Medical Staff Credentialing Specialist jobs in Lancaster, PA

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 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 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 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)

U
CREDENTIALING SPECIALIST
  • UNION COMMUNITY CARE
  • Lancaster, PA OTHER
  • Job Details

    Job Location:    Prince Street - Lancaster, PA
    Salary Range:    Undisclosed

    Description

    Our Mission, Vision, & Model of Care

    At Union Community Care, our purpose is to spark equity through patient-led healthcare that welcomes and strengthens our communities by integrating body, mind, and heart.

    We envision vibrant and healthy communities supported by inclusive healthcare that embraces each member’s unique culture, needs, and values, and emboldens them to make healthful choices that fuel their well-being and the well-being of others.

    We believe in whole health. This means we address and heal disease but equally important, we work at the causes of the causes, the social ills that must be addressed to achieve true equity.

    We listen, learn, and embrace the complex lives and unique strengths of our patients, and we work hard to break down all barriers to care. This means we look through a grassroots lens. We connect with our communities because we are our communities. Each of us is a neighbor, a friend, a family member, and together, we are a trusted community health center.

    Qualifications


    JOB SUMMARY

    The Credentialing Specialist is responsible for all facets of the credentialing process for Professional and back up for Payer Credentialing. This position works closely with the Compliance, Billing, and Clinicians to ensure that all required documentation is obtained as requested. This position is also required to keep an accurate account of all licensees, certification etc., to make sure they are current.

    SPECIFIC JOB DUTIES

    CREDENTIALING - Professional

    1. Participate in Interview of potential applicants to explain credentialing process

    2. Credential Newly Hired Providers (see provider worksheet)

    3. Advise Lancaster General of new Physicians to start Hospital Privileges process

    4. Add Providers to Athena (see Athena notes) and encounter oversight

    5. Add clinical staff to FTCA report

    6. Prepare Monthly Board Report of Credentialed Providers

    7. Re-credential (ongoing) 2 years from date of last credential for 100 clinical staff

    8. Maintain Paycom Credentialing Form

    HUMAN RESOURCES Professional

    9. Complete employment verification requests.

    10. Complete miscellaneous employee information requests such as pay history, position history, proof of training, respond to subpoena’s, etc.

    11. Maintain employee paper files and records.

    12. Assist with review of new policies and procedures.

    13. Provide support to employees in various HR -related topics such as policies and procedures, assistance with resolving issues as they arrive.

    Miscellaneous

    14. Provide back up and/or assist Billing staff with Payer credentialing issues.

    15. Communicate with Clinical staff ensuring all licensure and other professional documents are current

    16. Maintenance of Clinical Staff Files paper and electronic

    17. Maintenance of various provider listings

    18. Liaison between UCC Providers and Lancaster General Medical Staff Office

    POSITION REQUIREMENTS

    Bachelor’s Degree or (2) years’ experience (certificates or schooling)

    Credentialing experience and working with third party payers

    Understanding of employment rules and regulations

    English proficiency required

    ESSENTIAL FUNCTIONS

    In order to fulfill the requirements of this position, duties 1-30 are considered essential functions of the job.

    ORGANIZATIONAL INVOLVEMENT

    This position is required to participate in mandatory all staff meetings, team meetings and trainings.

  • 7 Days Ago

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13 Week Travel Contract Registered Nurse, Staff, Home Health
  • Core Medical Group
  • Lancaster, PA CONTRACTOR,OTHER
  • Client in PA seeking CWHH-RN Home Health (RN) to work Shift: M-F until shift is complete On call info: On call required if requested Travel Area: Harrisburg, new Cumberland, Carlisle , Etters, Mechani...
  • 3 Days Ago

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13 Week Travel Contract Registered Nurse, Staff, Hospice
  • Core Medical Group
  • Lancaster, PA OTHER,CONTRACTOR
  • Client is seeking an Hospice RN in PA! CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses. Our clients...
  • 7 Days Ago

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Medical record specialist
  • Lancaster General
  • Lancaster, PA FULL_TIME
  • Summary Job Description POSITION SUMMARY : To analyze patient charts for deficiencies, and either complete chart or assign deficiencies to providers. Serve as primary contact person for physicians in ...
  • 4 Days Ago

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Medical Records Specialist Lead
  • WellSpan Health Services
  • Ephrata, PA FULL_TIME
  • Schedule Full-time: 40hrs/week Hours: 8am - 4:30pm with Weekend and Holiday rotation General Summary Collects, analyzes and processes patient medical information to ensure the integrity, completeness ...
  • 9 Days Ago

