Medical Staff Credentialing Specialist, Sr. jobs in North Carolina

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)

U
Medical Site Credentialing Specialist
  • United Language Group
  • Jacksonville, NC 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 job opportunity.

    The Medical Site credentialing Specialist will be responsible for completing onsite surveys/audits for local medical clinics to ensure requirements are aligned with ULG client expectations.

    ULG will provide each credentialing specialist a required checklist to be completed.

    • Must have access to a tablet or laptop
    • Must have access to Acrobat Reader and MS Excel/spreadsheets

    Essential Duties Responsibilities

    • Visit local clinic locations to review and verify checklist for licensed practitioners in order to certify their compliance requirements
    • Validate building accessibility, the physical appearance of facilities, and facility setup
    • Complete survey checklist
    • Keep manager informed of concerns or problems with credentialing processes
    • Manage confidential information and matters of discretion and privacy in a professional manner and comply with all laws and requirements surrounding HIPAA
    • Review medical record-keeping practices, processes for patient scheduling, and other policies as needed
    • Other duties as may be reasonably requested.

    Education, Experience Skills

    • Associates Degree preferred or relevant professional working experience
    • Minimum of 1 year of experience credentialing and/or auditing in a regulated environment
    • Effectively interact with the community, operational and clinical personnel
    • Ability to meet deadlines and prioritize tasks
    • Detail-oriented and strong research skills
    • Organized decision-maker with the ability to work independently and in teams.
    • Strong oral and written communication
    • Knowledge of Microsoft Office (Word, Excel, and database programs)

    Equal Employment Opportunity

    United Language Group is an equal opportunity/affirmative action employer. United Language Group prohibits unlawful discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, and any other protected class status under applicable federal and applicable state law.

    Job Types: Full-time, Part-time, Contract

    Job Types: Part-time, Contract

    Pay: Up to $75.00 per hour

    Schedule:

    • Monday to Friday

    Application Question(s):

    • Do you have your own vehicle? & Do you have your own laptop/tablet?

    Experience:

    • Microsoft Office: 1 year (Required)
    • Medical Credentialing Occupations: 1 year (Required)
    • Microsoft Word: 1 year (Required)

    Ability to Relocate:

    • Jacksonville, NC: Relocate before starting work (Required)

    Willingness to travel:

    • 50% (Required)

    Work Location: In person

  • 28 Days Ago

U
Medical Site Credentialing Specialist
  • United Language Group
  • Beaufort, NC 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...
  • 29 Days Ago

I
Credentialing Specialist
  • InStride Foot & Ankle Specialists
  • Concord, NC FULL_TIME
  • The Credentialing Specialist will ensure that appropriate processes are in place to monitor and maintain systematic, timely credentialing and re-credentialing of network providers. Performs a meticulo...
  • 25 Days Ago

H
Credentialing Specialist
  • Health Network Solutions, Inc. (HNS)
  • Cornelius, NC FULL_TIME
  • About CompanyWe are a privately-owned physician network in the Charlotte, NC Metro Area. We operate in the fast-paced, ever-evolving, managed care space. Our work is challenging and especially enjoyab...
  • 7 Days Ago

M
Credentialing specialist
  • MyEyeDr.
  • Raleigh, NC FULL_TIME
  • Description About the role The Credentialing Specialist is responsible for all aspects of the MyEyeDr. Provider credentialing process, including gathering, verifying, reviewing, and maintaining all re...
  • 11 Days Ago

S
Medical Assistant
  • Specialist Office Services Limited
  • Knightdale, NC FULL_TIME
  • Job DescriptionMedical Assistant - Dermatology Knightdale, North CarolinaMUST: Experienced Medical AssistantMust have 1 plus years of experience a Medical AssistantMust have dermatology and/or EMA EMR...
  • 2 Days Ago

S
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

A
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

T
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

M
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

N
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

E
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

C
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

P
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

North Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the southeastern region of the United States. It borders South Carolina and Georgia to the south, Tennessee to the west, Virginia to the north, and the Atlantic Ocean to the east. North Carolina is the 28th-most extensive and the 9th-most populous of the U.S. states. The state is divided into 100 counties. The capital is Raleigh, which along with Durham and Chapel Hill is home to the largest research park in the United States (Research Triangle Park). The most populous municipality is Charlotte, which is the second-largest banking center in...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$49,559 to $61,813