Medical Staff Credentialing Specialist jobs in Rockford, IL
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)
Recently Added Medical Staff Credentialing Specialist jobs
Credentialing & Medical Billing Specialist
- Aishling Obstetrics & Gynecology SC/Fox Valley Vein Centers
-
Sandwich, IL
FULL_TIME
-
Benefits:
- 401(k)
- Competitive salary
- Employee discounts
- Flexible schedule
- Paid time off
Aishling Obstetrics & Gynecology is looking for a dynamic and motivated full-time Credentialing Specialist with Medical Billing experience. In Essential functions of this role include, the credentialing process end-to-end including tracking, file review, issue resolution, and roster auditing. Position also includes aspects of claim research and insurance payment posting as well as the following:
- Coordinates on-boarding process for new providers
- Compiles and maintains current and accurate data for all providers for all service locations.
- Completes provider payer enrollment applications; monitors applications and follows-up as needed.
- Completes physician credentialing applications and obtains appropriate signatures. Handles re-credentialing as needed.
- Follows all appropriate requirements set by the State of Illinois.
- Maintains copies of current state licenses, DEA certifications, malpractice coverage and any other required credentialing documents for all providers
- Maintains knowledge of current health plan and agency requirements for credentialing providers
- Sets up and maintains provider information in credentialing databases and systems.
- Tracks license and certification expirations for all providers to ensure timely renewals.
- Ensures practice addresses are current with health plans, agencies, and other entities.
- Audits health plan directories for current and accurate provider information
- Maintains confidentiality of provider information.
- Provides credentialing and privileging verifications.
- Monitors credentialing process and regularly follows up with third party payors.
- Relays information to management and billing department.
- Builds and maintains professional relationships with third party payors.
- Insurance payment posting
- Insurance claim follow-up
*Required knowledge of CAQH, NPPES, PECOS, AVAILITY, Impact and other electronic applications
Experience:
- Credentialing, preferably in a medical office setting with the above areas of responsibilities.
- Credentialing software experience a plus.
- Microsoft Office: 1 year (Preferred)
- Microsoft Word: 1 year (Preferred)
- Knowledge of EOB interpretation
- Knowledge of CPT, HCPCS, and ICD-10 coding guidelines
- 2 Days Ago
Credentialing & Medical Staff Services Manager
- SwedishAmerican / A Division of UW Health
-
Rockford, IL
FULL_TIME
- Supervisory/Management SwedishAmerican / A Division of UW Health SAH MEDICAL STAFF OFFICE Full Time · Day Shift · 0700-1600 POSITION SUMMARY: Responsible for design, development, maintenance and opera...
- 15 Days Ago
Credentialing specialist
- Aishling Obstetrics & Gynecology SC/Fox Valley Vein Centers
-
Sandwich, IL
FULL_TIME
- Benefits : 401(k) 401(k) Competitive salary Employee discounts Flexible schedule Paid time off Aishling Obstetrics & Gynecology is looking for a dynamic and motivated full-time Credentialing Specialis...
- 18 Days Ago
Data (Credentialing) Analyst
- SwedishAmerican / A Division of UW Health
-
Rockford, IL
FULL_TIME
- Professional - Non-Clinical SwedishAmerican / A Division of UW Health SAH MEDICAL STAFF OFFICE Full Time · Day Shift · 0800-1630 POSITION SUMMARY: Responsible for the overall management of the departm...
- 5 Days Ago
Team Lead, Credentialing
- Mercy Health Corporation
-
Janesville, WI
FULL_TIME
- OverviewCredentialing Team Lead, Medical Staff, Days, 80 Hrs / 2 wksLocation: Mercyhealth Trauma Center; Janesville, WI or Rockton Ave Campus; Rockford, IL. Hybrid work schedule opportunity avaliable ...
- 21 Days Ago
Team Lead, Credentialing
- Mercyhealth
-
Janesville, WI
FULL_TIME
- Overview Credentialing Team Lead, Medical Staff, Days, 80 Hrs / 2 wks Location: Mercyhealth Trauma Center; Janesville, WI or Rockton Ave Campus; Rockford, IL. Hybrid work schedule opportunity avaliabl...
