Medical Staff Credentialing Specialist jobs in Georgia

Medical Staff Credentialing Specialist processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist 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 handles and resolves inquiries regarding credentialing information, process, or status. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Staff Credentialing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

S
Coordinator, Medical Staff Credentialing
  • St. Joseph's/Candler
  • Savannah, GA FULL_TIME
    • Position Summary
      • 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.
    • Education
      • Associates of Healthcare - Preferred
    • Experience
      • 1-2 Years Office experience in healthcare or related field - Required
      • 3-5 Years Credentialing related - Preferred
      • Excellent written and verbal communication skills with excellent typing  and Medical Terminology - Required
    • License & Certification
      • NAMSS certification as a Credentialing Specialist or Medical Staff Specialist - Preferred
    • 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.
      • 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.
  • 23 Days Ago

U
Medical Site Credentialing Specialist
  • United Language Group
  • Augusta, GA FULL_TIME
  • Summary - Flexible Contractor/Freelance Opportunity 1099 IMMEDIATE NEED This is not a full-time or part-time job. This is not a set-scheduled job opportunity. The Medical Site credentialing Specialist...
  • 18 Days Ago

P
Credentialing specialist
  • ProSphere
  • Forest, GA FULL_TIME
  • Overview Cognito Systems, a Planned Systems International (PSI) joint venture, is seeking a skilled Credentialing Specialist. The purpose of this overall project is to provide centralized credentialin...
  • Just Posted

D
Credentialing Specialist
  • D4C Dental
  • Atlanta, GA FULL_TIME
  • The Credentialing Specialist will be responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process. Liaise between the practitioners, health plans, ...
  • 1 Day Ago

M
Credentialing Specialist
  • Medlink Georgia
  • Colbert, GA FULL_TIME
  • SUMMARY: Primary responsibilities include Provider Credentialing activities as well as assisting with accounts receivable duties. ESSENTIAL DUTIES AND RESPONSIBILITIES include, but are not limited to,...
  • 5 Days Ago

M
Credentialing Specialist
  • Medlink Georgia
  • Colbert, GA FULL_TIME
  • SUMMARY: Primary responsibilities include Provider Credentialing activities as well as assisting with accounts receivable duties. ESSENTIAL DUTIES AND RESPONSIBILITIES include, but are not limited to,...
  • 5 Days Ago

E
Credentialing Specialist
  • Elite Medical Staffing
  • Lake Mary, FL
  • The Credentialing Specialist is a full-time, (temporary role that may be subject to become permanent) salaried position....
  • 4/24/2024 12:00:00 AM

M
Credentialing Specialist
  • Mens Health Foundation
  • West Hollywood, CA
  • Job Description Job Description Job Title: Credentialing Specialist Hourly Range: $28.13 - $33.65 Worker Category: Full-...
  • 4/24/2024 12:00:00 AM

A
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

P
Credentialing Specialist
  • Pride Health
  • New York, NY
  • Job Title: Credentialing Specialist Location: New York, NY 10004 Duration: 2 Months with strong possibility of extension...
  • 4/24/2024 12:00:00 AM

H
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

I
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

H
Credentialing Specialist
  • Huntsville Memorial Hospital
  • Huntsville, TX
  • POSITION PURPOSE Under general supervision of the Director of Medical Staff Services, the Credentialing Specialist is re...
  • 4/22/2024 12:00:00 AM

B
Credentialing Specialist
  • BilliMD
  • Miami, FL
  • Company Description At BilliMD, we specialize in simplifying medical billing and revenue cycle management. Our end-to-en...
  • 4/20/2024 12:00:00 AM

Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989. The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$43,132 to $54,257

Medical Staff Credentialing Specialist in Lawton, OK
Under the direction of the Medical Staff Affairs Manager, this position will work independently but also collaborate and work with other team members of the Medical Staff Office.
January 03, 2020
Medical Staff Credentialing Specialist in Passaic, NJ
Knowledge of TJC, NCQA and CMS credentialing standards preferred.
January 10, 2020
Medical Staff Credentialing Specialist in Saint Cloud, MN
The Medical Staff Services Facility Specialist is also responsible for the accuracy and integrity of the credentialing and clinical privileging database system.
November 28, 2019