Medical Staff Credentialing Specialist jobs in District of Columbia
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)
Recently Added Medical Staff Credentialing Specialist jobs
Supervisor, Medical Staff Credentialing
- Children's National Hospital
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Washington, DC
FULL_TIME
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DescriptionThe Medical Staff Supervisor is responsible for successfully supervising the organizational and administrative operations of the CVO and all credentialing and privileging of the Medical Staff Department. Performs supervisory duties, including training, evaluating, and the day-to-day management of the Medical Staff team. The Supervisor is accountable for quality and integrity of data entered into systems and monitors administrative activities related to the Medical Staff Office. Collaborates with the Director to assign work to team members, assuring timely completion of project milestones and deliverables as appropriate. Emphasis is placed on customer services, provider satisfaction, staff development and fiscal goals. Supervises and oversees all credentialing services, provides onboarding assistance to the medical staff, assists in the supervision of various information systems used in credentialing functions, and oversees the process for delegated credentialing.
QualificationsMinimum Education
Bachelor's Degree (Required)
Master's Degree (Preferred)
Minimum Work Experience
3 years of credentialing experience (Required)
Required Skills/Knowledge
Excellent written and verbal communication skills, detailed knowledge of medical staff credentialing.
Knowledge of various accreditation standards (JC, NCQA, AAAHC, DOH) and State laws
Knowledge of ECHO (or equivalent) Credentialing Data System preferred
Required Licenses and Certifications
Certified Provider Credentialing Specialist CPCS and CPMSM 2 Yrs (Required)
.
Functional Accountabilities
Credentialing
- Supervises day to day activities of the credentialing services staff.
- Ensures that processes function smoothly and timely
- Develops departmental guidelines to ensure compliance with the Medical Staff Bylaws
- Oversees processes and minutes for CC.
- Provides updated credentials committee actions to managed care for submission to the various payer's
- Handles delegated credentialing audits. Develops responses and action plans as needed. Submits results to manager, medical affairs for the Credentials Committee.
- Supervises processing of initial appointments and reappointments.
- Conducts audits of completed appointments and reappointment applications.
- Provides education and feedback to staff.
- Prepares files for credentials committee actions.
- Develops automated processes in ECHO for appointments and reappointments.
- Develops process to ensure that all providers maintain current licensure, health attestations, certifications and insurance certificates.
- Provides list of providers to be deferred monthly for medical staff action.
- Develops automated processes in ECHO for tracking licensure, etc. and sending notifications.
- Supervises staff in physician on-boarding, to include assisting new doctors in application process for obtaining appropriate licensure, as well as medical staff privileges.
- Develops and applies metrics around time of hire, medical staff application date, licensure application, licenses granted and medical staff privileges approved.
- Trains staff in customer service activities and maintains high level of customer service.
- Develops automated processes in ECHO to assist in on-boarding process.
Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification
Teamwork/Communication
Performance Improvement/Problem-solving
Cost Management/Financial Responsibility
SafetyPrimary Location: District of Columbia-WashingtonWork Locations: CN Hospital (Main Campus) 111 Michigan Avenue Washington 20010Job: ManagementOrganization: Chief Academic OfficerPosition Status: R (Regular) - FT - Full-TimeShift: DayWork Schedule: 8:00 - 4:30PMJob Posting: Apr 22, 2024, 10:21:35 AM - 2 Days Ago
Credentialing Support Specialist
- Prometheus Federal Services
-
Washington, DC
FULL_TIME
- Prometheus Federal Services (PFS), a trusted partner to federal healthcare agencies, is currently seeking a Credentialing Support Specialist to be a part of a team supporting federal contracts with th...
- 14 Days Ago
Government Badging & Credentialing Specialist (HSPD-12)p
- Citizant
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Washington, DC
FULL_TIME
- Company DescriptionCitizant is a leading provider of professional IT services to the U.S. government. We seek to address some of our country’s most pressing challenges in the areas of Agile applicatio...
- 1 Month Ago
HSPD-12: Government Badging & Credentialing Specialist (Traveler: DC - REF1404K)
- Citizant
-
Washington, DC
FULL_TIME
- Company DescriptionCitizant is a leading provider of professional IT services to the U.S. government. We seek to address some of our country’s most pressing challenges in the areas of Agile applicatio...
- 1 Month Ago
Staff Mammographer
- Johns Hopkins Medical Management Corporation
-
Washington, DC
FULL_TIME
- Overview Johns Hopkins Intrastaff is the internal staffing agency for the Johns Hopkins Health System and partner hospitals, providing temporary support to a variety of the Johns Hopkins locations. Ou...
- 1 Month Ago
Staff Tecnico - Medical Devices
- Eurofins
-
Vimodrone, DC
FULL_TIME
- Descrizione dell'aziendaCon 900 laboratori, circa 58.000 dipendenti, oltre 200.000 metodi analitici, una presenza diffusa in 54 paesi e un fatturato annuo di 6.7 BIL EUR, Eurofins Scientific è un grup...
- 11 Days Ago
Medical Staff Credentialing Specialist jobs at Popular Companies
Credentialing Specialist
- Huntsville Memorial Hospital
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Huntsville, TX
- POSITION PURPOSE Under general supervision of the Director of Medical Staff Services, the Credentialing Specialist is re...
- 4/26/2024 12:00:00 AM
Credentialing Specialist
- BilliMD
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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
Credentialing Specialist
- HEALTH NETWORK SOLUTIONS INC
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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
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
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
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
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
Credentialing Specialist
- HirePower
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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
About District of Columbia
Washington, D.C. is located in the mid-Atlantic region of the U.S. East Coast. Due to the District of Columbia retrocession, the city has a total area of 68.34 square miles (177.0 km2), of which 61.05 square miles (158.1 km2) is land and 7.29 square miles (18.9 km2) (10.67%) is water. The District is bordered by Montgomery County, Maryland to the northwest; Prince George's County, Maryland to the east; Arlington County, Virginia to the south; and Alexandria, Virginia to the west.
The south bank of the Potomac River forms the District's border with Virginia and has two major tributaries: the An...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$49,644 to $62,448
Most Popular Cities in District of Columbia for Medical Staff Credentialing Specialist Jobs
What does a Medical Staff Credentialing Specialist do?
Medical Staff Credentialing Specialist in Lawton, OK
Under the direction of the Medical Staff Affairs Manager, this position will work independently but also collaborate and work with other team members of the Medical Staff Office.
January 03, 2020
Medical Staff Credentialing Specialist in Passaic, NJ
Knowledge of TJC, NCQA and CMS credentialing standards preferred.
January 10, 2020
Medical Staff Credentialing Specialist in Saint Cloud, MN
The Medical Staff Services Facility Specialist is also responsible for the accuracy and integrity of the credentialing and clinical privileging database system.
November 28, 2019