Medical Staff Credentialing Specialist, Sr. jobs in Oklahoma
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 Assistant
- the Chickasaw Nation
-
Ada, OK
FULL_TIME
-
Medical Staff Credentialing Assistant - 6970Ada, OK | Health | Full TimePosted yesterday | Apply before April 8, 2024ApplySave
Description
We are currently looking for a Full Time Medical Staff Credentialing Assistant to join our Clinician Services team located at the Chickasaw Nation Medical Center.
Summary:
Responsible for all functions related to coordinating, auditing, and monitoring of the review and approval process for credentialing and re-credentialing and for maintaining the appointment and reappointment files of the medical staff.Responsibilities:
- Responds to requests for application for medical staff membership and privileges
- Processes applications for appointment and reappointment by gathering the required data and performing primary source verification
- Reviews privilege requests and any required documentation
- Requests assistance from direct supervisor when unclear about request and/or documentation received
- Reviews all submitted information for completeness and accuracy
- Verifies licensure, education, training, and other requirements in accordance with policies and procedures
- Reviews completed file for accuracy and identifies problem areas, issues, concerns, or new information that is to be brought to the attention of the direct supervisor
- Assists with ensuring completed files are reviewed with the direct supervisor prior to department chief and committee approvals
- Prepares files and any required documents to accompany files/requests to Credentials Committee, Medical Executive Committee and Governing Board
- Performs all follow up required following Governing Board decision
- Assists with coordinating Credentials Committee meeting, takes and prepares the minutes, prepares the agenda and packets and any other documentation/materials to be presented for review
- Inputs all relevant data into medical staff e-files and credentialing database in a timely and accurate manner
- Identifies and obtains current verification of expirable data elements
- Maintains spreadsheets and databases and inputs data entry
- Maintains files, logs, and records
- Maintains confidentiality, security, and integrity of data and information
- Assists with orientation, special activities and training on specific procedures, tasks or equipment
- Provides first class customer service - courteous and helpful to all internal and external customer types
- Greets and engages with a smile
- Determines and meets needs
- Seeks positive experience and outcomes
- Answers questions in a courteous and professional manner
- Partners with internal and external services as needed to ensure appropriate referral is made
- Completes all training and development requirements and participates in continuing education opportunities
- Works in a collaborative and supportive manner to support the productivity and safety of the work area, team members and customers of all types
- Shares responsibilities for maintaining adequate supplies and equipment
- Maintains general upkeep of work area and maintains a safe environment
- Observes and addresses potential environmental hazards and risks
- Maintains and promotes professionalism
- Punctual and consistent in meeting start time, work schedule, attendance and other assigned work time metrics
- Adheres to Chickasaw Nation dress code standards
- May provide break coverage for others as assigned
- May augment staff in other areas as needed based on staffing and needs ratio in regularly assigned unit
- Maintain knowledge of and follow all laws, rules, regulations, policies and SOPs for assigned area, e.g. MICS, TICS, hospital standards, health codes, food sanitation, accounting principles, etc.
- All other duties as assigned
Competencies:
Essential:
- Follow instructions, written or oral
- Adhere to all scheduling and attendance requirements
- Honesty, truthfulness, reliability, accountability
- Read, understand and apply regulations and policies
- Possess basic knowledge of medical terminology
- Ability to multitask
- Ability to plan, organize and follow through on assignments
- Communicates verbally with team, departments, guests and management
Skills:
Essential:
- Must be familiar with the MS Office Suite of products
Experience:
Essential:
- 2 years directly related experience
Education:
Essential:
- High School, GED or Equivalent
Nonessential:
- Associates Degree in directly related field
Credentials:
Essential:
- Standard Driver's License
- Pass general background check
Working Conditions:
Essential:
- Works in an office setting
- Sitting up to 100% of shift
- Walk up to 25% of shift
- Visual acuity for detail, distance, color, depth perception
- Infrequent travel
- Pass pre-employment drug test
Nonessential:
- Standing up to 25% of shift
- 5 Days Ago
Medical Credentialing Specialist
- Trinity Employment Specialists
-
Oklahoma, OK
FULL_TIME
- Credentialing Specialist / Lead | OKC, OKPay: $20-$24/HR, DOE***5 Years of Credentialing Experience Required***Hours: Full-Time, M-F 8a-5pPOSITION SUMMARY- The credentialing specialist will verify the...
- 8 Days Ago
Medical Credentialing Specialist
- Innovative System Group
-
Tulsa, OK
CONTRACTOR
- This position is responsible for the analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claim...
- 20 Days Ago
Billing/Credentialing Specialist
- Iowa Tribe of Oklahoma
-
Perkins, OK
FULL_TIME
- Summary of Responsibilities: Responsible for all day‐to‐day accounting, balancing of daily entry to ensure all charges, adjustments, and payments are applied correctly. Prepare accurate billing statem...
- 2 Months Ago
Medical Site Credentialing Surveyor- Independent Contractor
- United Language Group
-
Broken Arrow, OK
CONTRACTOR
- Summary - Flexible Contractor/Freelance Opportunity 1099 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...
- 15 Days Ago
Quality Assurance Specialist
- The Staff Pad
-
Chickasha, OK
FULL_TIME
- The Staff Pad is looking for a detail-oriented Quality Assurance Specialist in Chickasha, Oklahoma to review internal processes, identify opportunities for improvement, and collaborate to build soluti...
- 2 Months 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 Oklahoma
Oklahoma is the 20th-largest state in the United States, covering an area of 69,899 square miles (181,040 km2), with 68,595 square miles (177,660 km2) of land and 1,304 square miles (3,380 km2) of water. It lies partly in the Great Plains near the geographical center of the 48 contiguous states. It is bounded on the east by Arkansas and Missouri, on the north by Kansas, on the northwest by Colorado, on the far west by New Mexico, and on the south and near-west by Texas. Much of its border with Texas lies along the Southern Oklahoma Aulacogen, a failed continental rift. The geologic figure defi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$47,752 to $59,559