Medical Staff Credentialing Specialist jobs in Kentucky
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
Credentialing Specialist
- SEP Summit Medical Group, Inc.
-
Erlanger, KY
FULL_TIME
- Job Type: Regular Scheduled Hours: 40 Job Summary: Reports to the Credentialing Manager, the Credentialing Specialist maintains active credentialing with all managed care organizations. Initiates credentialing for all newly hired physicians. Maintains active hospital privileges. Job Description: BENEFITS: Work from home after training, must live 1 hour from Erlanger KY Paid Time Off Medical, Dental, and Vision 403b with Match Opportunity for Career Growth DUTIES AND RESPONSIBILITIES: 1. Accurate and timely completion of all new provider applications and re-credentialing applications. 2. Track and enter provider data into the system. Electronic files should be complete, current and accurate. 3. Maintain provider files of credentials, provider numbers and signed contracts. Paper files should be complete current and accurate. 4. Accurate and timely information is provided to contract carriers. 5. Maintain network and billing systems files for provider status. 6. Effective and timely communication with site and CBO for addressing credentialing issues. 7. Responsible for submitting Medical License and DEA invoices. Maintain an accurate and up to date log to ensure timeliness of renewals. 8. Answer telephones within 3 rings and is friendly and helpful. 9. Other duties as assigned. LICENSES AND CERTIFICATIONS: N/A EDUCATION: Minimum: High School Diploma. YEARS OF EXPERIENCE: Minimum 2 year experience in provider credentialing, revenue cycle or other related field At least 12 months of experience as a Credentialing Specialist I at St. Elizabeth. REQUIRED SKILLS AND KNOWLEDGE: Ability to manage and prioritize multiple tasks, knowledge of Excel, Word, Outlook and PowerPoint and the ability to learn other computer skills. Must have good organizational skills and work professionally with doctors, hospital administration and management, SEP employees and the public. OTHER REQUIRED SKILLS AND KNOWLEDGE 1. Understanding and knowledge of insurance credentialing application procedures. 2. Strong organizational skills. 3. Ability to maintain strict confidentiality, per corporate policies. 4. Knowledge of computer skills and applications. 5. Excellent communication skills. 6. Demonstrated ability to work successfully in a team-based decision-making culture. 7. Demonstrated ability to work independently resulting in effective outcomes and on-time performance. 8. Experience in planning and coordinating multi-disciplinary communications strategies, strategic initiatives, and events. 9. Must respond and follow through to requests from customers promptly. 10. Must work carefully and precisely with attention to detail. 11. Must utilize resources wisely. 12. Performs duties willingly and with initiative. Shares necessary information so co-workers can do the same. 13. Cooperates with other departments and work groups. FLSA Status: Non-Exempt Right Career. Right Here. If you have a passion for taking care of the community and are interested in Healthcare, you will take pride in the level of care we provide at St. Elizabeth. We take care of patients and each other. St. Elizabeth Healthcare is one of the oldest, largest and most respected medical providers in the Northern Kentucky, Southeastern Indiana and Greater Cincinnati region. Together with St. Elizabeth Physicians, the affiliated multi-specialty physician and advanced practice provider organization, we are transforming healthcare through innovative treatments, cutting-edge technology and a heart for our community. We’re right here, sharing one mission: to improve the health of the people we serve.
- 3 Days Ago
Medical Site Credentialing Specialist
- United Language Group
-
Louisville, KY
CONTRACTOR,PART_TIME
- Summary - 1099 Contract , Flexible Contractor/Freelance Opportunity 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 j...
- 1 Month Ago
Medical Site Credentialing Specialist
- United Language Group
-
Erlanger, KY
PART_TIME,CONTRACTOR
- Summary - 1099 Contract , Flexible Contractor/Freelance Opportunity 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 j...
- 1 Month Ago
Medical Site Credentialing Specialist
- United Language Group
-
Williamstown, KY
CONTRACTOR,PART_TIME
- Summary - 1099 Contract , Flexible Contractor/Freelance Opportunity 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 j...
- 1 Month Ago
Medical Site Credentialing Specialist
- United Language Group
-
Henderson, KY
CONTRACTOR,PART_TIME
- Summary - 1099 Contract , Flexible Contractor/Freelance Opportunity 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 j...
- 1 Month Ago
Medical Site Credentialing Specialist
- United Language Group
-
Elizabethtown, KY
PART_TIME,CONTRACTOR
- Summary - 1099 Contract , Flexible Contractor/Freelance Opportunity 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 j...
- 1 Month Ago
Medical Staff Credentialing Specialist jobs at Popular Companies
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. ...
- 6/10/2024 12:00:00 AM
Credentialing Specialist
- Psychiatric Medical Care
-
Nashville, TN
- Who We Are: Psychiatric Medical Care is one of the country's largest Behavioral Health Management companies. Why work wi...
- 6/10/2024 12:00:00 AM
Credentialing Specialist
- Heluna Health
-
Los Angeles, CA
- Salary: $26.53-$38.28 Per Hour Schedule for this position: Monday through Friday 8am-5pm (can be some flexibility with h...
- 6/10/2024 12:00:00 AM
Credentialing Specialist
- Gonzaba Medical Group
-
San Antonio, TX
- General Summary: The Credentialing Specialist is responsible for managing and maintaining the credentialing data for our...
- 6/10/2024 12:00:00 AM
Credentialing Specialist
- Albany Med Health System
-
Albany, NY
- Department/Unit: Medical Staff Credentialing Work Shift: Day (United States of America) Salary Range: $17.97 - $28.76 Cr...
- 6/10/2024 12:00:00 AM
Credentialing Specialist
- Coda Staffing
-
Wayne, NJ
- Job Description Job Description Qualifications: · Credentialing Experience and process preferred for managed care compan...
- 6/8/2024 12:00:00 AM
Credentialing Specialist
- Addison Group
-
St Louis, MO
- The actual job duties of a certification/credentialing specialist are many, and each is equally as important in ensuring...
- 6/7/2024 12:00:00 AM
Credentialing Specialist
- iCare Health Solutions Enterprise
-
- Develop and cultivate productive relationships with providers, retail chains, strategic partners and their staff. Elevat...
- 6/7/2024 12:00:00 AM
About Kentucky
Kentucky (/kənˈtʌki/ (listen) kən-TUK-ee), officially the Commonwealth of Kentucky, is a state located in the east south-central region of the United States. Although styled as the "State of Kentucky" in the law creating it, (because in Kentucky's first constitution, the name state was used) Kentucky is one of four U.S. states constituted as a commonwealth (the others being Virginia, Pennsylvania, and Massachusetts). Originally a part of Virginia, in 1792 Kentucky became the 15th state to join the Union. Kentucky is the 37th most extensive and the 26th most populous of the 50 United States.
Ke...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist jobs
$42,194 to $53,076
Most Popular Cities in Kentucky 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