Medical Staff Credentialing Specialist, Sr. jobs in Florida

Medical Staff Credentialing Specialist, Sr. processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Being a Medical Staff Credentialing Specialist, Sr. 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, Sr. 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, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Medical Staff Credentialing Specialist, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)

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Credentialing Specialist
  • ABC Home Medical Supply, Inc.
  • Port Saint Lucie, FL FULL_TIME
  • The Credentialing Specialist is responsible for assisting in all aspects of the licensing and credentialing of the Company. The Specialist will process applications on behalf of the Company in order to ensure compliance and completeness of licenses and agreements with Medicare, state Medicaid agencies, federal, state and local licensing agencies and private health insurance companies.


    ESSENTIAL DUTIES AND RESPONSIBILITIES:

    Include the following as well as other duties and responsibilities, which may be assigned.


    • Assist with the maintenance of complete and accurate documentation regarding the Company, its facilities/operations, its ownership and its management to ensure proper and complete completion of licensing and credentialing applications and insurance agreements;
    • Assist with timely responses to requests for information from federal, state and local agencies and private insurance companies regarding the Company’s licensing and credentialing obligations;
    • Assist with research, maintenance and coordination of all federal, state and local licensing requirements
    • Accurate and timely completion of initial, renewal applications as well as process organizational changes via notification and/or application;
    • Assist with the maintenance of the Company database to ensure accuracy of all licenses and agreements with federal, state and local organizations and private health insurers
    • Assist with the completion of all revalidation or re-credentialing requests from Medicare, state Medicaid agencies and private health insurance companies;
    • Prepare all licensing and applications for new locations of the Company in order to obtain Medicare licensing, state licensing and accreditation
    • Contact insurance companies to initiate participation into their DME provider networks, including the completion of letters of interest and applications,
    • Maintain the Company’s database of Provider Insurance contracts,
    • Notify all pertinent Company personnel regarding new insurance contracts, fee schedules, and updating the Company’s Payer database
    • Other duties as assigned


    QUALIFICATIONS:

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily and must possess the ability to: interact professionally and ethically with team members, all levels of management, government agencies and commercial payer personal; handle multiple tasks simultaneously; provide clear, concise oral and written directives/communications; quickly assess situations and respond appropriately; handle special requests in a sensitive, professional manner. Strong attention to detail and follow through is required. Meticulous organization and filing skills. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


    QUALIFICATION REQUIREMENTS:

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


    EDUCATION AND/OR EXPERIENCE:

    • High School Diploma
    • Associate or Bachelor’s degree, or relevant healthcare experience
    • Analytical skills required, attention to detail, organized


    TRAINING:

    Our industry is a highly regulated industry, and because of that and our commitment to providing the best in class products, services, and support, we require ALL employees to complete the following training programs prior to the marketing and promotion of our products, services, and support systems:


    • Anti-Kick Back Training
    • Fraud, Abuse, and Waste Training
    • HIPAA Training
    • Systems Training


    CONTINUING EDUCATION:

    To continue to be best in class within our industry, we require all employees to participate in ongoing education to maintain / increase their competency or in the event the team member changes responsibility within the company.


    Notice:

    Employment with the Company is “at will.” This means a team member or the Company may end a team member’s employment at any time with or without reason. None of the Company’s policies, procedures, or practices, including those set forth on the Company Website and/or Intranet, are to be viewed as creating any promises or contractual rights. They are guidelines that the Company may, at its discretion, change at any time without prior notice to any team member. The information contained in this policy replaces all previous handbooks and other statements of Company policies, rules, and procedures.

  • 22 Days Ago

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Credentialing Specialist
  • Athena Medical Management Group LLC
  • Springs, FL FULL_TIME
  • Athena Medical Management Group, LLC is looking for a detail- oriented individual to work in a team-centric medical staff services department as licensing specialist. Specific Duties and Responsibilit...
  • 9 Days Ago

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Credentialing Specialist
  • Orthopaedic Medical Group of Tampa Bay
  • Lithia, FL FULL_TIME
  • Orthopaedic Medical Group of Tampa Bay is a fast-paced and well-established orthopaedic practice with 9 locations. The Credentialling Specialist is responsible for our credentialling process of all ph...
  • 15 Days Ago

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Credentialing Specialist
  • ABC Home Medical Supply, Inc.
  • Port St. Lucie, FL FULL_TIME
  • The Credentialing Specialist is responsible for assisting in all aspects of the licensing and credentialing of the Company. The Specialist will process applications on behalf of the Company in order t...
  • 16 Days Ago

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Medical Credentialing Specialist
  • Orlando Family Medical
  • Kissimmee, FL FULL_TIME
  • Orlando Family Medical is looking for a person with acknowledgement in credentialing physicians. Must have minimum 2 years credentialing experience. Must have knowledge of credentialing, human resourc...
  • Just Posted

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Medical Recruiter & Credentialing Specialist
  • KATMAI
  • Orlando, FL FULL_TIME
  • Job Description: Responsible for delivering entry-level to executive-level candidates into the workforce, while guiding hiring managers and candidates through the selection process, in accordance with...
  • 9 Days Ago

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Credentialing Specialist
  • N2S Healthcare Staffing Solutions LLC
  • Charlotte, NC
  • Title: Provider Services Specialist (Auto-Offer) Location: Charlotte, NC, 28208 Duration: 13 weeks Shift: Day 5x8-Hour (...
  • 3/28/2024 12:00:00 AM

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Credentialing Specialist
  • PRIDE Healthcare
  • New York, NY
  • Job Description Job Description Role – Credentialing Specialist Location – New York, NY Shift – Day Pay - $25- $27/ hr C...
  • 3/28/2024 12:00:00 AM

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Credentialing Specialist
  • Atria Consulting
  • New York, NY
  • Busy New York City Hospital Corporation is looking for an experienced and organized Credentialing Specialist. The Creden...
  • 3/28/2024 12:00:00 AM

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Credentialing Specialist
  • Tandym Group
  • New York, NY
  • A healthcare system in New York City is seeking a Credentialing Specialist to join their team in Manhattan. In this role...
  • 3/27/2024 12:00:00 AM

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Credentialing Specialist
  • Yuma Regional Medical Center
  • (Remote Work Available) Bring your skills to one of the sunniest places on earth - Yuma, AZ! Work Status Details: REGULA...
  • 3/27/2024 12:00:00 AM

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Credentialing Specialist
  • PRIDE Healthcare
  • Morristown, NJ
  • Job Description Job Description Position: Credentialing Specialist Location: Morristown NJ Duration: 3+ Months Contract ...
  • 3/27/2024 12:00:00 AM

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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-...
  • 3/26/2024 12:00:00 AM

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Credentialing Specialist
  • AZ HR Hub
  • Scottsdale, AZ
  • Our client, FasPsych, delivers telepsychiatry services to organizations that struggle to recruit and maintain psychiatri...
  • 3/25/2024 12:00:00 AM

Florida (/ˈflɒrɪdə/ (listen); Spanish for "land of flowers") is the southernmost contiguous state in the United States. The state is bordered to the west by the Gulf of Mexico, to the northwest by Alabama, to the north by Georgia, to the east by the Atlantic Ocean, and to the south by the Straits of Florida. Florida is the 22nd-most extensive (65,755 sq mi or 170,300 km2), the 3rd-most populous (21,312,211 inhabitants), and the 8th-most densely populated (384.3/sq mi or 148.4/km2) of the U.S. states. Jacksonville is the most populous municipality in the state and the largest city by area in th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$48,076 to $59,123