- 1 Month Ago
Filters
- Current Active Filter
- Rockford, IL
Clear All
- Filter Jobs By posted time
- Within 1 Day
- Within 2-7
- Within 1 Month
- Within 3 Months
0 Medical Staff Credentialing Specialist jobs found in Rockford, IL area
Travel Nurse RN - Med/Surg in Rockford, IL
- Care Team Solutions
-
Rockford, IL
- Details: Must Have 2 Years of recent Medical-Surgical experience. Specialty: Medical-Surgical Discipline: Registered Nur...
- 4/19/2024 12:00:00 AM
Travel Nurse RN - Med/Surg in Rockford, IL
- Care Team Solutions
-
Rockford, IL
- Details: Must Have 2+ Years of recent Medical-Surgical experience. Specialty: Medical-Surgical Discipline: Registered Nu...
- 4/19/2024 12:00:00 AM
Travel Nurse RN - NICU - Neonatal Intensive Care - $1,813 per week
- Care Team Solutions
-
Rockford, IL
- Care Team Solutions is seeking a travel nurse RN NICU - Neonatal Intensive Care for a travel nursing job in Rockford, Il...
- 4/19/2024 12:00:00 AM
Travel Nurse RN - Med/Surg - $2,640 per week in Janesville, WI
- GO Healthcare Staffing
-
Janesville, WI
- Our client in Janesville WI has a 12HR NIGHT travel position for an RN with current MedSurg experience. The ideal candid...
- 4/19/2024 12:00:00 AM
Travel Nurse RN - Med Surg - COVID19 - $2,386 per week
- Hiring Now!
-
Rockford, IL
- LanceSoft is seeking a travel nurse RN Med Surg for a travel nursing job in Rockford, Illinois. Job Description & Requir...
- 4/19/2024 12:00:00 AM
Travel Nurse RN - ICU - Intensive Care Unit - $2,240 per week
- Lancesoft
-
Rockford, IL
- LanceSoft is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Rockford, Illinois. Job Des...
- 4/19/2024 12:00:00 AM
Travel Nurse RN - Med Surg - $2,209 per week
- Hiring Now!
-
Rockford, IL
- Care Team Solutions is seeking a travel nurse RN Med Surg for a travel nursing job in Rockford, Illinois. Job Descriptio...
- 4/18/2024 12:00:00 AM
Travel Nurse RN - NICU - Neonatal Intensive Care - $1,813 per week
- Hiring Now!
-
Rockford, IL
- Care Team Solutions is seeking a travel nurse RN NICU - Neonatal Intensive Care for a travel nursing job in Rockford, Il...
- 4/18/2024 12:00:00 AM
About Rockford, Illinois
Rockford is a city in Winnebago County in the U.S. state of Illinois, in far northern Illinois. Located on the banks of the Rock River, Rockford is the county seat of Winnebago County (a small portion of the city is located in Ogle County). The largest city in Illinois outside of the Chicago metropolitan area, Rockford is the third-largest city in the state and the 171st most populous in the United States According to 2010 U.S. Census Data, the City of Rockford had a population of 152,871, with an outlying metropolitan area population of 348,360. The City of Rockford's population is 147,051...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$43,578 to $54,818
Rockford, Illinois area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does a Medical Staff Credentialing Specialist do?
Medical Staff Credentialing Specialist in Shreveport, LA
The University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance.
December 08, 2019
This position will review credentialing/privileging information for accuracy and primary source verify all information in accordance all regulatory agencies and University of Kentucky policies and procedures.
December 06, 2019
Medical Staff Credentialing Specialist in Brownsville, TX
In addition, the Medical Staff Services Facility Specialist provides information and guidance regarding medical staff bylaws, medical staff ruled and regulations, allied health professionals (AHP) policies, Joint Commission for Accreditations of Healthcare Organizations (JCAHO) and Center for Medicare and Medicaid Services (CMS) and other regulatory agencies as they pertain to medical staff and allied health professionals.
December 05, 2019
Medical Staff Credentialing Specialist in Cincinnati, OH
Under minimal supervision coordinates, monitors and maintains the credentialing and re-credentialing process for the Medical Staff and Allied Health Professionals.
February 13, 2020