Medical Staff Credentialing Specialist jobs in New Mexico

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 sets up and maintains provider information in an online credentialing database system. Tracks license and certification expirations for all providers to ensure timely renewals. Additionally, Medical Staff Credentialing Specialist may require an associate degree or equivalent. May require certification as a Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor or manager. 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)

P
Medical Staff Credentialing Coordinator
  • Presbyterian Healthcare Services
  • Santa Fe, NM FULL_TIME
  • Overview

    Supports the Medical and Allied Health Staff credentialing/primary sourcing verification program by coordinating and developing internal processes in order to meet requirements of federal and state regulatory and national accreditation agencies. Monitors timeliness of processes and provides feedback and/or reports to the appropriate manager. Audits accuracy of data entry in the credentialing database and provides feedback to appropriate internal and external customers. This position requires in-depth knowledge of medical and allied health staff credentialing processes and requirements. Investigates issues of concern and conducts follow-up as needed, generates reports and presents findings to the Manager of Medical Staff Affairs (MSA) or Manager of Credentials Verification Organization (CVO). Serves as a subject matter expert to other PHS departments and facilities as it relates to the processing of initial and/or reappointment applications and/or privileging. Responsible for assigned duties and responsibilities to ensure compliance with the Medical Staff Bylaws, Rules/Regulations and/ or the daily work flow of the CVO. Works with the appropriate manager in the development of policies and procedures to meet regulatory and accreditation requirements. Manages special projects as assigned

    Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Days

    Qualifications

    Associate s Degree/Diploma in medical staff services studies, or a related field preferred. Three to five years experience in medical staff affairs/credentialing, credentials verification organization, or related field preferred. Public relation skills required in order to be effective and behave in a professional manner when dealing with practitioners and customers. Requires excellent time management and organizational skills in order to handle multiple projects simultaneously. Certification or eligibility for certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred. 

    Education:Essential:* High School Diploma or GED

     

     

    Responsibilities

     

    Responsibilities:*Assists the Medical Director Department leadership in managing activities to ensure a coordinated effort to fulfill departmental responsibilities within its long-range plans and goals*Exercises discretion and independent judgment involving the comparison and the evaluation of possible courses of action related to meeting primary source verification and credentialing requirements. Acts or reaches decisions independently after the various possibilities have been considered. * Investigates discrepancies in data submittal related to applications and privileging and formulates appropriate course of action.*Provides excellent customer service by responding to provider, client, and customer inquiries within specified timeframes, as required by the department*Maintains statistical information relative to the department s quality indicators*Responsible for orientation/training of new and current employees as it relates to departmental procedures, credentialing database, and daily work*Serves as a subject matter expert on appropriate national accreditation agencies and federal/state regulations pertaining to required credentialing processes*Maintains knowledge base of appropriate national accrediting agencies

    Benefits

    We offer more than the standard benefits!

    Presbyterian employees gain access to a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more!

    Learn more about our employee benefits:

    https://www.phs.org/careers/why-work-with-us/benefits Why work at Presbyterian?

    As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. For our employees, we offer a robust wellness program, including free access to our on-site and community-based gyms, nutrition coaching and classes, wellness challenges and more.

    Presbyterian's story is really the story of the remarkable people who choose to work here. The hard work of our physicians, nurses, employees, board members and volunteers grew Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system that serves more than 875,000 New Mexicans.

    About Presbyterian Healthcare Services

    Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.

    Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

    About Our Regional Delivery System

    Presbyterian's Regional Delivery System is a network of six hospitals and medical centers throughout rural New Mexico including locations in Clovis, Espanola, Ruidoso, Santa Fe, Socorro and Tucumcari. Our regional facilities are home to more than 1,600 clinical and non-clinical employees who help make Presbyterian the state's largest private employer with nearly 14,000 statewide employees. With a variety of services ranging from general surgery to pediatrics to heart and cancer care, our regional employees are proud to provide close-to-home care for their communities.

    We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

    About New Mexico

    New Mexico continues to grow steadily in population and features a low cost-of living.

    Varied landscapes bring filmmakers here from around the world to capture a slice of the natural beauty New Mexicans enjoy every day. Our landscapes are as diverse as our culture - from mountains, forests, canyons, and lakes, to caverns, hot springs and sand dunes.

