Medical Staff Credentialing Specialist, Sr. jobs in Passaic, NJ

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)

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Medical Credentialing Specialist
  • Coda Staffing
  • Wayne, NJ FULL_TIME
  • *Full-time/ Permanent Opportunity*

    Qualifications:

    • Credentialing Experience and process preferred for managed care companies, hospitals and surgical centers
    • Medical practice experience required
    • Ability to organize and multitask efficiently
    • Excellent verbal and written communication skills
    • Ability to professionally adapt to a rapidly changing environment
    • Positive attitude towards continuous training
    • Ability to work independently as well as in a team environment
    • Ability to establish and maintain positive and effective work relationships with coworkers and providers
    • CAQH knowledge is preferred but not required
    • Microsoft Office Experience (Excel, Outlook, Word)
    • Must be able to work and 8-hour shift in office

    Responsibilities:

    • Complete enrollment/credentialing and re-credentialing applications
    • Maintain a detailed log of all pending and completed work
    • Communicate the results of status of the applications to manager, physicians and coworkers
    • Maintenance of physician enrollment and CAQH profiles
    • Documentation within enrollment database
    • Coordinate Signatures with manager for providers
    • Daily call to insurances for credentialing status
    • Research and resolve claim denials due to credentialing issues

    #IND2

    Job Type: Full-time

    Pay: $22.00 - $28.00 per hour

    Benefits:

    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • Monday to Friday

    Application Question(s):

    • Do you have credentialing experience for managed care, hospitals, or surgical centers?

    Ability to Relocate:

    • Wayne, NJ: Relocate before starting work (Required)

    Work Location: In person

  • 7 Days Ago

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Credentialing Specialist
  • Zufall Health
  • Dover, NJ FULL_TIME
  • Welcome to Zufall Health! Position Summary Under the direct supervision of the Billing Claims Manager, the Credentialing Specialist will conduct all aspects of third-party credentialing for providers ...
  • 2 Days Ago

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Credentialing Specialist
  • Zufall Talent Team
  • Dover, NJ FULL_TIME
  • Position Summary Under the direct supervision of the Billing Claims Manager, the Credentialing Specialist will conduct all aspects of third-party credentialing for providers and facilities in accordan...
  • 8 Days Ago

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Medical Receptionist
  • Omni Eye Specialist Pa
  • Parsippany, NJ TEMPORARY
  • Job description Essential Duties and Responsibilities: Responsible for completing the check-in/ registration process according to guidelines by; accurately entering all pertinent patient information, ...
  • 1 Month Ago

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Recruitment & Credentialing Provider Relations Specialist
  • First Managed Care Option
  • Parsippany, NJ FULL_TIME
  • PRIMARY FUNCTIONResponsible for the procedures associated with recruitment of Auto/Pip experienced providers into network, which includes receipt, review, and processing of credentialing application a...
  • 3 Days Ago

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Travel MLT - Medical Lab Technologist
  • Focus Staff Services
  • Pequannock, NJ OTHER
  • OverviewWe currently have a client in Pompton Plains, NJ looking for a Medical Lab Technologist (Traveling Medical Lab Technologist)Focus Staff is seeking a traveling Certified Medical Lab Technologis...
  • 12 Days Ago

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0 Medical Staff Credentialing Specialist, Sr. jobs found in Passaic, NJ area

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Credentialing Specialist
  • LanceSoft Inc
  • New York, NY
  • Duties: The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including in...
  • 4/26/2024 12:00:00 AM

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Credentialing Specialist (000573)
  • HonorVet Technologies
  • New York, NY
  • Title - Credentialing Specialist Duration 3 months (Extendable) Shift 9:00 AM-5:00 PM Location - NY,10004 The Credential...
  • 4/26/2024 12:00:00 AM

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Credentialing Specialist
  • Pride Health
  • New York, NY
  • We are looking for Credentialing Specialist for our client with a leading hospital in New York, NY. Please find below de...
  • 4/25/2024 12:00:00 AM

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Credentialing Specialist
  • ATRIA CONSULTING LLC
  • New York, NY
  • Job Description Job Description Busy New York City Hospital Corporation is looking for an experienced and organized Cred...
  • 4/24/2024 12:00:00 AM

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Credentialing Specialist
  • HirePower
  • New York, NY
  • Employer Info Our client provides top-ranked care, dozens of inpatient and outpatient specialties, and mental health ser...
  • 4/23/2024 12:00:00 AM

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Credentialing Specialist
  • Integrated Resources Inc
  • New York, NY
  • Title : Credentialing Specialist Location: New York, NY Initial Duration 3 + month s : High possibility of extension Shi...
  • 4/23/2024 12:00:00 AM

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Credentialing Specialist
  • Pride Health
  • New York, NY
  • Actively hiring 'Credentialing Specialist' for hospital based in Manhattan NY pay rate is $29/hr. Title: Credentialing S...
  • 4/23/2024 12:00:00 AM

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Credentialing Specialist
  • Zufall
  • Dover, NJ
  • Welcome to Zufall Health! Position Summary Under the direct supervision of the Billing Claims Manager, the Credentialing...
  • 4/22/2024 12:00:00 AM

According to the United States Census Bureau, the city had a total area of 3.244 square miles (8.401 km2), including 3.146 square miles (8.149 km2) of land and 0.098 square miles (0.253 km2) of water (3.01%). Unincorporated communities, localities and place names located partially or completely within the city include Davis Bridge and Pleasant Plains. Passaic's only land border is with neighboring Clifton, which borders Passaic to the north, south, and west. The Passaic River forms the eastern border of Passaic. Four additional neighboring towns in Bergen County immediately across the river fr...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$59,269 to $73,929
Passaic, New Jersey area prices
were up 1.5% from a year ago