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)
EDUCATION: The Credentialing Specialist must be a high school graduate, with an associate degree or higher. Must have executive office skills with at least two years' experience, knowledgeable of the medical field with special reference to medical staff credentialing process, and knowledge of regulatory standards, excellent computer skills.
TRAINING AND EXPERIENCE: Two years' experience in the credentialing process with excellent organizational and computer skills. Strong project/process management skills. Demonstrated excellent interpersonal skills.
JOB KNOWLEDGE: Must be knowledgeable of the medical field with special reference to medical staff credentialing process and knowledge of regulatory standards.
DESCRIPTION: The Credentialing Specialist is responsible for a timely and compliant credentialing process. He/she must be prepared to advance with changing trends, rules and regulations, and must continually strive for improvement. Able to work independently, yet work as a team member.
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