Medical Staff Credentialing Specialist jobs in Virginia

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
  • Reef Systems
  • Arlington, VA FULL_TIME
  • Credentialing Specialist
    Job Description:

    The purpose of this position is to provide credentialing and privileging services and support to the Army National Guard. The candidate will support in transitioning providers with initial entry credentialing, maintenance of credentialing and privileging, and support the Centralized Credentials Privileging Board’s review of completed credentials and privileging files.
    The candidate must be familiar with the credentialing process to insure acceptable performance. The candidate will support the credentialing process of assessing and reviewing the qualifications of the health care practitioner. The process includes review of the licensure, training and education of skilled care providers (e.g. Physicians, Dentists, Family Nurse Practitioners and Physician Assistants) and assures their clinical competency and that they maintain regulatory compliance in their scope of practice.
     
    Job Responsibilities:
    • Managing the verification process for all healthcare professionals (physicians, dentists, nursing, allied health).
    • Reviewing applications for completion, verification of state licensure / training / education, and collecting information contained in the national physician data bank (NPDB)
    • Providing direct supervision to the support staff in administering all aspects of processing applications.
    • Compiling all documents and building credential review files for review by the Centralized Credentials Privileging Board and documenting results.
    • Generating and mailing notification letters of credentialing results to applicants and/or responding to questions from applicants regarding status of credentialing.
    • Entering data in the CCQAS as directed.
    Requirements:
    • Bachelor's Degree in a Healthcare, Quality Assurance, or related field.
    • Minimum of three (3) years of experience, including experience with medical credentialing. An equivalent combination of education and experience may be considered in lieu of the degree.
    • Excellent communication and interpersonal skills.
    • Experience using MS Office, i.e. Word, Excel, and/or PowerPoint.
    • US Citizenship and ability to obtain a favorable National Agency Check with Inquiries (NACI) or Interim Secret clearance.
    • Experience in the DOD credentials process is a plus
    • Experience with CCQAS is a plus
    Location:
    Arlington, VA 22201
  • 9 Days Ago

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Credentialing specialist
  • Citizant
  • Richmond, VA FULL_TIME
  • Company Description Citizant 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 applicati...
  • 1 Month Ago

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Medical Assistant
  • Ntl Bariatric Surg Specialist
  • Reston, VA FULL_TIME
  • Introduction Do you want to join an organization that invests in you as a(an) Medical Assistant? At Ntl Bariatric Surg Specialist, you come first. HCA Healthcare has committed up to $300 million in pr...
  • 1 Month Ago

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Credentialing Specialist III -Remote
  • Sentara
  • Bedford, VA FULL_TIME
  • Assists the leadership team with daily operations, coordination of work, quality and service, achievement of operating center goals and objectives, customer satisfaction, and in meeting regulatory req...
  • 21 Days Ago

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Credentialing Specialist II
  • TIDEWATER PHYSICIANS MULTISPECIALTY GROUP P C
  • Newport, VA OTHER
  • Job Details Level: Experienced Job Location: Corporate Credentialing - Newport News, VA Position Type: Full Time Salary Range: Undisclosed Job Category: Credentialing DescriptionTidewater Physicians M...
  • 12 Days Ago

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Credentialing Specialist II
  • Tidewater Physicians Multispecialty Group P C
  • Newport, VA FULL_TIME
  • Tidewater Physicians Multispecialty Group (TPMG) has an exciting opportunity for an experienced Credentialing Specialist II to join our Credentialing Department team. If you have a fantastic understan...
  • 16 Days Ago

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Credentialing Specialist
  • Zepf
  • Toledo, OH
  • Job Type Full-time Description Zepf Center has been serving the Lucas County community for nearly 50 years. We are the l...
  • 4/26/2024 12:00:00 AM

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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
  • 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

Virginia (/vərˈdʒɪniə/ (listen)), officially the Commonwealth of Virginia, is a state in the Southeastern and Mid-Atlantic regions of the United States located between the Atlantic Coast and the Appalachian Mountains. Virginia is nicknamed the "Old Dominion" due to its status as the first English colonial possession established in mainland North America and "Mother of Presidents" because eight U.S. presidents were born there, more than any other state. The geography and climate of the Commonwealth are shaped by the Blue Ridge Mountains and the Chesapeake Bay, which provide habitat for much of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$44,738 to $56,276

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