Medical Staff Credentialing Specialist jobs in Missouri
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
- Saint Joseph Medical Center
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Kansas, MO
FULL_TIME
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OverviewMedical Insurance Credentialing CoordinatorFacility St. Joseph Medical Group (Kansas City Physician Care)
Location US-MO-Kansas City ID 2024-163738 Category Business Professional Position Type Full Time Shift Days Job Type Non-Exempt ResponsibilitiesAt St. Joseph Medical Group and Kansas City Physician Care, our dedicated team of professionals is committed to our core values of quality, compassion, and community. Affiliated with St. Joseph Medical Center, St. Joseph Medical Group and Kansas City Physician Care are actively seeking new members to join their award-winning teams!
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
QualificationsResponsible for tracking provider enrollments, re-credentialing, and new contract applications with commercial and government health plans. Perform CAQH maintenance. Effectively communicate the contracting and enrollment process, addressing and providing regular updates to Regional Directors. Possess comprehensive knowledge of managed care company and plan requirements. Monitors and maintains websites for pending revalidations and credentialing requests.
Connect With Us!EDUCATION, EXPERIENCE, TRAINING
1. Associates degree preferred or equivalent education/experience.
2. Certified Provider Credentialing Specialist (CPCS) preferred
3. Must have strong computer, communication, and writing skills.
4. Must be proficient in Microsoft Office: Word, Excel, and PowerPoint.
5. Must exhibit a positive attitude and willingness to learn. 6. Knowledge of managed care plans, PECOS, NPPES,CAQH
#LI-AZ
Not ready to apply? Connect with us for general consideration.
We believe that all persons are entitled to equal employment opportunity and does not discriminate against qualified employees or applicants because of race, color, national origin, ancestry, sex, marital status, child birth or related medical condition or any other protected category as defined by State or Federal Law. We are an equal opportunity employer and do not discriminate against applicants due to veterans status, disability, race, gender or other protected characteristics. - 3 Days Ago
- Citizant
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Kansas, MO
FULL_TIME
- Company Description Citizant is a leading provider of professional IT services to the U.S. government. We seek to address some of our country's most pressing challenges in the areas of Agile applicati...
- 20 Days Ago
- Citizant
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St. Louis, MO
FULL_TIME
- Company Description Citizant is a leading provider of professional IT services to the U.S. government. We seek to address some of our country's most pressing challenges in the areas of Agile applicati...
- 20 Days Ago
- St. Joseph Medical Group (Kansas City Physician...
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Kansas, MO
FULL_TIME
- Overview: At St. Joseph Medical Group and Kansas City Physician Care, our dedicated team of professionals is committed to our core values of quality, compassion, and community. Affiliated with St. Jos...
- 3 Days Ago
- Allergy & Asthma Specialist of KC
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Kansas, MO
FULL_TIME
- Allergy and Asthma Specialists of Kansas City (AASKC) has an opening for a full-time Medical Assistant to join its growing practice in the Kansas City, Missouri Northland. A patient-first practice ded...
- 14 Days Ago
- Harrison County Community Hospital District
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Bethany, MO
FULL_TIME
- Job Description Job Title: Provider Credentialing Specialist Supervisor: HCCHD Director of Revenue Cycle FLSA Status: Non-Exempt / Full-Time/Hybrid Qualifications: Minimum of a High School diploma; As...
- 3 Days Ago
Medical Staff Credentialing Specialist jobs at Popular Companies
- TAG - The Aspen Group
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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
- Psychiatric Medical Care
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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
- Heluna Health
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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
- Gonzaba Medical Group
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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
- Albany Med Health System
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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
- Coda Staffing
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Wayne, NJ
- Job Description Job Description Qualifications: · Credentialing Experience and process preferred for managed care compan...
- 6/8/2024 12:00:00 AM
- Addison Group
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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
- iCare Health Solutions Enterprise
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- Develop and cultivate productive relationships with providers, retail chains, strategic partners and their staff. Elevat...
- 6/7/2024 12:00:00 AM