Medical Staff Credentialing Specialist, Sr. jobs in Hilton Head Island, SC
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)
Recently Added Medical Staff Credentialing Specialist, Sr. jobs
Coordinator, Medical Staff Credentialing
- St. Joseph's/Candler
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Savannah, GA
FULL_TIME
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Position Summary
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The Coordinator of Medical Staff Services/Credentialing serves as a resource to the Medical Staff for services related to credentialing for initial appointments and reappointments; ensures that applications are processed within approved time frames; prepares reports for monthly Medical Staff meetings; consults with the Manager and Director of Medical Staff Services on problems relating to the area of responsibility and supports the overall mission and philosophy of the Health System.
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Education
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Associates of Healthcare - Preferred
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Experience
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1-2 Years Office experience in healthcare or related field - Required
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3-5 Years Credentialing related - Preferred
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Excellent written and verbal communication skills with excellent typing and Medical Terminology - Required
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License & Certification
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NAMSS certification as a Credentialing Specialist or Medical Staff Specialist - Preferred
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Core Job Functions
- Responsible for maintaining credentials files in accordance with Hospital Board Bylaws, Medical Staff Bylaws and other regulating agencies. Prepares required forms and documentation for applications and ensures that necessary primary source verifications are received within required timeframes and identifies potential quality issues and brings to the attention of Manager. Maintains file in correct order and prepares for signatures of chairpersons, enters data into computer system accurately.
- Tracks reappointments on a monthly basis and prepares and e-mails packets prior to the expiration date. Processes reappointment applications within specified timeframes by obtaining primary source verification from approved sources and identifies potential quality issues and brings to the attention of the Manager and Director. Enters data into computer system accurately and prepares for presentation to appropriate chairpersons .
- Prepares agendas, information, reports and other documentation for departments/committees and distributes prior to meeting. Attends department/committee meetings as assigned and records minutes. Prepares information, follow-up correspondence, minutes or other reports and files or distributes as appropriate.
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Has working knowledge of the Medical Staff Bylaws, Rules and Regulations and Joint Credentials Manual. Participates in cross-training of other personnel in the department and serves as a back-up to others in the department when needed.
- Updates provider demographic information in MDStaff software. Responsible for expiring items. For example: over 70, Board Certifications, and MA Evaluations in provider files. Communicates with practitioners regarding delinquent/expiring items; performs primary source verification; updates information in MDStaff, scans paper documentation and reports expired items to the Manager for further action. Assist with special requests outside of reappointment. For example: change of sponsor or additional privilege requests.
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- 22 Days Ago
Medical Staff Specialist
- Effingham Hospital, Inc.
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Springfield, GA
FULL_TIME
- DescriptionJOB SUMMARYUnder the general direction of the Chief of Revenue Cycle and Compliance, the Medical Staff Specialist provides coordination and administrative support while performing confident...
- 3 Days Ago
Sr. Reimbursement Specialist
- St. Joseph's/Candler
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Savannah, GA
FULL_TIME
- Position Summary Works closely with the Reimbursement Manager and assists in the preparation of all in house Medicare, Medicaid and Champus cost reports, audits and supporting schedules as well as the...
- 28 Days Ago
Registered Nurse, Staff, Hospice
- Core Medical Group
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Savannah, GA
FULL_TIME
- Variety of hospice RN opportunities including home care, inpatient, admissions, & after hours. **Willing to train RNs with no experience into hospice for Inpatient or home care!** Experience Required:...
- 1 Month Ago
Medical History Pharmacy Tech Specialist
- Memorial Health University Medical Center
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Savannah, GA
FULL_TIME
- Introduction Do you want to join an organization that invests in you as a Medical History Pharmacy Tech Specialist? At Memorial Health University Medical Center, you come first. HCA Healthcare has com...
- 1 Month Ago
Cook
- SR COMPANIES LLC
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Bluffton, SC
OTHER
- Job Details Job Location: Vineyard Bluffton - Bluffton, SC Salary Range: Undisclosed DescriptionSummary: Responsible for enhancing and improving the SRIM Management experience specifically in Artful D...
- 18 Days Ago
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0 Medical Staff Credentialing Specialist, Sr. jobs found in Hilton Head Island, SC area
Physical Therapist - Full Time Hilton Head, SC
- Jackson Therapy Partners
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Hilton Head, SC
- Join our client's team as a licensed Physical Therapist for a full time position with a mission driven facility where ex...
- 4/23/2024 12:00:00 AM
Physical Therapist - Full Time Hilton Head, SC
- Jackson Therapy Partners
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Hilton Head, SC
- Join our client's team as a licensed Physical Therapist for a full time position with a mission driven facility where ex...
- 4/22/2024 12:00:00 AM
Physical Therapist - Full Time Hilton Head, SC
- Hiring Now!
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Hilton Head Island, SC
- Join our client's team as alicensed Physical Therapist for afull time positionwith a mission driven facility where exper...
- 4/22/2024 12:00:00 AM
Travel Outpatient Physical Therapist - $1,895 per week
- Hiring Now!
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Bluffton, SC
- Jackson Therapy Partners is seeking a travel Outpatient Physical Therapist for a travel job in Bluffton, South Carolina....
- 4/22/2024 12:00:00 AM
Physical Therapist - Full Time Hilton Head, SC
- Jackson Therapy Partners
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Hilton Head, SC
- Join our client's team as a licensed Physical Therapist for a full time position with a mission driven facility where ex...
- 4/21/2024 12:00:00 AM
Travel Nurse RN - Psychiatric - $1,976 per week
- Hiring Now!
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Savannah, GA
- Care Team Solutions is seeking a travel nurse RN Psychiatric for a travel nursing job in Savannah, Georgia. Job Descript...
- 4/20/2024 12:00:00 AM
Travel LPN / LVN - $1,679 per week
- Stability Healthcare
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Savannah, GA
- Care Team Solutions is seeking a LPN / LVN for a travel job in Savannah, Georgia. Job Description & Requirements Special...
- 4/20/2024 12:00:00 AM
Veterinary Technician
- Banfield Pet Hospital
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Bluffton, SC
- Credentialed Veterinary Technician The anticipated starting hourly rate for individuals expressing interest in this posi...
- 4/19/2024 12:00:00 AM
About Hilton Head Island, South Carolina
Hilton Head Island, sometimes referred to as simply Hilton Head, is a Lowcountry resort town and barrier island in Beaufort County, South Carolina, United States. It is 20 miles (32 km) northeast of Savannah, Georgia, and 95 miles (153 km) southwest of Charleston. The island is named after Captain William Hilton, who in 1663 identified a headland near the entrance to Port Royal Sound, which mapmakers named "Hilton's Headland." The island features 12 miles (19 km) of beachfront on the Atlantic Ocean and is a popular vacation destination. In 2004, an estimated 2.25 million visitors pumped more t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$47,837 to $59,670
Hilton Head Island, South Carolina area prices
were up 1.5% from a year ago
were up 1.5% from a year ago