Medical Staff Credentialing Specialist jobs in Missouri

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)

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Credentialing Specialist
  • Southeast health
  • Cape Girardeau, MO FULL_TIME
  • Description

    Medical Staff Services | Cape Girardeau, MO | Full Time

    Job Summary


    The Credentialing Specialist will conduct the investigation necessary to credential applicants for privileges and/or appointment to the Medical Staff, locum tenens practitioners, the Limited Health Practitioner-Advanced Staff, the Limited Health Practitioner Staff, the Physician Paramedical Employee Staff, and the Affiliate Staff. This individual will perform these credentialing and privileging activities and provide Medical Staff Leadership with a critical analysis of findings to assure sufficient information is available to enable them to make appropriate credentialing and privileging decisions. This individual will coordinate and manage the reappointment of credentialed practitioners, will coordinate and manage meetings of the organized Medical Staff (also including department, section, and committee meetings) and maintain minutes of these meetings, and will assist with the transfer of information throughout the Medical Staff organization. This individual will also play an active role in maintaining credentials files, data bases, and information verifications that are the responsibility of Medical Staff Services



    Essential Functions
    • Performs clerical duties and provides assistance with Medical Staff activities as requested by Medical Staff Leadership, other Medical Staff Services personnel, and the Chief Medical Officer
    • Receives, screens, and re-directs incoming calls and visitors in a courteous and professional manner
    • Orders supplies to facilitate daily departmental activities
    • Assists with payroll activities
    • Maintains the schedule and manages set-up of Medical Staff Meetings
    • Prepares meeting calendar, meeting agendas and minutes of assigned meetings
    • Assures the appropriate reporting of committee and department actions to the MEC
    • Notifies meeting attendees of upcoming meetings, cancellations, etc.
    • Maintains the practitioner directories and data bases
    • Performs literature searches and retrieves articles for credentialed practitioners
    • Initiates and follows through on requests for privileges and/or appointment to the staff categories previously noted (initial applicants and applications for reappointment
    • Verifies through the original source or an equivalent source, the statements made by each applicant within the application
    • Processes the many types of background checks performed pertinent to each applicant
    • Reviews each application and documentation gathered in support thereof for completeness and accuracy, and prepares this information for review and recommendation by the Department Chair, Section Chair, Credentials Committee, and Medical Executive Committee
    • On an ongoing basis, tracks the progress of applications for appointment, reappointment, and clinical privileges and initiates appropriate follow-up for issues that require further investigation
    • Works in concert with Quality Management staff with regard to professional performance evaluation processes (IPPE, OPPE, etc.)
    • Disseminates information regarding appointment and privileging to hospital departments with a need to know
    • Provides non-clinical orientation to new members of the Medical Staff, LHP-A staff, LHP staff, and PPE staff
    • Provides assistance to students, residents, and fellows completing educational rotations at Southeast
    • Maintains a working knowledge of the Hospital, Joint Commission, CMS, and State Department of Health and License Board requirements relative to credentialing, appointment, and privileging of practitioners
    • Carries out all job responsibilities while maintaining confidentiality of patient, credentialing, peer review, and administrative information
    • Performs other duties and provides assistance as assigned or directed by the Medical Staff Services Manager and others relative to chain of command
    • Any other duties as needed to drive to the Vision, fulfill the Mission, and abide by the Values of the organization


    Qualifications
    • Bachelor's Degree preferred
    • Medical staff credentialing processes preferred
    • Knowledge of TJC, CMS, and Federal and State Regulations preferred
    • Medical terminology knowledge preferred
    • CPCS - Certified Provider Credentialing Specialist Upon hire or within 5 years of employment required

  • 1 Month Ago

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Medical Assistant
  • Allergy & Asthma Specialist of KC
  • Kansas, MO FULL_TIME
  • Allergy and Asthma Specialists of Kansas City (AASKC) has an opening for a full-time Medical Assistant to join its growing practice in the Kansas City, Missouri Northland. A patient-first practice ded...
  • 21 Days Ago

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Medical Assistant
  • Specialist In Dermatology & Cosmetic Medicine
  • Chesterfield, MO FULL_TIME
  • Medical Assistant/PhlebotomistsSpecialist in Dermatology & Cosmetic Medicine, Chesterfield, MO Description: Duties are related to the efficient flow of the clinic, from patient rooming to assisting wi...
  • 26 Days Ago

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Credentialing Specialist (Part-Time)
  • St. Louis Cardinals
  • St. Louis, MO PART_TIME
  • Summary of Responsibilities: The Credentialing Specialist position is a seasonal position responsible for providing all of the field pass credentials for game days. This position also staffs the main ...
  • 3 Days Ago

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Credentialing Specialist - Mental Health
  • Metro NeuroHealth
  • St. Louis, MO FULL_TIME
  • DescriptionWe are growing rapidly and looking for an exceptional Mental Health Credentialing Specialists to join our unique and remote team of professionals. We are looking for a Credentialing Special...
  • 1 Month Ago

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Government Badging & Credentialing Specialist (HSPD-12)
  • Citizant
  • Kansas, MO FULL_TIME
  • Company DescriptionCitizant is a leading provider of professional IT services to the U.S. government. We seek to address some of our country’s most pressing challenges in the areas of Agile applicatio...
  • 22 Days Ago

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Credentialing Specialist
  • HirePower
  • New York, NY
  • Employer Info Our client provides top-ranked care, dozens of inpatient and outpatient specialties, and mental health ser...
  • 4/18/2024 12:00:00 AM

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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...
  • 4/18/2024 12:00:00 AM

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Credentialing Specialist
  • e-MDs
  • Hauppauge, NY
  • Summary of Job Responsible for preparing provider enrollment applications, demographic updates and tracking metrics for ...
  • 4/18/2024 12:00:00 AM

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Credentialing Specialist
  • Pride Health
  • New York, NY
  • Actively hiring 'Credentialing Specialist' for hospital based in Manhattan NY pay rate is $29/hr. Title: Credentialing S...
  • 4/18/2024 12:00:00 AM

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Credentialing Specialist
  • Yuma Regional Medical Center
  • (Remote Work Available) Bring your skills to one of the sunniest places on earth - Yuma, AZ! Work Status Details: REGULA...
  • 4/16/2024 12:00:00 AM

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Credentialing Specialist
  • Pride Health
  • New York, NY
  • Actively hiring "Credentialing Specialist" for hospital based in Manhattan NY pay rate is $29/hr. Title: Credentialing S...
  • 4/16/2024 12:00:00 AM

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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-...
  • 4/15/2024 12:00:00 AM

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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...
  • 4/14/2024 12:00:00 AM

Missouri is landlocked and borders eight different states as does its neighbor, Tennessee. No state in the U.S. touches more than eight. Missouri is bounded by Iowa on the north; by Illinois, Kentucky, and Tennessee across the Mississippi River on the east; on the south by Arkansas; and by Oklahoma, Kansas, and Nebraska (the last across the Missouri River) on the west. Whereas the northern and southern boundaries are straight lines, the Missouri Bootheel protrudes southerly into Arkansas. The two largest rivers are the Mississippi (which defines the eastern boundary of the state) and the Misso...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$42,508 to $53,471

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