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Description
The Credentialing Specialist is responsible for the initial and ongoing credentialing and privileging process of all new and established providers and clinical staff. Tracks all re-credentialing, prepares and submits required forms, gathers needed documentation and information for review and final approval by the Board. Maintains current knowledge of eligibility and enrollment requirements and communicates changes to Director of Human Resources and Chief of Quality Improvement. In addition, this position will support the HR department in general human resources activities as needed.
Requirements
Full Time
Ambulatory Healthcare Services
$40k-50k (estimate)
12/03/2023
05/13/2024
vht.org
KERMAN, CA
25 - 50
1973
DIANA VILLAFAN-ESCAMILLA
<$5M
Ambulatory Healthcare Services
Our main purpose as a Federally Qualified Health Center is to enhance the provision of primary care services in underserved urban and rural communities. Back in 1973, concerned citizens from Kerman, San Joaquin, and surrounding communities worked together to form an organization that could bring quality healthcare to this underserved region. The dream was realized when our first primary care center opened in the town of San Joaquin to meet the medical needs of the residents of the rural western Fresno County area. Valley Health Team has grown steadily to meet the mounting healthcare needs of t...he region. Our leadership is governed by an active and involved board of directors, some of whom are patients of Valley Health Team. Services are provided by a care team of qualified professionals working in multi-disciplinary teams. Board certified physicians, certified physician assistants, psychologists, nurse practitioners, licensed clinical social workers and health educators, dentists, optometrists, and support staff work with leadership to provide culturally relevant, outcome-based care. Valley Health Team is a Joint Commission accredited, private, non-profit Federally Qualified Health Center serving patients throughout the central California valley with an operating budget in excess of $15 million.
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The job skills required for Credentialing Specialist include Commitment, Confidentiality, Managed Care, Problem Solving, HIPAA, 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.