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Credentialing Specialist
$40k-50k (estimate)
Full Time Just Posted
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Cardiovascular Institute of Central Florida, Ocala, FL is Hiring a Credentialing Specialist Near Ocala, FL

About us

The Cardiovascular Center of Florida is a small business in Ocala, FL. We are professional, agile and our goal is to Welcome to the Cardiovascular Institute of Central Florida, where our team of experienced, board-certified cardiologists is dedicated to providing top-notch care using the latest technological advancements in cardiology. With clinics conveniently located in Ocala and The Villages, we offer a wide range of cardiology services tailored to meet your needs..

Our work environment includes:

  • Modern office setting
  • Food provided

Our Credentialing Specialist plays a crucial role in ensuring that healthcare professionals within an organization meet all necessary qualifications, certifications, and regulatory requirements. This position involves overseeing the credentialing process for medical staff, managing a team of credentialing specialists, and collaborating with various departments to maintain compliance and uphold the highest standards of quality and patient safety.

Duties:

  • Credentialing Process Management:
  • Oversee the end-to-end credentialing process for medical staff, including physicians, nurses, allied health professionals, and other relevant personnel.
  • Develop and implement efficient credentialing workflows, ensuring accuracy and adherence to established protocols.
  • Review and evaluate credentialing applications, verifying information, licenses, certifications, references, and other pertinent documentation.
  • Stay current with industry regulations, standards, and best practices related to credentialing and privileging.
  • Ensure that all credentialing activities are in line with federal, state, and local regulations, as well as accrediting bodies' requirements.
  • Database Management:
  • Use credentialing software and databases to maintain accurate records of medical-staff credentials, licensures, certifications, prefilling insurance applications, tracking progress, and other relevant information.
  • Generate reports and analytics to track and monitor contracting and credentialing processes and compliance metrics.
  • Education
  • Bachelor's degree in Healthcare Administration, Business Administration, or a related field.
  • Several years of experience in healthcare credentialing, with at least 2-3 years in a supervisory or leadership role.
  • In-depth knowledge of credentialing processes, regulatory requirements, and healthcare industry standards.

Job Type: Full-time

Pay: $55,000.00 - $65,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Day shift
  • Monday to Friday

Work Location: In person

Job Summary

JOB TYPE

Full Time

SALARY

$40k-50k (estimate)

POST DATE

05/03/2024

EXPIRATION DATE

08/30/2024

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The job skills required for Credentialing Specialist include Leadership, 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.

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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