Medical Staff Credentialing Specialist, Sr. jobs in Rhode Island

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
  • University Orthopedics
  • East Providence, RI FULL_TIME
  • Job Description : Credentialing Specialist

    Responsible to : Director of Credentialing Services

    Location : Rhode Island

    This is not a remote position

    Under the direction of the Director of Credentialing Services, the Credentialing Specialist is responsible for all aspects of the credentialing, re-credentialing, and privileging process for all medical providers.

    This is a full-time position with benefits.

    Essential Duties and Responsibilities :

    • Complete provider payer enrollment credentialing and re-credentialing applications; monitors applications and follows-up as needed.
    • Process applications for initial appointment and reappointment of privileges.
    • Maintains strict confidentiality of provider information.
    • Provides cross-coverage of duties assigned to credentialing administrative assistant.
    • Perform other duties as assigned by Director to meet department needs.

    Requirements :

    • Two years of relevant credentialing experience preferred.
    • Excellent data entry skills.
    • Excellent organizational skills.
    • Excellent verbal and written communication skills.
    • Must be able to work independently with minimal supervision.
    • Must be able to work in fast paced, deadline driven environment.
    • Flexibility to travel between all Rhode Island and Massachusetts office sites if / when necessary.
    • Ability to work in Microsoft Office and proprietary credentialing software.
    • Ability to establish and maintain effective working relationships with providers, management, staff and external contacts.
    • Last updated : 2024-02-22

  • 1 Month Ago

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Payer Credentialing Specialist
  • Care New England
  • Providence, RI FULL_TIME
  • Job Summary: Under the direction of the Credentialing Supervisor, the Payer Credentialing Associate performs various credentialing research as well as clerical and office functions. Duties include but...
  • 24 Days Ago

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Sr. Staff Engineering Specialist - Pressure Vessels and Systems SME
  • Jobs for Humanity
  • Johnston, RI FULL_TIME
  • Job Description More information about this job:Overview: FM Global is a leading property insurer of the world's largest businesses, providing more than one-third of FORTUNE 1000-size companies with e...
  • 1 Day Ago

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Sr. Staff Engineering Specialist - Pressure Vessels and Systems SME
  • Factory Mutual Insurance Company
  • Johnston, RI FULL_TIME
  • Overview FM Global is a leading property insurer of the world's largest businesses, providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property ins...
  • Just Posted

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Sr. Staff Engineering Specialist Boiler Subject Matter Expert
  • Factory Mutual Insurance Company
  • Johnston, RI FULL_TIME
  • Overview FM Global is a leading property insurer of the world's largest businesses, providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property ins...
  • Just Posted

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Medical Staff Coordinator, III
  • Care New England
  • Providence, RI FULL_TIME
  • Job Summary: This is a Lead position responsible for processing initial applications and reappointment applications to credential and privilege physicians and other licensed health care professionals ...
  • 8 Days Ago

Rhode Island (/ˌroʊd -/ (listen)), officially the State of Rhode Island and Providence Plantations, is a state in the New England region of the United States. It is the smallest state in area, the seventh least populous, the second most densely populated, and it has the longest official name of any state. Rhode Island is bordered by Connecticut to the west, Massachusetts to the north and east, and the Atlantic Ocean to the south via Rhode Island Sound and Block Island Sound. It also shares a small maritime border with New York. Providence is the state capital and most populous city in Rhode Is...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$53,035 to $65,222