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Credentialing Specialist
$51k-64k (estimate)
Full Time Just Posted
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Creative Financial Staffing is Hiring a Credentialing Specialist Near Brooklyn, NY

This job offer is not available in your country.

Title : Part Time Credentialing Specialist

ABOUT THE COMPANY :

Our client is a leading non-profit organization who's mission is focused around providing social support services to underserved racial and ethnic minorities in the community.

They provide coordinated health care and supportive services to help individuals, families, and communities build strength, resilience, achieve wellness, and live healthy, productive lives!

  • They are looking for an accounts payable clerk to join their collaborative and diverse team!
  • Great opportunity to join an organization who prioritizes their mission and growth within the company.
  • They are located in Brooklyn near multiple lines of public transportation

OVERVIEW OF THE ROLE :

  • Work with individual providers to ensure each provider’s CAQH, PECOS, NPPES database files are updated timely according to the schedule published by CMS Medicare / Medicaid and Managed Care Organizations regulations.
  • Ensure contracted Managed Care Organization’s portals are up to date including facilities and individual providers’ profiles.
  • Provide updated list of credentialed individual providers and facilities
  • Complete primary source verification and prepare files for committee review
  • Ensure all credentialing and recredentialing reports are completed timely for review and submission

QUALIFICATIONS :

  • Prior experience with credentialing within a sector of healthcare
  • 1 day ago

Job Summary

JOB TYPE

Full Time

SALARY

$51k-64k (estimate)

POST DATE

05/23/2024

EXPIRATION DATE

07/21/2024

WEBSITE

compusolveinc.com

HEADQUARTERS

Westbury, NY

SIZE

50 - 100

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The job skills required for Credentialing Specialist include Managed Care, 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.

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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.

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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.

Butler University
Carroll College
Cooper Union
High Point University
Princeton University
Providence College