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About Company:
We 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 enjoyable in our family-like atmosphere. We offer excellent compensation and a competitive benefit package, AND most every week, only work 37 hours. We keep our work exciting and fun, while at the same time striving to provide innovative services and solutions to make healthcare more accessible, more effective, and more affordable for everyone!
Job Description:
The Credentialing Specialist coordinates and performs a variety of duties that are required for processing applications for credentialing applicants and recredentialing existing network providers. In this position, working alongside the Director of Credentialing, you will perform a series of activities designed to lead to a decision to accept or reject a provider’s application to participate as a new provider in the network and an existing provider’s application to continued participation. The credentialing process is performed in accordance with the company’s policies and procedures designed to ensure compliance with applicable laws, regulations, third-party standards, and policies.
**This is an in-person position.**
Essential Functions/Job Responsibilities:
Education/Experience Requirements:
Competencies:
Job Type: Full-time
Benefits:
We offer full benefits, including paid medical, dental, vision, and more; plus, paid holidays and paid time off; 401k (with company match); 37-hour workweek (most every week); and a great work environment!
Full Time
$39k-49k (estimate)
05/03/2024
05/16/2024
healthnetworksolutions.net
CORNELIUS, NC
<25
1995
F PARKER BINDER
$5M - $10M
Ambulatory Healthcare Services
Health Network Solutions, Inc. (HNS) is headquartered just outside of Charlotte, NC, and is the largest provider network in the Southeast for the conservative treatment of neuromusculoskeletal disorders. HNS currently provides access to more than 7,000,000 covered lives for our network providers. HNS contracts with Blue Cross and Blue Shield of North Carolina (BCBSNC), CIGNA HealthCare of North and South Carolina, MedCost and many other insurers and managed care organizations.
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.
03/14/2022: Des Moines, IA
A credentialing specialist can have certificates that will prove useful to their field.
02/01/2022: Newark, NJ
Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.
02/21/2022: Evansville, IN
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.
02/01/2022: Las Cruces, NM
Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.
01/18/2022: Pueblo, CO
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.
01/25/2022: Kingsport, TN
Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.
03/01/2022: Parkersburg, WV
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.
12/25/2021: Little Rock, AR
Make Use Of Advanced Software For Monitoring.
01/18/2022: New London, CT
Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.
01/31/2022: Portsmouth, OH
Step 3: View the best colleges and universities for Credentialing Specialist.