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)
FUNCTION OVERVIEW:
As a Medical Claim Representative this position will be instrumental in analyzing and following up on billed medical claims to determine the appropriate course of action to resolve the claims.
FINANCIAL RESPONSIBILITIES:
Direct Accountability
Deliverables:
DUTIES:
Work an average of 40-50 Accounts per Day:
Works accounts with a 5% or less error ratio:
REQUIREMENTS:
Personality Traits
Sense of urgency
Detail Oriented
Analytical
Stable
Organized
Adaptable
Flexible
Positive
Thorough
Academics:
Work Experience:
Competencies:
Job Type: Full-time
Pay: $15.00 - $17.00 per hour
Benefits:
Schedule:
Work setting:
Experience:
Work Location: In person
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0 Medical Staff Credentialing Specialist, Sr. jobs found in Temple, TX area