Medical Staff Credentialing Specialist, Sr. jobs in New Jersey

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. 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, Sr. handles and resolves inquiries regarding credentialing information, process, or status. May provide guidance or expertise to less experienced specialists. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. 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)

C
Medical Credentialing Specialist
  • Coda Staffing
  • Wayne, NJ FULL_TIME
  • *Full-time/ Permanent Opportunity*

    Qualifications:

    • Credentialing Experience and process preferred for managed care companies, hospitals and surgical centers
    • Medical practice experience required
    • Ability to organize and multitask efficiently
    • Excellent verbal and written communication skills
    • Ability to professionally adapt to a rapidly changing environment
    • Positive attitude towards continuous training
    • Ability to work independently as well as in a team environment
    • Ability to establish and maintain positive and effective work relationships with coworkers and providers
    • CAQH knowledge is preferred but not required
    • Microsoft Office Experience (Excel, Outlook, Word)
    • Must be able to work and 8-hour shift in office

    Responsibilities:

    • Complete enrollment/credentialing and re-credentialing applications
    • Maintain a detailed log of all pending and completed work
    • Communicate the results of status of the applications to manager, physicians and coworkers
    • Maintenance of physician enrollment and CAQH profiles
    • Documentation within enrollment database
    • Coordinate Signatures with manager for providers
    • Daily call to insurances for credentialing status
    • Research and resolve claim denials due to credentialing issues

    #IND2

    Job Type: Full-time

    Pay: $22.00 - $28.00 per hour

    Benefits:

    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • Monday to Friday

    Application Question(s):

    • Do you have credentialing experience for managed care, hospitals, or surgical centers?

    Ability to Relocate:

    • Wayne, NJ: Relocate before starting work (Required)

    Work Location: In person

  • 8 Days Ago

S
Medical Staff Specialist
  • Shore Medical Center
  • Somers, NJ PART_TIME
  • Position Summary The Medical Staff Specialist manages the credentials of medical staff members and allied health professionals to ensure the highest quality patient care within the Hospital and compli...
  • 11 Days Ago

S
Medical Billing Specialist
  • Specialist Physician Practice
  • Toms River, NJ FULL_TIME
  • Posting charges, payments and claims follow-up Handle and resolve multiple and complex billing issues on a daily basis Demonstrate outstanding work ethic by working cooperatively with all team members...
  • 2 Days Ago

F
Credentialing Specialist
  • FOOT AND ANKLE PREMIER S
  • Hoboken, NJ FULL_TIME
  • Foot And Ankle Premier Specialists in Hoboken, NJ is looking for a credentialing specialist. Our ideal candidate is attentive, motivated, and engaged. Responsibilities *Filling out insurance applicati...
  • 18 Days Ago

T
Credentialing specialist
  • TALENT Software Services
  • Morristown, NJ FULL_TIME
  • Job Function : Maintains physician credentials necessary to ensure initial and continued enrollment into participating insurance plans. Job Function : Follows up on credentialing applications per esta...
  • 2 Days Ago

Z
Credentialing Specialist
  • Zufall Health
  • Dover, NJ FULL_TIME
  • Welcome to Zufall Health! Position Summary Under the direct supervision of the Billing Claims Manager, the Credentialing Specialist will conduct all aspects of third-party credentialing for providers ...
  • 3 Days Ago

Z
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

B
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

H
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

E
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

M
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

A
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

I
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

H
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

New Jersey is bordered on the north and northeast by New York (parts of which are across the Hudson River, Upper New York Bay, the Kill Van Kull, Newark Bay, and the Arthur Kill); on the east by the Atlantic Ocean; on the southwest by Delaware across Delaware Bay; and on the west by Pennsylvania across the Delaware River. New Jersey is often broadly divided into three geographic regions: North Jersey, Central Jersey, and South Jersey. Some New Jersey residents do not consider Central Jersey a region in its own right, but others believe it is a separate geographic and cultural area from the Nor...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$56,437 to $70,396