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)
At Black Hills Orthopedic & Spine Center, we know that our employees are our best assets when it comes to providing exceptional orthopedic care to our patients. It's this reason we are dedicated to hiring the most qualified staff to uphold our standards of care.
Job Overview:
We are seeking a detail-oriented and organized individual to join our team as a Credentialing Specialist. As a Credentialing Specialist, you will play a crucial role in ensuring that all healthcare providers meet the necessary qualifications and credentials required for their practice. This position requires knowledge of medical terminology, standards, and experience working in a medical office or managed care setting.
Duties:
- Review and verify healthcare provider credentials, including licenses, certifications, and education
- Conduct thorough background checks and reference checks on healthcare providers
- Maintain accurate and up-to-date provider credentialing files
- Ensure compliance with all regulatory requirements and accreditation standards
- Collaborate with internal teams to gather necessary documentation for credentialing purposes
- Communicate with healthcare providers to obtain missing or incomplete information
- Assist in resolving any credentialing issues or discrepancies
- Stay updated on industry trends and changes in credentialing requirements
Skills:
- Strong knowledge of medical terminology and standards
- Familiarity with credentialing processes in a medical office or managed care setting
- Excellent attention to detail and organizational skills
- Strong communication skills, both written and verbal
- Ability to work independently and prioritize tasks effectively
- Proficient in using computer systems and software applications
We offer competitive compensation and benefits packages, including health insurance, retirement plans, and opportunities for professional development. If you are passionate about ensuring the highest standards of quality in healthcare provider credentials, we encourage you to apply for the position of Credentialing Specialist.
Job Type: Full-time
Pay: From $21.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Ability to Relocate:
Work Location: In person