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Location: Premier Physicians Centers Inc
Position: Credentialing Specialist
JOB DESCRIPTION: Under little supervision, perform daily functions of the credentialing and recredentialing process by processing applications for Physicians. Credential providers according to all credentialing policies & procedures and Federal & State regulatory requirements. Act as liaison between the Credentialing department and all Premier facilities.
The job holder must demonstrate current competencies applicable to job position.
LICENSE/CERTIFICATION: None.
EDUCATION: Bachelor’s degree in healthcare administration or business administration required.
EXPERIENCE: At least three years credentialing/compliance experience in a healthcare setting.
PHYSICAL/MENTAL: Sitting 6-8 hours/day. Occasional stress from dealing with deadlines. Requires use of computer and office equipment.
ENVIRONMENTAL/WORKING CONDITIONS: Office setting. Frequent contact with staff, public and physicians.
Equipment/Tools or special clothing required to perform the job:
1. Office Equipment (computer, fax machine, copier)
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
\nDUTIES AND RESPONSIBILITIES:
Please note this position is posted on behalf of our partner practices. This individual will be working at the specific practice that is mentioned in the above details and will not be a direct employee of Aledade, Inc. so will therefore not be eligible for the benefits available to Aledade employees.
Part Time
Business Services
$39k-49k (estimate)
02/26/2024
05/23/2024
aledade.com
BETHESDA, MD
200 - 500
2014
Private
FARZAD MOSTASHARI
$10M - $50M
Business Services
Aledade is a digital platform that provides workflow optimization, ACO governance and performance analytics solutions for primary care providers.
The job skills required for Credentialing Specialist include Billing, Communicates Effectively, 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.
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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.
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A credentialing specialist can have certificates that will prove useful to their field.
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Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.
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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.
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Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.
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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.
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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.
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Make Use Of Advanced Software For Monitoring.
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Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.
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Step 3: View the best colleges and universities for Credentialing Specialist.