Type: Contract
Pay: $17.00 - $19.15 per hour
Benefits:
Schedule:
Education:
Experience:
Work Location: Hybrid remote in Richland, MS 39218
Clear All
0 Medical Staff Credentialing Specialist, Sr. jobs found in Jackson, MS area