Medical Staff Credentialing Specialist, Sr. jobs in South 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)

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Medical Credentialing Specialist - Remote | WFH
  • Get It Recruit - Healthcare
  • Columbia, SC FULL_TIME
  • We are currently seeking a dedicated Credentialing Specialist to join our team. In this role, you will play a crucial part in ensuring the seamless completion of both initial credentialing and re-credentialing processes for providers within our network. Our ideal candidate will exhibit a high level of professionalism, attention to detail, and a commitment to maintaining the accuracy and compliance of our credentialing databases.

    Key Responsibilities

    Maintain and update credentialing databases to ensure accuracy and completeness of provider information.

    Offer support to various teams including network staff, providers, contract services, marketing, and medical affairs.

    Ensure adherence to external review organization standards and delegation agreements.

    Conduct thorough initial and re-credentialing processes for providers/practitioners, meticulously documenting credentialing information.

    Perform primary verification of state licensure, state/federal controlled substance certification, educational and/or residency background, malpractice coverage/history, hospital privileges, and previous sanctions.

    Keep credentialing database and HCS data files up-to-date with relevant network indicators and effective dates.

    Qualifications

    Education: Associate's Degree or equivalent

    Work Experience: Minimum of 2 years' experience in the healthcare or insurance industry.

    Join us in our mission to uphold the highest standards of credentialing and ensure the integrity of our provider network. If you are a detail-oriented professional with a passion for healthcare, we encourage you to apply for this rewarding opportunity.

    Employment Type: Full-Time
  • 9 Days Ago

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Credentialing Specialist
  • Physician Services USA
  • Columbia, SC FULL_TIME
  • Credentialing Specialist Job Description Medical office seeking an experienced credentialing specialist to aid in credentialing and re-credentialing of medical providers and organizations in Columbia,...
  • 17 Days Ago

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Credentialing Specialist
  • AnMed Health
  • Anderson, SC FULL_TIME
  • The position coordinates and manages the provider credentialing, related databases and files, runs and works reports as directed.Qualifications: High School Diploma or GED required. Associates Degree ...
  • 22 Days Ago

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Credentialing Specialist
  • AnMed
  • Anderson, SC PART_TIME
  • The position coordinates and manages the provider credentialing, related databases and files, runs and works reports as directed. Qualifications: High School Diploma or GED required. Associates Degree...
  • 24 Days Ago

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Medical Billing Specialists
  • Coastal Fertility Specialist
  • Charleston, SC FULL_TIME
  • Coastal Fertility Specialists (CFS) consists of 5 clinical and 2 administrative offices and over 110 employees including RN's, NP's, 5 physicians, and a complete embryology team all driven to be the b...
  • 11 Days Ago

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Credentialing Specialist Full Time
  • PSSC, LLC
  • Columbia, SC FULL_TIME
  • Medical office seeking an experienced credentialing specialists to aid in credentialing and re-credentialing of medical providers and organizations. A minimum of 1 year experience is required. Duties ...
  • 8 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

South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River. South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868. South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Staff Credentialing Specialist, Sr. jobs
$48,856 to $60,935