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Alternate job titles: Provider Credentialing Specialist II

Processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Handles and resolves inquiries regarding credentialing information, process, or status. May provide guidance or expertise to less experienced specialists. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor more...



Alternate job titles: Provider Credentialing Specialist I

Processes credentialing and recredentialing applications for health care providers. Mails, reviews, and verifies credentialing applications. Loads and maintains provider information in an online credentialing database system. Tracks license and certification expirations for medical staff to ensure timely renewals. Handles and resolves inquiries regarding credentialing information, process, or status. Requires a high school diploma. May require Certified Provider Credentialing Specialist (CPCS). Typically reports to a supervisor. Works under moderate supervision. Gaining or has attained full pr more...


Alternate job titles: Medical Staff Credentialing Services Supervisor

Oversees day-to-day activities of staff that process credentialing and recredentialing applications for health care providers. Implements department procedures to facilitate organized and up-to-date provider databases. Administers system for tracking license and certification expirations to ensure renewals are submitted in a timely fashion. Ensures that applications are properly verified and accurately uploaded into an online credentialing database system. Resolves complex questions regarding credentialing or provider database maintenance and best practices. Prepares reports on applications an more...


Alternate job titles: Medical Credentialing Services Manager | Medical Provider/Practitioner Credentialing Manager

Manages staff that process credentialing and recredentialing applications for health care providers. Oversees department operations to ensure compliance with all regulatory standards. Implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Analyzes reports on applications and credentialing status to identify trends and improve the credentialing process. Prepares files for the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applica more...



Alternate job titles: Medical Credentialing Services Director | Medical Provider/Practitioner Credentialing Director

Responsible for all aspects of the verification process for medical staff incumbents. Provides regulatory oversight and guidance to the credentialing process. Maintains working knowledge and ensures continuing compliance with state, federal, and institutional standards and guidelines. Develops and implements policies and protocols related to medical staff verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Analyzes reports on applications and credential status to identify trends and improve the credentialing process. Presents more...


Alternate job titles: Medical Staff Credentialing Specialist

The Provider Credentialing Specialist I mails, reviews, and verifies credentialing applications. Processes credentialing and recredentialing applications for health care providers. Being a Provider Credentialing Specialist I tracks license and certification expirations for all providers to ensure timely renewals. Sets up and maintains provider information in an online credentialing database system. In addition, Provider Credentialing Specialist I may require an associate's degree or equivalent. May require certification as a Certified Provider Credentialing Specialist (CPCS).Typically reports more...



Alternate job titles: Medical Staff Credentialing Specialist, Sr.

The Provider Credentialing Specialist II mails, reviews, and verifies credentialing applications. Processes credentialing and recredentialing applications for health care providers. Being a Provider Credentialing Specialist II tracks license and certification expirations for all providers to ensure timely renewals. Sets up and maintains provider information in an online credentialing database system. In addition, Provider Credentialing Specialist II may require an associate's degree or equivalent. May require certification as a Certified Provider Credentialing Specialist (CPCS).Typically repor more...


Alternate job titles: Medical Staff Credentialing Supervisor | Medical Staff Credentialing Services Supervisor

The Medical Credentialing Services Supervisor implements department procedures to facilitate organized and up-to-date provider databases. Oversees day-to-day activities of staff that process credentialing and recredentialing applications for health care providers. Being a Medical Credentialing Services Supervisor ensures that applications are properly verified and accurately uploaded into an online credentialing database system. Administers system for tracking license and certification expirations to ensure renewals are submitted in a timely fashion. In addition, Medical Credentialing Services more...


Alternate job titles: Medical Staff Credentialing Manager | Medical Provider/Practitioner Credentialing Manager

The Medical Credentialing Services Manager implements policies and procedures to ensure that applications are properly verified and accurately uploaded into an online credentialing database system. Manages staff that process credentialing and recredentialing applications for medical providers. Being a Medical Credentialing Services Manager analyzes and prepares reports on trends in application status. Presents files to the credentialing committee and may act as a liaison to state medical licensure boards regarding the status of license applications. In addition, Medical Credentialing Services more...



Alternate job titles: Medical Staff Credentialing Director | Medical Provider/Practitioner Credentialing Director

The Medical Credentialing Services Director develops and implements policies and protocols related to physician, nurse and other employee verifications and ensures that the organization and staff are in accordance with organizational and industry standards. Responsible for all aspects of the verification process for medical staff incumbents. Being a Medical Credentialing Services Director typically reports to top management. Typically requires a bachelor's degree in area of specialty. The Medical Credentialing Services Director typically manages through subordinate managers and professionals i more...


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