1 Credentialing Specialist Job in Saint Petersburg, FL
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Bayfront Health is Hiring a Credentialing Specialist Near Saint Petersburg, FL
Ability to work hybrid schedule once training has been completed. 3 days onsite and 2 work from home/remote days.
- Performs credentialing functions as outlined by Bayfront Health management in accordance with established policy, procedures, and protocols.
- Performs timely and accurate primary source verification in addition to credentialing functions.
- Completes accurate and timely data entry of all credentialing activity into credentialing database.
- Provides exceptional customer service to physicians and physician office staff members as well as internal customers, such as members of other departments. Educates physicians and physician office staff on the credentialing process and maintains ongoing contact with these individuals throughout the process.
- Identifies trends and assists in the development of action plans for purpose of performance improvement. Evaluates processes in departmental policies & procedures and makes recommendations for changes to management. Develop and distribute reports as necessary utilizing credentialing database. Timely completion of all assigned duties.
- Maintains credentialing and reappointment/recredentialing files.
- Other duties as assigned
- Maintains reasonably regular, punctual attendance consistent with Bayfront Health policies, the ADA, FMLA and other federal, state, and local standards.
- Maintains compliance with all Bayfront Health policies and procedures.
- COMPLEXITY OF WORK: Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
- Knowledge of medical credentialing and privileging procedures and standards.
- Knowledge of accreditations/government agencies standards and Orlando Health bylaws, rules & regulations.
- Assumes responsibility for professional growth and development
- High school graduate or equivalent.
- Knowledge of medical terminology.
- Three (3) years minimum experience credentialing/privileging or;
- One (1) year of credentialing/privileging experience and/or two (2) years of clinical experience.
- Proficiency in Microsoft Word, Excel, Internet and significant proficiency in credentialing data system.
Job Summary
Full Time
$37k-46k (estimate)
03/12/2023
05/16/2024
The job skills required for Credentialing Specialist include Customer Service, Data Entry, Microsoft Word, Critical Thinking, etc. Having related job skills and expertise will give you an advantage when applying to be a Credentialing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Credentialing Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist. You can explore the career advancement for a Credentialing Specialist below and select your interested title to get hiring information.
If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Credentialing Specialist job description and responsibilities
A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.
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A credentialing specialist can have certificates that will prove useful to their field.
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Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.
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Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.
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Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Credentialing Specialist jobs
Credentialing specialists can often find work with a high school diploma or the equivalent.
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Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.
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While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.
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Make Use Of Advanced Software For Monitoring.
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Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.
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Step 3: View the best colleges and universities for Credentialing Specialist.
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