4 Credentialing Specialist Jobs in Lauderdale, FL
Exact Billing Solutions is Hiring a Credentialing Specialist Near Lauderdale, FL
Growth OpportunityIf you're an experienced healthcare credentialing professional looking for a unique opportunity with a rapidly growing company, this could be a turning point in your career. Our Credentialing and Contracting Specialist plays a crucial role in ensuring that healthcare professionals within an organization meet all necessary qualifications, certifications, and regulatory requirements. This position involves overseeing the credentialing process for medical staff, managing a team of credentialing specialists, and collaborating with various departments to maintain compliance and uphold the highest standards of quality and patient safety.
What You'll Do
- Credentialing Process Management:
- Oversee the end-to-end credentialing process for medical staff, including physicians, nurses, allied health professionals, and other relevant personnel.
- Develop and implement efficient credentialing workflows, ensuring accuracy and adherence to established protocols.
- Review and evaluate credentialing applications, verifying information, licenses, certifications, references, and other pertinent documentation.
- Stay current with industry regulations, standards, and best practices related to credentialing and privileging.
- Ensure that all credentialing activities are in line with federal, state, and local regulations, as well as accrediting bodies' requirements.
- Database Management:
- Use credentialing software and databases to maintain accurate records of medical-staff credentials, licensures, certifications, prefilling insurance applications, tracking progress, and other relevant information.
- Generate reports and analytics to track and monitor contracting and credentialing processes and compliance metrics.
- Bachelor's degree in Healthcare Administration, Business Administration, or a related field (Master's degree is a plus).
- Several years of experience in healthcare credentialing, with at least 2-3 years in a supervisory or leadership role.
- In-depth knowledge of credentialing processes, regulatory requirements, and healthcare industry standards.
- Must maintain clean background/drug screenings and driving record.
- Strong collaboration skills for working with other departments, such as Human Resources, Legal, Admissions, and Compliance.
- Thorough understanding of medical terminology, licensing, and certifications across various specialties.
- Excellent organizational skills with a keen attention to detail.
- Proficiency in using credentialing software and databases.
- Exceptional communication and interpersonal skills.
- Problem-solving abilities and the capacity to work well under pressure.
- Three weeks of paid time off in first year (more added with tenure)
- Medical, dental, vision, long-term disability, and life insurance
- Flexible Spending Account (FSA) and Health Savings Account (HSA) options
- Generous 401(k) with employer match up to 6%
Recruiter ID:
Job Summary
Full Time
$60k-79k (estimate)
04/16/2024
06/30/2024
exactbillingsolutions.com
Pearland, TX
<25
Related Companies
The job skills required for Credentialing Specialist include Billing, Leadership, Organizational Skills, Collaboration, 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.
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.
Similar Jobs
Popular Articles
