Medical Staff Credentialing Specialist processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist 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 handles and resolves inquiries regarding credentialing information, process, or status. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. The Medical Staff Credentialing Specialist works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Medical Staff Credentialing Specialist typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)
Summary: Performs specialized duties in the administration of credential requirements and procedures. Position will be part-time with flexible hours.
Essential Duties and Responsibilities include the following:
Computer experience essential
Excellent organization skills
Electronic practice management documentation experience preferred
Excellent verbal and written communication skills
Other Qualifications
Knowledge of insurance carrier requirements
Attention to detail
Prior experience with hospital and insurance credentialing including CAQH, NPI and PECOS
Must be available to work flexible hours
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0 Medical Staff Credentialing Specialist jobs found in Bethlehem, PA area