Medical Staff Credentialing Specialist, Sr. jobs in New Mexico

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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Medical Staff Credentialing Specialist, SR
  • Reef Systems
  • Cannon, NM FULL_TIME
  • The candidate shall have a minimum of  1 to 3 years of practical experience in providing credentialing and privileging i.e. receiving and compiling medical provider legal documentation (medical diplomas, DEA licenses, state licenses, National Practitioner Database records, malpractice insurance documents, certifications, post-graduate training, references, etc.), building comprehensive credentialing packets and ensuring their absolute integrity. Expert knowledge of and skills in general management, organizational principles, and practices of credentialing and privileging to analyze, evaluate, advise, and coordinate on all aspects of the credentialing process.

    Extensive knowledge of individual states’ medical boards, national medical certifying medical boards, and other agency requirements regarding licensing and certification. 

    Extensive ability to analyze, identify, and resolve complex problems or unusual situations regarding the credentials and privileging process.

    In-depth knowledge of AF healthcare directives related to medical practices and their association to credentialing actions.  Knowledge of medical terminology and procedures sufficient to oversee appropriateness of privileges requested and facilitate interaction with all levels of medical professionals.

    Extensive knowledge of and ability to effectively use automated data systems, spreadsheet, database, word processing, and other electronic computer applications in the collection and analysis of data pertaining to medical staff issues.

     Certified as  a Credentialing Specialist is highly desired. 
  • 2 Months Ago

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Medical Staff Credentialing Coordinator
  • Presbyterian Healthcare Services
  • Santa Fe, NM FULL_TIME
  • Overview Supports the Medical and Allied Health Staff credentialing/primary sourcing verification program by coordinating and developing internal processes in order to meet requirements of federal and...
  • 1 Month Ago

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Medical Credentialing Specialist
  • Ladgov Corporation
  • Portales, NM FULL_TIME
  • Job Title: Medical Credentialing Specialistlocation : Cannon AFB , NM 88103Job Type : Full-timeHours of Operation : Monday through Friday from 08:00 to 17:00Responsibilities :Analyze, design, implemen...
  • 10 Days Ago

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Medical Credentialing Specialist
  • Ladgov Corporation
  • Clovis, NM FULL_TIME
  • Job Title: Medical Credentialing Specialistlocation : Cannon AFB , Clovis, NM 88103Job Type : Full-timeHours of Operation : Monday through Friday from 08:00 to 17:00Responsibilities :Analyze, design, ...
  • 10 Days Ago

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Director Medical Staff Credentialing Services
  • Clinical Management Consultants
  • San Jose, NM FULL_TIME
  • A well-respected, award-winning hospital in Northern New Mexico has an exciting opportunity for an experienced Director Medical Staff Credentialing Services.This reputable, 170 bed hospital holds many...
  • 9 Days Ago

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Director Medical Staff Credentialing Services
  • Clinical Management Consultants
  • Espanola, NM FULL_TIME
  • A well-respected, award-winning hospital in Northern New Mexico has an exciting opportunity for an experienced Director Medical Staff Credentialing Services. This reputable, 170 bed hospital holds man...
  • 23 Days Ago

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CREDENTIALING SPECIALIST
  • River City Staffing, Inc.
  • Jackson, CA
  • Physician Credentialing Specialist urgently needed in Jackson, CA for an onsite position at a large healthcare organizat...
  • 6/11/2024 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. ...
  • 6/10/2024 12:00:00 AM

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Credentialing Specialist
  • Catholic Health Initiatives
  • Chattanooga, TN
  • **Overview** CHI Memorial Hospital now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and ...
  • 6/10/2024 12:00:00 AM

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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

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Credentialing Specialist
  • IDR
  • Atlanta, GA
  • Credentialing Specialist IDR is seeking a Credentialing Specialist to join one of our top clients in Pennsylvania. If yo...
  • 6/8/2024 12:00:00 AM

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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

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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

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Credentialing Specialist
  • Sycamore Independent Physicians
  • Huntsville, AL
  • Job Summary: Obtain and process internal RRPA provider applications and supporting documentation for purposes of insuran...
  • 6/7/2024 12:00:00 AM

New Mexico (Spanish: Nuevo México Spanish pronunciation: [ˈnweβo ˈmexiko] (listen), Navajo: Yootó Hahoodzo pronounced [jòːtxó xɑ̀xʷòːtsò]) is a state in the Southwestern region of the United States of America; its capital and cultural center is Santa Fe, which was founded in 1610 as capital of Nuevo México (itself established as a province of New Spain in 1598), while its largest city is Albuquerque with its accompanying metropolitan area. It is one of the Mountain States and shares the Four Corners region with Utah, Colorado, and Arizona; its other neighboring states are Oklahoma to the north...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$47,717 to $59,515