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)
Orthopaedic Surgery
Monday – Friday, 8:00 a.m. to 5:00 p.m.
High School diploma or an equivalent combination of education and experience from which comparable knowledge, skills, and abilities can be acquired.
One (1) year of experience confirming work history, education, training, background, and/or reference checks or similar experience.
Experience with medical staff credentialing.
Certification or eligibility for certification by the National Association of Medical Staff Services (NAMSS).
Experience with the Joint Commission (TJC), Det Norske Veritas (DNV), National Council of Quality Assurance (NCQA), and Utilization Review Accreditation Commission (URAC) credentialing standards
Additional license/certification requirements as determined by the hiring department.
Salary Range: $19.15 - $30.23 hourly
Grade: PAT - 006
University Title: CREDENTIALING SPECIALIST
Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.
In addition to the Online Application, please provide a Cover Letter and Resume.
This position is eligible for University benefits. The University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, and educational fee discounts. For additional information on University benefits, please visit the Faculty & Staff Benefits website at http://www.umsystem.edu/totalrewards/benefits
Values Commitment
We value the uniqueness of every individual and strive to ensure each person’s success. Contributions from individuals with diverse backgrounds, experiences and perspectives promote intellectual pluralism and enable us to achieve the excellence that we seek in learning, research and engagement. This commitment makes our university a better place to work, learn and innovate.
In your application materials, please discuss your experiences and expertise that support these values and enrich our missions of teaching, research and engagement.
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