    New Mexico offers endless recreational opportunities to explore and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.

     

    AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

    Offer Disclaimer

    The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs. Compensation decisions are dependent upon the facts and circumstances of each offer.

    Maximum Offer

    USD $28.36/Hr.
  • 19 Days Ago

L
Medical Credentialing Specialist
  • Ladgov Corporation
  • Clovis, NM FULL_TIME
  • Job Title: Medical Credentialing Specialistlocation : Cannon AFB , NM 88103Job Type : Full-time Hours of Operation : Monday through Friday from 08:00 to 17:00 Responsibilities :Analyze, design, implem...
  • 10 Days Ago

C
Director Medical Staff Credentialing Services
  • Clinical Management Consultants
  • Espanola, NM FULL_TIME
  • A well-respected, award-winning hospital in Northern New Mexico has an exciting opportunity for an experienced Director Medical Staff Credentialing Services. This reputable, 170 bed hospital holds man...
  • 7 Days Ago

N
Med Staff Credentialing Specialist II
  • NOR-LEA GENERAL HOSPITAL INC
  • Lovington, NM FULL_TIME
  • You will be required to maintain knowledge of current hospital policies and bylaws as well as staffing procedures and policies. Responsibilities will involve verifying medical staff credentials, makin...
  • 1 Month Ago

D
Credentialing Specialist
  • DSI Corporation
  • Cannon, NM FULL_TIME
  • The Medical Credentialing Specialist at DSI Corporation is responsible for managing and maintaining accurate records of licensing, credentials, and insurance for healthcare professionals, ensuring com...
  • 4 Days Ago

T
Specialist, Medical Office
  • TruGreen - Lawn Specialist - El Paso, TX
  • La Mesa, NM FULL_TIME
  • Immediate Openings in El Paso, TX At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. Average income is $850 - $1,200 per week* - Based on hourly rate ...
  • 1 Day Ago

N
Credentialing Specialist
  • N2S Healthcare Staffing Solutions LLC
  • Charlotte, NC
  • Title: Provider Services Specialist (Auto-Offer) Location: Charlotte, NC, 28208 Duration: 13 weeks Shift: Day 5x8-Hour (...
  • 3/28/2024 12:00:00 AM

P
Credentialing Specialist
  • PRIDE Healthcare
  • New York, NY
  • Job Description Job Description Role – Credentialing Specialist Location – New York, NY Shift – Day Pay - $25- $27/ hr C...
  • 3/28/2024 12:00:00 AM

A
Credentialing Specialist
  • Atria Consulting
  • New York, NY
  • Busy New York City Hospital Corporation is looking for an experienced and organized Credentialing Specialist. The Creden...
  • 3/28/2024 12:00:00 AM

T
Credentialing Specialist
  • Tandym Group
  • New York, NY
  • A healthcare system in New York City is seeking a Credentialing Specialist to join their team in Manhattan. In this role...
  • 3/27/2024 12:00:00 AM

Y
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...
  • 3/27/2024 12:00:00 AM

P
Credentialing Specialist
  • PRIDE Healthcare
  • Morristown, NJ
  • Job Description Job Description Position: Credentialing Specialist Location: Morristown NJ Duration: 3+ Months Contract ...
  • 3/27/2024 12:00:00 AM

N
Medical Staff Credentialing Specialist
  • Northside Hospital
  • Cumming, GA
  • Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and rea...
  • 3/26/2024 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-...
  • 3/26/2024 12:00:00 AM

New Mexico (Spanish: Nuevo México Spanish pronunciation: [ˈnweβo ˈmexiko] (listen), Navajo: Yootó Hahoodzo pronounced [jòːtxó xɑ̀xʷòːtsò]) is a state in the Southwestern region of the United States of America; its capital and cultural center is Santa Fe, which was founded in 1610 as capital of Nuevo México (itself established as a province of New Spain in 1598), while its largest city is Albuquerque with its accompanying metropolitan area. It is one of the Mountain States and shares the Four Corners region with Utah, Colorado, and Arizona; its other neighboring states are Oklahoma to the north...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$37,930 to $48,031

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