Skills & Competencies for Medical Staff Credentialing Specialist, Sr.

Medical Staff Credentialing Specialist, Sr. job profile

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JOB SUMMARY for Medical Staff Credentialing Specialist, Sr.

Processes credentialing and recredentialing applications for health care providers.

JOB RESPONSIBILITIES for Medical Staff Credentialing Specialist, Sr.

Mails, reviews, and verifies credentialing applications. Sets up and maintains provider information in an online credentialing database system. Tracks license and certification expirations for all providers to ensure timely renewals.

Medical Staff Credentialing Specialist, Sr. SALARY RANGE

BASE 50%
$58,267
TOTAL 50%
$58,961
Job Level
A03
Job Code
HC07000283
Education/Degree
High School Diploma or Technical Certificate
Reports To
Supervisor or Manager

Medical Staff Credentialing Specialist, Sr. Skills and Competencies List

Proficiency Levels and Behavioural Indicators
Salary.com identifies five increasing levels of proficiency for each skill/competency. Some jobs require only a relatively low level of proficiency in each skill/competency, while other jobs will require a more advanced level of proficiency in the same skill/competency. These levels rate the degree of proficiency (skill level, expertise) we expect the incumbent to perform in the given skill/competency for the given job. Note that we intentionally do not associate timeframes or years of experience in performing the skill/competency because that can be misleading. Proficiency levels identify what the incumbent knows and can do rather than how long they have been doing it. Also, note that the proficiency levels are cumulative, e.g., a level 4 proficiency implies the ability to perform all the behaviors at the lower levels.
Check each Medical Staff Credentialing Specialist, Sr. skill and competencie below to view definitions.
JOB FAMILY COMPETENCIES CORE COMPETENCIES
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4 general skills or competencies (Job family competencies) for Medical Staff Credentialing Specialist, Sr.

1 Job Family Competencies – Document Processing
Proficiency Level -3
Skill definition-Converting, capturing, and processing data into digital formats to allow document integration into business processes.
Level 1 Behaviors
(General Familiarity)
Lists commonly used intelligent systems and applications used in document processing.
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Level 2 Behaviors
(Light Experience)
Follows applicable standard operating procedures in converting relevant data into digital document formats.
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Level 3 Behaviors
(Moderate Experience)
Works with the document control personnel in handling the processing of document changes.
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Level 4 Behaviors
(Extensive Experience)
Validates and resolves the discrepancies in important documents to ensure accurate processing.
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Level 5 Behaviors
(Mastery)
Leads the processing of data into electronic documents to foster digital transformation.
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2 Job Family Competencies – Healthcare Industry
Proficiency Level -2
Skill definition-Applying healthcare industry knowledge to manufacture drugs and equipment and offer clinical and other healthcare-related support services.
Level 1 Behaviors
(General Familiarity)
Names the healthcare industry sectors and defines the purpose and functions of each.
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Level 2 Behaviors
(Light Experience)
Uses and maintains electronic health records (EHRs) according to legal and industry standards.
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Level 3 Behaviors
(Moderate Experience)
Works with various industry professionals to formulate new treatment processes for patients.
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Level 4 Behaviors
(Extensive Experience)
Recommends innovations to minimize and control costs in providing quality care to clients.
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Level 5 Behaviors
(Mastery)
Stays abreast of the changes in industry laws to ensure our organization's adherence.
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3 Medical Staff Credentialing Specialist, Sr. - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Medical Staff Credentialing Specialist, Sr.
Proficiency Level - 4
5 Competency for - Medical Staff Credentialing Specialist, Sr.
Proficiency Level - 5

5 soft skills or competencies (core competencies) for Medical Staff Credentialing Specialist, Sr.

1 Core Competencies – Attention to Detail
Proficiency Level -3
Skill definition-Executing and completing a task with a high level of accuracy.
Level 1 Behaviors
(General Familiarity)
Lists the traits of an employee showing great attention to detail.
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Level 2 Behaviors
(Light Experience)
Utilizes specific approaches and tools for checking and cross-checking outputs.
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Level 3 Behaviors
(Moderate Experience)
Uses tools to organize and monitor work progress.
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Level 4 Behaviors
(Extensive Experience)
Manages training to improve staffs' concentration and attention to detail.
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Level 5 Behaviors
(Mastery)
Learns from previous works' strengths and weaknesses to guide new projects.
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2 Core Competencies – Time Management
Proficiency Level -3
Skill definition-Managing and setting priorities, goals, and timetables to boost productivity and efficiency in completing tasks.
Level 1 Behaviors
(General Familiarity)
Lists basic planning tools and applications used in tracking and organizing time and tasks visually.
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Level 2 Behaviors
(Light Experience)
Seeks all resources needed to accomplish a task efficiently and effectively.
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Level 3 Behaviors
(Moderate Experience)
Works closely with colleagues to identify and reduce interruptions and barriers to time utilization.
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Level 4 Behaviors
(Extensive Experience)
Provides strategic direction to the workforce in managing time to avoid low-value work.
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Level 5 Behaviors
(Mastery)
Monitors the performance of business units to determine and eliminate deviations from priorities.
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3 Medical Staff Credentialing Specialist, Sr. - Skill and Competency
Proficiency Level - 3
4 Skill and Competency - Medical Staff Credentialing Specialist, Sr.
Proficiency Level - 4
5 Competency for - Medical Staff Credentialing Specialist, Sr.
Proficiency Level - 5

Summary of Medical Staff Credentialing Specialist, Sr. skills and competencies

There are 0 hard skills for Medical Staff Credentialing Specialist, Sr...
4 general skills for Medical Staff Credentialing Specialist, Sr., Document Processing, Healthcare Industry, Healthcare Regulatory Environment, etc.
5 soft skills for Medical Staff Credentialing Specialist, Sr., Attention to Detail, Time Management, Effective Communication, etc.
While the list totals 9 distinct skills, it's important to note that not all are required to be mastered to the same degree. Some skills may only need a basic understanding, whereas others demand a higher level of expertise.
For instance, as a Medical Staff Credentialing Specialist, Sr., he or she needs to be skilled in Attention to Detail, be skilled in Time Management, and be skilled in Effective Communication.

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