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TRUCK DRIVER LOCAL CDL A Home Daily
  • Drive Staff
  • Lancaster, PA FULL_TIME
  • TRUCK DRIVER CLASS A LOCAL GREAT HOME TIME Love to Drive but want great family time as well? Overview: Home daily $74,000 Year Average $1,420 Weekly Average Dedicated Route No New York City $10,000 SI...
  • 21 Days Ago

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0 Medical Staff Credentialing Specialist jobs found in Lancaster, PA area

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Travel LPN / LVN - $1,136 per week
  • Stability Healthcare
  • Dallastown, PA
  • Care Team Solutions is seeking a LPN / LVN for a travel job in Dallastown, Pennsylvania. Job Description & Requirements ...
  • 3/28/2024 12:00:00 AM

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Travel LPN / LVN - $1,139 per week
  • Stability Healthcare
  • Reading, PA
  • Care Team Solutions is seeking a LPN / LVN for a travel job in Laureldale, Pennsylvania. Job Description & Requirements ...
  • 3/28/2024 12:00:00 AM

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Travel LPN / LVN - $1,136 per week
  • Stability Healthcare
  • Pottstown, PA
  • Care Team Solutions is seeking a LPN / LVN for a travel job in Pottstown, Pennsylvania. Job Description & Requirements S...
  • 3/28/2024 12:00:00 AM

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Travel LPN / LVN - $1,139 per week
  • Stability Healthcare
  • York, PA
  • Care Team Solutions is seeking a LPN / LVN for a travel job in York, Pennsylvania. Job Description & Requirements Specia...
  • 3/27/2024 12:00:00 AM

S
Travel LPN / LVN - $1,136 per week
  • Stability Healthcare
  • Lancaster, PA
  • Care Team Solutions is seeking a LPN / LVN for a travel job in Lancaster, Pennsylvania. Job Description & Requirements S...
  • 3/25/2024 12:00:00 AM

S
Travel LPN / LVN - $1,136 per week
  • Stability Healthcare
  • Lebanon, PA
  • Care Team Solutions is seeking a LPN / LVN for a travel job in Lebanon, Pennsylvania. Job Description & Requirements Spe...
  • 3/24/2024 12:00:00 AM

S
Travel LPN / LVN - $1,136 per week
  • Stability Healthcare
  • York, PA
  • Care Team Solutions is seeking a LPN / LVN for a travel job in York, Pennsylvania. Job Description & Requirements Specia...
  • 3/24/2024 12:00:00 AM

S
Travel LPN / LVN - $1,136 per week
  • Stability Healthcare
  • Reading, PA
  • Care Team Solutions is seeking a LPN / LVN for a travel job in West Reading, Pennsylvania. Job Description & Requirement...
  • 3/24/2024 12:00:00 AM

Lancaster (/ˈlæŋkəstər/ LANG-kə-stər) is a city located in South Central Pennsylvania which serves as the seat of Pennsylvania's Lancaster County and one of the oldest inland towns in the United States. With a population of 59,322, it ranks eighth in population among Pennsylvania's cities. The Lancaster metropolitan area population is 507,766, making it the 101st largest metropolitan area in the U.S. and second largest in the South Central Pennsylvania area. The city's primary industries include healthcare, tourism, public administration, manufacturing, and both professional and semi-professi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$40,286 to $51,015
Lancaster, Pennsylvania area prices
were up 1.5% from a year ago

Medical Staff Credentialing Specialist in Shreveport, LA
The University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance.
December 08, 2019
This position will review credentialing/privileging information for accuracy and primary source verify all information in accordance all regulatory agencies and University of Kentucky policies and procedures.
December 06, 2019
Medical Staff Credentialing Specialist in Brownsville, TX
In addition, the Medical Staff Services Facility Specialist provides information and guidance regarding medical staff bylaws, medical staff ruled and regulations, allied health professionals (AHP) policies, Joint Commission for Accreditations of Healthcare Organizations (JCAHO) and Center for Medicare and Medicaid Services (CMS) and other regulatory agencies as they pertain to medical staff and allied health professionals.
December 05, 2019
Medical Staff Credentialing Specialist in Cincinnati, OH
Under minimal supervision coordinates, monitors and maintains the credentialing and re-credentialing process for the Medical Staff and Allied Health Professionals.
February 13, 2020