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)
The Rural Wisconsin Health Cooperative, Sauk City, WI, has an in-office position for an experienced Credentialing Specialist. This position requires knowledge of credentialing standards and processes along with the ability to accurately implement them for various healthcare providers. Candidates should have an interest and efficient skills for working with databases, web based queries, and imaging software. Candidates need a level of knowledge and confidence to audit credential files for completeness and accuracy along with the ability to explain and resolve discrepancies. Effective communication skills using email and phone along with attention to detail are essential for this position. A two year degree in a relevant field along with three or more years’ experience working with credentialing standards is required.
Job Type: Full-time
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Work Location: In person
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