Medical Staff Credentialing Specialist jobs in Tulsa, OK

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)

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Credentialing Specialist
  • FAIRFAX MEDICAL FACILITIES, INC.
  • Fairfax, OK FULL_TIME
  • CREDENTIALING SERVICES SPECIALIST


    NATURE OF POSITION
    Coordinates all internal and external credentialing activities of the Medical Staff, and acts as a liaison
    between the Medical Staff (LIPs-OLCPs-OCS) and health plan credentialing department. Maintains
    primary responsibility for the coordination of credentialing, privileging, re-credentialing, re-privileging
    and coordination of peer review.


    QUALIFICATIONS
    • High school diploma or equivalent required.
    • Associate Degree preferred, 3-5 years of medical staff administrative experience.
    • Certification by appropriate professional organizations preferred.
    • Driver’s License and vehicle insurance required.
    • Knowledge of Medical Staff Credentialing and Privileging.
    • Prior knowledge of FQHC and/or Joint Commission/Federal Tort Claims Act FTCA credentialing
    requirements or Certified Credentialing Specialist preferred.
    • Excellent written and verbal communication
    • Strong organizational skills with attention to detail
    • Proficient in MS Word & Excel
    • Ability to meet deadlines and prioritize tasks
    • Effectively interact with operational and clinical personnel
    • Plan, organize, coordinate, and monitor the work of staff and committees.


    SALARY GRADE and CLASSIFICATION: Non-Exempt
    RESPONSIBLE TO: CCO


    RESPONSIBILITIES
    • Demonstrate effective communication and problem-solving skills.
    • Coordinates all internal and external credentialing activities of the Medical Staff.
    • Maintains knowledge of new and changing accreditation, licensing, and educational requirements
    and assists in their implementation.
    • Responsible for the coordination, arranging and documentation of credentialing committee
    meetings.
    • Responsible for oversight of all credentialing, re-credentialing, and provider enrollment activities.
    • Coordination and management of provider data disseminated to health plans and other payors.
    • Act as a liaison between medical staff, HR department, Medical Director, billing department and
    all other positions as applicable to facilitate the flow of information.
    • Handle confidential information and matters of discretion in a professional manner.
    • Prepare and distribute documents and protocols related to credentialing.
    • Tracking and approval of invoices pertaining to primary source verification efforts.
    • Keeping all provider contracts with health plan for Fairfax Medical Facilities, Inc. up to date.
    • Specific vision abilities required by this job include close vision and the ability to adjust focus.
    • Other duties as assigned by supervisor.

    100% of employee health insurance paid by organization and a % of family coverage cost is also provided. Each employee receives additional supplemental life and accidental death and dismemberment insurance. Great organization with great benefits.

  • 20 Days Ago

F
Credentialing Specialist
  • Fairfax Medical Facilities Inc
  • Fairfax, OK FULL_TIME
  • CREDENTIALING SERVICES SPECIALIST NATURE OF POSITION Coordinates all internal and external credentialing activities of the Medical Staff, and acts as a liaison between the Medical Staff (LIPs-OLCPs-OC...
  • 21 Days Ago

C
Provider Services - Credentialing Specialist 115-1010
  • CommunityCare
  • Tulsa, OK FULL_TIME
  • JOB SUMMARY: Responsibilities include performing credentialing activities consistently for each applicant in accordance with federal and state mandates, and credentialing criteria as outlined in the C...
  • 21 Days Ago

U
Medical Site Credentialing Surveyor- Independent Contractor
  • United Language Group
  • Broken Arrow, OK CONTRACTOR
  • Summary - Flexible Contractor/Freelance Opportunity 1099 IMMEDIATE NEED This is not a full-time or part-time job. This is not a set-scheduled job opportunity. This is not an hourly pay job opportunity...
  • 27 Days Ago

1
Medical billing specialist
  • 180 Medical
  • Broken Arrow, OK FULL_TIME
  • Make a positive difference in others’ lives at a job where you can say you truly love what you do! 180 Medical has once again been voted one the Best Places to Work in our home state. Our employees en...
  • 3 Days Ago

S
HR Specialist (Bilingual/Spanish Speaking)
  • Skilled Staff, LLC
  • Tulsa, OK FULL_TIME
  • Bilingual HR Specialist Hours: 8:00AM - 4:30PM Pay Range: $45,000 – $55,000 Benefits: 100% Employer paid health & dental insurance 401k 3 days PTO upon hire Vacation time awarded after 1 year Paid Hol...
  • 17 Days Ago

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0 Medical Staff Credentialing Specialist jobs found in Tulsa, OK area

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Internal Revenue Agent (Compliance Automation Specialist - Examiner) 12 MONTH ROSTER (Amended)
  • Department Of The Treasury
  • Tulsa, OK
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 3/28/2024 12:00:00 AM

5
Retail Store Manager
  • 5.11 Tactical
  • Tulsa, OK
  • ** Retail Store Manager** **Job Category****:** RETAIL/MERCH **Requisition Number****:** RETAI003988 Showing 1 location ...
  • 3/28/2024 12:00:00 AM

T
Travel Nurse RN - Oncology - $2,062 per week
  • TRS Healthcare
  • Tulsa, OK
  • LanceSoft is seeking a travel nurse RN Oncology for a travel nursing job in Tulsa, Oklahoma. Job Description & Requireme...
  • 3/28/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - Direct Hire - Incentive eligible-AMENDED
  • Department Of The Treasury
  • Tulsa, OK
  • Duties WHAT ARE THE APPEALS (AP), LARGE BUSINESS AND INTERNATIONAL (LB&I), SMALL BUSINESS SELF-EMPLOYED (SB/SE) AND TAX ...
  • 3/27/2024 12:00:00 AM

D
Internal Revenue Agent/ Senior Revenue Agent (Examiner)- (6 Month Roster) - Amended
  • Department Of The Treasury
  • Tulsa, OK
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LBI) DIVISION? A description of the business units can be found at:...
  • 3/27/2024 12:00:00 AM

A
RN Registered Nurse Diabetes Educator - Inpatient
  • Ascension
  • Tulsa, OK
  • Details Department: Diabetes Education Schedule: Full Time, Monday through Friday, flexible hours Hospital: Ascension St...
  • 3/26/2024 12:00:00 AM

D
Internal Revenue Agent (Examiner) - 12 MONTH ROSTER
  • Department Of The Treasury
  • Tulsa, OK
  • Duties WHAT IS THE SMALL BUSINESS/SELF-EMPLOYED (SB/SE) DIVISION? A description of the business units can be found at: h...
  • 3/25/2024 12:00:00 AM

A
Travel Registered Nurse - Telemetry
  • Advantis Medical Staffing
  • Tulsa, OK
  • Advantis Medical is seeking an experienced Telemetry Registered Nurse for a 13 week travel assignment in Tulsa, OK! As a...
  • 2/22/2024 12:00:00 AM

Tulsa is located in the northeastern corner of Oklahoma, 99 miles (159 km) northeast of Oklahoma City; situated between the edge of the Great Plains and the foot of the Ozarks in a generally forested region of rolling hills. The city touches the eastern extent of the Cross Timbers, an ecoregion of forest and prairie transitioning from the drier plains of the west to the wetter forests of the east. With a wetter climate than points westward, Tulsa serves as a gateway to "Green Country", a popular and official designation for northeast Oklahoma that stems from the region's green vegetation and r...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$39,164 to $49,594
Tulsa, Oklahoma area prices
were up 1.2% 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