Medical Staff Credentialing Specialist, Sr. jobs in Nebraska

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
  • Banner Health
  • Arizona, NE FULL_TIME
  • POSITION SUMMARY

    This position performs the department's credentialing work as outlined in the policies and procedures. Obtains all primary source information necessary for all organizational facilities and entities.

    The incumbent maintains records and the integrity of highly confidential information that is protected from discovery by applicable state statutes.

    CORE FUNCTIONS

    1. Performs the appropriate (applicable) credentialing processes in a timely and complete manner.

    2. Performs analysis and appropriate follow-up. Works with many individuals to acquire necessary materials and information, including, but not limited to : physicians, facility staff, professional staff and physicians’ office staff.

    3. Performs relevant data entry into the database to ensure consistency and integrity of the data.

    4. Processes appropriate queries for expired licensure, or any appropriate regulatory credentialing requirement and maintains documentation in the database.

    5. The incumbent performs and completes activities within the parameters established by the director and supervisor and as outlined in the facility / entity documents.

    Manages own duties and functions independently. Work requires the constant exercise of a high degree of independent judgment in response to complex and sensitive credentialing issues, decision making and discretion.

    Uses independent decision making processes and handles assigned duties in a meaningful and confidential manner with a minimum of supervision.

    Handles physician inquiries and problems within the scope of job function and keeps supervisors apprised of all issues as they occur.

    Department and hospital responsibility. Internal customers include facility medical staff services, physicians, hospital personnel, corporate staff, hospital management, and volunteers.

    External customers include but are not limited to regulatory / accrediting and licensing agencies, legal entities, state and national databases, other hospitals and the general public.

    MINIMUM QUALIFICATIONS

    Must possess a strong knowledge of business and / or healthcare as normally obtained through the completion of an associate’s degree.

    Must possess a strong knowledge and understanding of healthcare planning as normally demonstrated through three years of credentialing and / or process management and operations experience.

    Requires a basic knowledge of medical terminology, medical staff organization and extensive knowledge of credentialing procedures.

    Must have experience in interacting with physicians and allied health professionals, their office credentialing representatives, and hospital personnel.

    Must have excellent communication skills, both verbal and written, along with astute judgment in areas of human relations.

    Must demonstrate an ability to meet deadlines in a multi-functional task environment. Requires excellent organizational skills and operational knowledge working with work processing, spreadsheets, data entry, fax machines, and other computer related skills.

    Must, at all times, maintain efficiency and timeliness in all daily activities. Must be able to establish daily work priorities and work efficiently to contribute to the successful overall maintenance of the credentialing process.

    Provides optimal customer service to meet the organization’s expectations.

    PREFERRED QUALIFICATIONS

    Additional related education and / or experience preferred.

    EOE / Female / Minority / Disability / Veterans

    Our organization supports a drug-free work environment.

    Privacy Policy

    Last updated : 2024-03-04

  • 21 Days Ago

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Credentialing specialist
  • Paradigm Oral Surgery
  • Lincoln, NE FULL_TIME
  • Role and Responsibilities The Credentialing & Licensure Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packag...
  • 27 Days Ago

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Aquatics Specialist
  • Norm Waitt Sr. YMCA
  • South Sioux, NE PART_TIME
  • NORM WAITT SR. YMCA JOB DESCRIPTIONJob Title: Aquatics SpecialistStatus: Part-Time Department: AquaticsReports to: Senior Director of Member and Program ExperienceRevision Date: March 21, 2024POSITION...
  • 2 Days Ago

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Sr. Marketing Specialist
  • Banyan Medical Solutions LLC
  • Omaha, NE FULL_TIME
  • Job Summary: The Senior Marketing Specialist is a dynamic and creative professional responsible for the strategic planning, execution, and management of all event-related activities including trade sh...
  • 12 Days Ago

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Credentialing Specialist-RWMC
  • Regional West Health Services
  • SCOTTSBLUFF, NE FULL_TIME
  • Regional West Physicians Clinic has over 28 specialty clinics to assist in the needs of the communities we call home. We are actively looking for a caring individual to join the team as a Credentialin...
  • 28 Days Ago

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Medical Site Credentialing Surveyor- 1099 Independent Contractor
  • United Language Group
  • Omaha, NE CONTRACTOR
  • Summary - Flexible Contractor/Freelance Opportunity 1099 IMMEDIATE NEED This is not a full-time or part-time job. This is not a set-scheduled job opportunity. This is not an hourly pay job opportunity...
  • 2 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

The state is bordered by South Dakota to the north; Iowa to the east and Missouri to the southeast, across the Missouri River; Kansas to the south; Colorado to the southwest; and Wyoming to the west. The state has 93 counties and is split between two time zones, with the state's eastern half observing Central Time and the western half observing Mountain Time. Three rivers cross the state from west to east. The Platte River, formed by the confluence of the North Platte and the South Platte, runs through the state's central portion, the Niobrara River flows through the northern part, and the Rep...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$47,484 to $58,395