1 Credentialing Specialist Job in Lansing, MI
Michigan Primary Care Association is Hiring a Credentialing Specialist Near Lansing, MI
Position SummaryThe Credentialing Specialist is responsible for supporting the development and implementation of strategies and services which improve efficient and accurate health center revenue cycle operations and contribute to the financial sustainability of health center services. This position will work directly with health center staff, utilizing customer service skills to promote engagement in reaching improved outcomes related to credentialing, enrollment, and related activities.
Responsibilities And Duties
- Supports the enrollment and credentialing related matters for Health Centers and MPCA Staff by providing technical assistance, training, and education and ongoing support to health centers in assigned areas.
- Supports the development and implementation of strategies and services which support efficient and accurate health center enrollment and credentialing operations.
- Provides support to MPCA training events, network gatherings, resource development, webinars, and conference calls to support and strengthen health center enrollment and credentialing activities.
- Works collaboratively with stakeholders to gather constructive input to continually improve the support provided by MPCA to health centers.
- Works directly with health center staff to coordinate and promote health center engagement in services, trainings, peer learning, and other efforts which support efficient and accurate health center enrollment and credentialing, provider onboarding processes, and related activities that contribute to the financial sustainability of health center services.
- Supports the establishment of enrollment and credentialing related contractual services offered to health centers.
- Coordinates the ongoing engagement of health centers in support of revenue cycle functions.
- Other duties, as required.
- Requires knowledge of healthcare provider onboarding functions, including provider enrollment, credentialing, CAQH updates, and privileging processes
- Knowledge of Michigan’s health coverage landscape including common public and private payers
- Word processing, spreadsheets, data base software, and electronic communication technology
- Electronic health record and practice management systems
- Ability to assess problems, determine solutions and make decisions in a timely manner
- Ability to engage in relationship building and utilize customer service skills
- Ability to self-motivate and take initiative to further organizational goals
- Ability to build credibility and trust with members and partners.
- Ability to develop and maintain productive partner relations.
- Ability to interpret relevant policies and procedures .
- Works independent and as a team member with minimal supervision.
- Ability to communicate complex and technical information in a clear and concise manner, both verbally and in writing.
- 1 year of professional experience working in revenue cycle, enrollment, credentialing, or other related work area in an outpatient healthcare setting re
- FQHC experience preferred; bachelor's degree preferred
Our human capital is our most valuable asset. The collective sum of our individual differences, life experiences, knowledge, inventiveness, innovation, self-expression, unique capabilities, and talent that our employees invest in their work, represents a significant part of our culture, our reputation, and success.
We embrace and encourage our employee’s differences in age, color, ability ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, race, religion, sexual orientation, socio-economic status, veteran status, and in other characteristics that are both protected, and not protected by state or federal law.
We are committed to leading by example and maintaining an equitable and inclusive work environment built on mutual respect and integrity.
Job Summary
Full Time
$43k-53k (estimate)
05/08/2024
06/06/2024
virtualchc.com
Lansing, MI
<25
Related Companies
The job skills required for Credentialing Specialist include Customer Service, Onboarding, Practice Management, Initiative, 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
