Medical Staff Credentialing Specialist, Sr. jobs in Georgia

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. 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, Sr. handles and resolves inquiries regarding credentialing information, process, or status. May provide guidance or expertise to less experienced specialists. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. 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
  • Physician 1st Billing and Credentialing Services
  • Morrow, GA FULL_TIME
  • Requirements :

    • Minimum of 2 years experience in provider enrollment preferred
    • Knowledge of the Medicare, Medicaid & third-party provider credentialing processes
    • Proficiency in Microsoft Office, particularly Word and Excel
    • Professional written and verbal communication and interpersonal skills

    Responsibilities :

    • Initiate enrollment with insurance companies for all new providers
    • Maintain the timelines on enrollment schedules, communicate with billing and the office managers on updates as needed, and explain payer information requirements
    • Work closely with physicians and office managers to obtain missing documentation on providers for enrollment with insurance companies
    • Follow-up with insurance companies for provider participation status
    • Complete re-credentialing for existing providers
    • Able to effectively communicate with team members, billing staff, and insurance companies
    • Retain detailed and accurate lists of insurance for which clients participate
    • Performs other related duties, which may be inclusive but not listed in the job description
    • Last updated : 2024-05-01

  • 1 Day Ago

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Coordinator, Medical Staff Credentialing
  • St. Joseph's/Candler
  • Savannah, GA FULL_TIME
  • Position Summary The Coordinator of Medical Staff Services/Credentialing serves as a resource to the Medical Staff for services related to credentialing for initial appointments and reappointments; en...
  • 2 Months Ago

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Medical Site Credentialing Specialist
  • United Language Group
  • Augusta, GA FULL_TIME
  • 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. The Medical Site credentialing Specialist...
  • 2 Days Ago

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SR On-Site Service Specialist
  • ac-staff-agency
  • Alpharetta, GA TEMPORARY
  • We have a client looking for an On-site senior service specialist. This is a temporary job with the possibility to go permanently. ***Shift timings*** 9:00 am to 6:00 pm (Monday - Friday) Job Type: Te...
  • 18 Days Ago

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Credentialing Specialist
  • Resolution Think LLC
  • Forest, GA FULL_TIME
  • Cognito Systems, a Resolution Think (RT) joint venture, is seeking a skilled Credentialing Specialist. The purpose of this overall project is to provide centralized credentialing and privileging servi...
  • 2 Days Ago

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Credentialing specialist
  • ProSphere
  • Forest, GA FULL_TIME
  • Overview Cognito Systems, a Planned Systems International (PSI) joint venture, is seeking a skilled Credentialing Specialist. The purpose of this overall project is to provide centralized credentialin...
  • 9 Days Ago

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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...
  • 5/4/2024 12:00:00 AM

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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....
  • 5/4/2024 12:00:00 AM

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Credentialing Specialist
  • Pride Health
  • Aurora, CO
  • Job Title- Credentialing Specialist Location- Aurora, CO 80011 Duration- 3 months+ possible extension Shift- 7:00 AM – 3...
  • 5/3/2024 12:00:00 AM

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Credentialing Specialist
  • Orlando Health
  • Orlando, FL
  • Position Summary: Responsible for providing support to the medical staff and allied health staff with credentialing and ...
  • 5/3/2024 12:00:00 AM

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Credentialing Specialist
  • Huntsville Memorial Hospital
  • Huntsville, TX
  • POSITION PURPOSE Under general supervision of the Director of Medical Staff Services, the Credentialing Specialist is re...
  • 5/2/2024 12:00:00 AM

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Credentialing Specialist
  • e-MDs
  • Hauppauge, NY
  • Summary of Job Responsible for preparing provider enrollment applications, demographic updates and tracking metrics for ...
  • 5/2/2024 12:00:00 AM

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Credentialing Specialist
  • Heluna Health
  • Los Angeles, CA
  • Salary: $26.53-$38.28 Per Hour Schedule for this position: Monday through Friday 3pm-11:30pm SUMMARY The Credentialing S...
  • 5/1/2024 12:00:00 AM

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Credentialing Specialist
  • TAG - The Aspen Group
  • Syracuse, NY
  • The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U. ...
  • 5/1/2024 12:00:00 AM

Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989. The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$49,920 to $62,264