Medical Staff Credentialing Specialist, Sr. jobs in Salt Lake City, UT

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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CREDENTIALING SPECIALIST
  • Natsu Healthcare
  • Tooele, UT FULL_TIME
  • Nat-Su Behavioral Health is seeking an experienced Credentialing Specialist. Credentialing Specialists ensure that staff members maintain current credentials and licenses to work legally in their field or specialty. These specialists monitor upcoming renewal dates and work with medical staff to advise them of the required steps to maintain their credentials. The credentialing specialist will function as a liaison between mental health practitioners and insurance carriers nationwide, coordinating all aspects of the credentialing/contracting process on behalf of the clinician. Preparing and maintaining reports of credentialing activities, accreditation, membership, or facility privileges.


    Essential Functions:

    • Maintain compliance with all regulatory and accrediting institutions.
    • Monitor staff credentials and licenses.
    • Advise staff on renewal procedures.
    • Participate in the development of internal credentialing processes.
    • Keep records of licenses, credentials, and insurance contracts.
    • Research and compiles insurance specific submission guidelines.
    • Enters, updates, and maintains data from clinicians into the credentialing database (CAQH).
    • Research and compiles insurance specific submission guidelines.

    Knowledge/Skills/Abilities
    :
    • Trust and dependability are necessary.
    • Credentialing Experience / Experience performing similar duties in a medical setting.
    • Medicaid/Medicare Experience
    • Medical Insurance Experience
    • Exceptional verbal and written communication skills
    • Ability to establish and maintain effective relationships with coworkers and clients.
    • Ability to multitask, maintain organization standards, and work on several tasks in unison.
    • 1 year minimum experience

    Working Conditions
    • Work is performed in a typical office setting with a review period to determine if Hybrid Schedule is optimum.
    • Willingness to work Overtime as needed.

    Job Type: Full-time Hourly

    Hourly Rate: DOE

    Benefits:

    • 401(k)
    • 401 (k) Matching
    • Medical Insurance
    • Dental Insurance
    • Vision Insurance
    • HSA
    • Life Insurance
    • Paid Time Off
    • Accidental Insurance
    • Critical Illness Insurance
    • 12 Paid Holidays
  • 1 Month Ago

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Medical Staff
  • TotalMed Staffing
  • Springs, WY FULL_TIME
  • TotalMed Staffing is seeking a travel nurseRNMed Surg for a travel nursing job in Rock Springs, Wyoming. Job Description & Requirements ~ Specialty: Med Surg ~ Discipline:RN~ Start Date:ASAP~ Duration...
  • 27 Days Ago

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Environmental Protection Specialist
  • US Office of the Chief of Staff of the Army
  • Salt Lake, UT FULL_TIME
  • Duties Advises the G-9 Installation Services Directorate Environmental Division (ISE), Base Realignment and Closure (BRAC) Branch for all environmental issues at BRAC closed installations and faciliti...
  • 1 Month Ago

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Medical Customer Service Specialist - Sandy, UT
  • 180 Medical
  • Sandy, UT FULL_TIME
  • Summary: Make a positive difference in others’ lives at a job where you can say you truly love what you do! 180 Medical has once again been voted one the Best Places to Work in our home state. Our emp...
  • 29 Days Ago

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Intake Specialist - Durable Medical Equipment
  • Redrock Medical Supply
  • Salt Lake, UT FULL_TIME
  • Red Rock Medical Supply is seeking positive, dependable, and detail-oriented employees to join our team. We are looking for a full-time Intake Specialist at our Salt Lake City location!About UsWe are ...
  • 27 Days Ago

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Sr. Clinical Education Specialist
  • Accordance Search Group
  • Salt Lake, UT FULL_TIME
  • Great opportunity for a Clinical Education Specialist with a disruptive start up. This role will primarily support the development and execution of high-quality training and education programs. They w...
  • 1 Month Ago

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0 Medical Staff Credentialing Specialist, Sr. jobs found in Salt Lake City, UT area

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Phone & Credential Specialist (Part Time)
  • Five Star Call Centers
  • Orem, UT
  • Job Description Job Description Help our essential workers get to the frontlines! We are looking for phone and credentia...
  • 4/23/2024 12:00:00 AM

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Supv Internal Revenue Agent (Special Enforcement Grp Mgr) MSP TEMP NTE 1 YR MBE, MBMP 12 Mo. ROSTER
  • Department Of The Treasury
  • Salt Lake City, UT
  • Duties WHAT IS THE SBSE - Small Business Self Employed DIVISION? A description of the business units can be found at: ht...
  • 4/23/2024 12:00:00 AM

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Human Resources Specialist
  • Department Of Homeland Security
  • Salt Lake City, UT
  • Summary Securing Travel, Protecting People - At the Transportation Security Administration, you will serve in a high-sta...
  • 4/23/2024 12:00:00 AM

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Lead Human Resources Specialist (Team Leader) - Temporary Not to Exceed 1 year, MBE, MBP
  • Department Of The Treasury
  • Salt Lake City, UT
  • Duties WHAT IS THE CRIMINAL INVESTIGATIONDIVISION? A description of the business units can be found at: https://www.jobs...
  • 4/23/2024 12:00:00 AM

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Provider Contracts Specialist
  • Molina Healthcare
  • Salt Lake City, UT
  • ***Remote and must live in Idaho or Utah*** JOB DESCRIPTION Job Summary Responsible for accurate and timely maintenance ...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Fed State Local Gvmt Spec - Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • Salt Lake City, UT
  • Duties WHAT IS THE TAX EXEMPT & GOVERNMENT ENTITIES (TE/GE) DIVISION? A description of the business units can be found a...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Examination Analyst - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Salt Lake City, UT
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Compliance Automation Specialist - Examiner) 12 MONTH ROSTER (Amended)
  • Department Of The Treasury
  • Salt Lake City, UT
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

Salt Lake City has an area of 110.4 square miles (286 km2) and an average elevation of 4,327 feet (1,319 m) above sea level. The lowest point within the boundaries of the city is 4,210 feet (1,280 m) near the Jordan River and the Great Salt Lake, and the highest is Grandview Peak, at 9,410 feet (2,868 m). The city is in the northeast corner of the Salt Lake Valley surrounded by the Great Salt Lake to the northwest, the steep Wasatch Range to the east, and Oquirrh Mountains to the west. Its encircling mountains contain several narrow canyons, including City Creek, Emigration, Millcreek, and Par...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$49,949 to $62,303
Salt Lake City, Utah area prices
were up 2.3% from a year ago