Medical Staff Credentialing Specialist, Sr. jobs in California
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)
Recently Added Medical Staff Credentialing Specialist, Sr. jobs
Medical Staff Credentialing Specialist - Administrative
- Ampcus Inc
-
Santa Monica, CA
CONTRACTOR
-
REQUIRED: 3 yrs. healthcare credentialing, working with MD Staff, exp with Primary Source Verification. See attached for additional details
Job Description
Under the direction of the Program Manager for Credentialing Quality/Process Improvement, the Medical Staff Credentialing Coordinator provides support to the medical staff organization activities in a high volume, goal driven environment. By being the point of contact with department management, medical staff and hospital leadership to ensure compliance and optimal efficiency for appropriate membership and privileges throughout the tenure of a providers tenure with Health, Advanced Health Professionals and CVO contracted facilities. First responder to maintaining the privileging process for members of the Medical Staff as well as performing auditing functions pursuant to facility Bylaws, Rules and Regulations; Credentialing Policy and Procedures; and other applicable accreditation/payor standards. The Medical Staff Coordinator is expected to work independently and collaboratively at all times with colleagues in the Medical Staff Office, Credentials Verification office, Clinical Service Coordinators, and other staff within the Medical Center while facilitating continuous process improvement efforts to achieve department and organization initiatives.
Required
Qualifications- Three years experience in healthcare credentialing (i.e. credentials verification organization, or Medical Staff Office)
- Working knowledge of the health care and credentialing industry, regulatory agencies, and other national standards (TJC, NCQA, AAAHC)
- Experience working with MDStaff
- Experience with Primary Source Verification, principles pertaining to FPPE, OPPE and Privileging
- Experience working with Microsoft Office (Excel, Word, Outlook) and Adobe Acrobat
- Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM)
- Previous experience with auditing Initial and Reappointment files for Physicians, Dentist and APPs
- Just Posted
Credentialing Specialist - Medical Staff Administration - F/T Days
- UC Irvine Medical Center
-
Orange, CA
FULL_TIME
- Updated: Apr 3, 2024 Location: Orange Job Type: Department: Medical Staff Admin UC Title: MED STF SVC SPEC 2 Position Number: 40324627 Reports to: Director Working Title: Credentialing Specialist 2 Co...
- 2 Months Ago
Medical Staff Office Specialist III - Credentialing
- Kaiser Permanente
-
Los Angeles, CA
OTHER
- Job Summary: Requests and reviews primary source information and verifications, with regular review from manager. Identifies and plans for resolution of standard and nonstandard gaps in vendor relatio...
- 2 Days Ago
Credentialing specialist
- Tri-city Medical Center
-
Oceanside, CA
FULL_TIME
- Overview Tri-City Medical Center has served San Diego County’s coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest ...
- 8 Days Ago
Medical Staff Credentialing Assistant
- AHMC Healthcare
-
Riverside, CA
OTHER
- Overview Under the supervision of the Director, Medical Staff Services, performs a variety of administrative, staff support and clerical functions, which require a range of skills knowledge of organiz...
- 26 Days Ago
Medical Staff Coordinator (Credentialing)
- Pacifica Hospital of the Valley
-
Sun Valley, CA
FULL_TIME
- Reporting to the Director Medical Staff, the MEDICAL STAFF COORDINATOR / CREDENTIALING is responsible for the initial appointment and reappointment process for physician / provider to the medical staf...
- 2 Days Ago
Medical Staff Credentialing Specialist, Sr. jobs at Popular Companies
Credentialing Specialist
- Sycamore Independent Physicians
-
Huntsville, AL
- Job Summary: Obtain and process internal RRPA provider applications and supporting documentation for purposes of insuran...
- 6/2/2024 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...
- 6/2/2024 12:00:00 AM
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. ...
- 5/31/2024 12:00:00 AM
Credentialing Specialist
- MedPro Healthcare Staffing
-
Sunrise, FL
- Credentialing Specialist About Us Welcome to MedPro Healthcare Staffing, an award-winning agency based in sunny South Fl...
- 5/31/2024 12:00:00 AM
Credentialing Specialist
- NorthLakes Community Clinic
-
Hayward, WI
- NorthLakes is currently looking for a full-time, Credentialing Specialist - Insurance, to work at our Hayward, Wisconsin...
- 5/31/2024 12:00:00 AM
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....
- 5/30/2024 12:00:00 AM
Credentialing Specialist
- Coda Staffing
-
Wayne, NJ
- Job Description Job Description Qualifications: · Credentialing Experience and process preferred for managed care compan...
- 5/29/2024 12:00:00 AM
Credentialing Specialist
- Petra Management Consultants LLC
-
Kernersville, NC
- Job Description Job Description WHO ARE WE? Petra Management Consultants, LLC is a trusted partner for healthcare provid...
- 5/29/2024 12:00:00 AM
About California
California is a state in the Pacific Region of the United States. With 39.6 million residents, California is the most populous U.S. state and the third-largest by area. The state capital is Sacramento. The Greater Los Angeles Area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions, with 18.7 million and 9.7 million residents respectively. Los Angeles is California's most populous city, and the country's second most populous, after New York City. California also has the nation's most populous county, Los Angeles County, and its largest county by area, S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$56,941 to $71,020