1 Credentialing Specialist Job in San Marcos, CA
GLIA HEALTH MANAGEMENT LLC is Hiring a Credentialing Specialist Near San Marcos, CA
- 401(k) matching
- Dental insurance
- Health insurance
- Opportunity for advancement
- Paid time off
We are seeking a healthcare professional that is passionate about quality care and making a difference in our patients lives.
Why Join the Team?
- Competitive Compensation
- Generous Health Insurance Coverage: Medical & Dental
- Retirement Plan - Dollar for Dollar match
- Paid Vacation Accruals
- Paid Holidays
- Work alongside extremely talented highly specialized doctors
- Excellent Work-life Balance
Credentialing Specialists obtains, verifies, and analyzes all information on medical staff applicants for membership and privileges, and for reappointment. They ensure that applications new and existing are completed and reviewed to meet compliance regulations. Credentialing Specialist ensures provider credentialing with health plans. Credentialing Specialists often work independently. This requires the employee to be able to manage their workload effectively to meet set deadlines.
Essential Duties and Responsibilities
- Maintain compliance with all regulatory and accrediting institutions
- Assess volume of applications to strategize production for timely outcomes
- Facilitate communication with internal and external parties to properly update any needs
- Participate in the development of internal credentialing processes
- Keep accurate and compliant records in licensing, credentials, and insurance contracts
- Demonstrated knowledge of credentialing principles, credentialing requirements/regulations related to an outpatient care facility
- 1 year of experience in Healthcare, credentialing area preferred
- Cert Provider Credential Spec (CPCS) or Cert Pro Medical Services Management (CPMSM) certificationMedical assisting education or other related education either in progress or completed, highly preferred
- Furnish proof of COVID-19 vaccination
- Self-motivated and desire to learn and grow in healthcare
- Strong attention to detail
- Excellent analytical and critical thinking skills
- Excellent verbal and written communication skills and the ability to communicate effectively with patients, providers and payors
- The ability to prioritize and multitask efficiently and effectively
- Strong commitment to actively supporting an ethical working environment
- Strong knowledge of computer-based systems such as Excel, Word, and the Internet with the ability to quickly learn new systems.
- Ability to compose, proofread and edit documents for accuracy
- Bilingual English/Spanish preferred
- 8 hour shift
- Monday - Friday
Job Summary
Full Time
$41k-52k (estimate)
04/10/2023
06/23/2024
The job skills required for Credentialing Specialist include Patient Care, Written Communication, Communicates Effectively, Leadership, Attention to Detail, 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.
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.
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