Medical Staff Credentialing Specialist, Sr. jobs in Hawaii

Medical Staff Credentialing Specialist, Sr. processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist, Sr. 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, Sr. 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, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Medical Staff Credentialing Specialist, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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Credentialing specialist
  • Waikiki Health
  • Honolulu, HI FULL_TIME
  • Founded in 1967, Waikiki Health is a nonprofit, Federally Qualified Health Center (FQHC) that offers a Patient-Centered Medical Home targeting our community’s most vulnerable populations.

    Our clinical and program sites provide holistic care in welcoming, supportive, and nonjudgmental environments. Waikiki Health’s mission is to provide quality medical and social services that are accessible and affordable for everyone, regardless of ability to pay.

    Our Values

    • We are committed to providing the highest quality care and services to our island community.
    • We believe that respect is the foundation of our interpersonal relationships.
    • We maintain empathy and kindness, treating everyone as ohana.
    • We are creative and flexible in meeting community needs.
    • We will help empower others to reach their highest potential.
    • We are accountable to the community we serve and to each other.

    Waikiki Health is seeking a part time Credentialing Specialist. This is an on-site position at our Kapiolani office near Ala Moana Mall

    Pay rate for this role is $32 to $35 per hour

    Schedule : 16 hours per week

    Benefits

    Parking or Bus Pass reimbursement per company policy

    The Credentialing Specialist processes Waikiki Health Credentialing and Privileging processes compliance issues / concerns within the organization.

    The Credentialing Specialist ensures that medical provider and staff members' maintain current credentials and licenses to work legally in their field or specialty.

    The specialist will monitor upcoming renewal dates and work with medical staff to advise them of the required steps to maintain their credentials.

    Qualifications and experience

    • Certified Provider Credentialing Specialist (CPCS) certification through the National Association Medical Staff Services (NAMSS) (preferred).
    • Bachelor’s degree (preferred).
    • Two years of medical billing experience.
    • Knowledge of Modio and Athena software (a plus)
    • A thorough knowledge of applicable medical policy.

    Duties include but are not limited to :

    • Manages third-party insurance enrollment and internal credentialing.
    • Collect and maintain files for physicians and behavioral health providers to include credentialing, contracts, and additional required documentation.
    • Credentialing applications for providers and making sure payer directories are updated.
    • Updates all necessary departments of completion of credentialing and contracting for all new providers.
    • Other duties as assigned.
    • Waikiki Health requires proof of the following immunization; with or without reasonable accommodation : TB skin test or chest x-ray, Hep B (optional), Covid-19.

    Interested candidates should apply through our ADP Workforce Now interface :

    Those requiring assistance are encouraged to reach out to our organization at (808) 922-4787. Visit our website for more information : www.waikikihealth.org

    Waikiki Health is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and pregnancy-related conditions), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state or local laws and ordinances.

    Last updated : 2024-03-04

  • 21 Days Ago

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Credentialing specialist
  • Becker Health
  • Kealakekua, HI FULL_TIME
  • Job Description : Position Urgency : Rapid Response Crisis Shifts : Dayshift M-F Dayshift M-F State License Details : Not Needed Minimum Years of Experience : Minimum Guaranteed Hours : No Guarantee S...
  • 28 Days Ago

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Medical Staff Services Specialist
  • Kaiser Permanente
  • Wailuku, HI OTHER
  • Job Summary: Under the direction of the Director of Medical Staff Services, coordinates internal and external activities of the Medical Staff including, but not limited to credentialing and privilegin...
  • 9 Days Ago

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Med Staffing Credentialing Specialist
  • MedNinjas
  • Kealakekua, HI OTHER,CONTRACTOR
  • Med Staffing Credentialing Specialist opening in Kealakekua, HI Gross: $1,282.5/week (Taxable Non-Taxable) 13 Weeks contract Specialty: Hr/Payroll Day Shift 40 Hours Guaranteed Requirements:1. 1 Years...
  • 1 Month Ago

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Sr Specialist
  • Aloha Petroleum, LTD
  • Honolulu, HI FULL_TIME
  • Aloha Petroleum, Ltd. Job Description Sr. Specialist- Licensing & Projects DEPT: Fuel Operations STATUS: Exempt PRIMARY PURPOSE: Under general supervision of VP/GM completes operational business and c...
  • 27 Days Ago

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Travel MLT - Medical Lab Technologist
  • Focus Staff Services
  • Hilo, HI OTHER
  • OverviewWe currently have a client in Hilo, HI looking for a Medical Lab Technologist (Traveling Medical Lab Technologist)Focus Staff is seeking a traveling Certified Medical Lab Technologist, who wil...
  • 18 Days Ago

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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

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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

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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

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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

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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

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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

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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-...
  • 3/26/2024 12:00:00 AM

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Credentialing Specialist
  • AZ HR Hub
  • Scottsdale, AZ
  • Our client, FasPsych, delivers telepsychiatry services to organizations that struggle to recruit and maintain psychiatri...
  • 3/25/2024 12:00:00 AM

Hawaii (/həˈwaɪi/ (listen) hə-WY-ee; Hawaiian: Hawaiʻi [həˈvɐjʔi]) is the 50th and most recent state to have joined the United States, having received statehood on August 21, 1959. Hawaii is the only U.S. state located in Oceania, the only U.S. state located outside North America, and the only one composed entirely of islands. It is the northernmost island group in Polynesia, occupying most of an archipelago in the central Pacific Ocean. The state encompasses nearly the entire volcanic Hawaiian archipelago, which comprises hundreds of islands spread over 1,500 miles (2,400 km). At the southea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$53,096 to $65,297