Medical Staff Credentialing Specialist jobs in Nevada

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
  • Cyti Clinics
  • Las Vegas, NV FULL_TIME
  • Cyti Corp is a diverse group of hard-working and talented individuals, who are brought together by our passion for offering quality mental health care, and our absolute commitment to helping children, adults, couples & families find greater happiness and meaning in their lives.


    Who you are:

    A reliable team member that thrives in a constantly changing environment, and who has a passion for helping others. Someone detail-oriented with an excellent communication style.

     

    About the Role:

    The Credentialing Specialist is responsible for ensuring that all healthcare providers in our practice are credentialed and enrolled with insurance payers, as well as maintaining and updating provider credentialing information.

     

    Responsibilities:

    • Completes credentialing applications for new providers and ensure accurate and timely submission to insurance payers
    • Monitors and tracks the status of credentialing applications to ensure timely approval
    • Maintains provider credentialing files and databases to ensure all information is accurate and up-to-date
    • Communicates with insurance payers and provider representatives to resolve any credentialing issues or discrepancies
    • Coordinates with internal department to gather necessary information for credentialing applications
    • Assists with re-credentialing and re-validation processes for existing providers
    • Collaborates with billing department to ensure accurate reimbursement for services rendered
    • Stays current on healthcare industry trends and changes in credentialing requirement

    Requirements:

    • Minimum of two years of experience in healthcare credentialing
    • Working knowledge of credentialing processes and requirements for insurance payers
    • Excellent communication and organizational skills
    • Ability to work independently or as part of a team
    • Detail-oriented and able to manage multiple tasks simultaneously
    • Proficiency in Microsoft Office Suite and credentialing software
    • Knowledge of HIPAA regulations and compliance requirements

    Disclaimer: This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

    We use E-Verify and CheckR to confirm the identity and employment eligibility of all new hires.

     

    Job Type: Full-time

    Pay: $22.00 - $24.00 per hour

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Health insurance
    • Life insurance
    • Paid time off
    • Referral program
    • Vision insurance

    Schedule:

    • Monday to Friday
    • 8:00am - 5:00am

    Experience:

    • Credentialing: 2 years (Required)

    Ability to Relocate:

    • Las Vegas, NV: Relocate before starting work (Required)

    Work Location: In person


  • 26 Days Ago

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CREDENTIALING SPECIALIST (REMOTE) PER DIEM
  • UHS
  • LAS VEGAS, NV PER_DIEM
  • Responsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 19...
  • 18 Days Ago

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Dir - Medical Staff - SMRMC Medical Staff
  • Saint Mary's Regional Medical Center
  • Reno, NV FULL_TIME
  • Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Saint Mary’s Health Network, a member of Prime Healthcare, offers incr...
  • 27 Days Ago

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Medical staff
  • Pride Health
  • Las Vegas, NV FULL_TIME
  • Medical Staff Services Pride Health is hiring Medical Staff Services for one of its clients in Nevada. This is a 3-month contract with a possible extension, competitive pay and benefits, and a great w...
  • Just Posted

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Travel ASCP/AMT - Travel Med Tech - Medical Technologist
  • Focus Staff Services
  • Reno, NV OTHER
  • OverviewWe currently have a client in Reno, NV looking for a Medical Technologist (Traveling Medical Technologist)Focus Staff is seeking a traveling Certified Medical Technologist, who is responsible ...
  • 1 Month Ago

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Travel ASCP/AMT - Travel Med Tech - Medical Technologist
  • Focus Staff Services
  • Boulder, NV OTHER
  • OverviewWe currently have a client in Boulder City, NV looking for a Medical Technologist (Traveling Medical Technologist)Focus Staff is seeking a traveling Certified Medical Technologist, who is resp...
  • 1 Month Ago

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Credentialing Specialist
  • BilliMD
  • Miami, FL
  • Company Description At BilliMD, we specialize in simplifying medical billing and revenue cycle management. Our end-to-en...
  • 4/25/2024 12:00:00 AM

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Credentialing Specialist
  • HEALTH NETWORK SOLUTIONS INC
  • Cornelius, NC
  • Job Description Job Description About Company: We are a privately-owned physician network in the Charlotte, NC Metro Are...
  • 4/25/2024 12:00:00 AM

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Credentialing Specialist
  • Pride Health
  • New York, NY
  • We are looking for Credentialing Specialist for our client with a leading hospital in New York, NY. Please find below de...
  • 4/25/2024 12:00:00 AM

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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

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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-...
  • 4/24/2024 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...
  • 4/24/2024 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...
  • 4/23/2024 12:00:00 AM

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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...
  • 4/23/2024 12:00:00 AM

Nevada is almost entirely within the Basin and Range Province, and is broken up by many north-south mountain ranges. Most of these ranges have endorheic valleys between them, which belies the image portrayed by the term Great Basin. Much of the northern part of the state is within the Great Basin, a mild desert that experiences hot temperatures in the summer and cold temperatures in the winter. Occasionally, moisture from the Arizona Monsoon will cause summer thunderstorms; Pacific storms may blanket the area with snow. The state's highest recorded temperature was 125 °F (52 °C) in Laughlin (e...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$44,782 to $56,333

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