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Credentialing Specialist (Medical Billing Office)

AM Med Solutions

Job Description

Job Description

Credentialing Specialists ensure that medical staff members’ maintain current credentials and licenses to work legally in their field or specialty. These specialists monitor upcoming renewal dates and work with medical staff to advise them of the required steps to maintain their credentials.

Those working as credentialing specialists are informed about the regulations and standards required to achieve and maintain licensure and other credentials. A thorough knowledge of applicable medical policy is good to have.

Credentialing specialists often work independently. This requires the specialist to be able to manage their workloads effectively to meet set deadlines. Strong computer skills are necessary for the input and maintenance of data, as well as for performing research regarding licensing or credentialing requirements in their area. Interaction with other medical professionals, office personnel, and the public is standard.

Job Duties

  • Maintain compliance with all regulatory and accrediting institutions
  • Monitor medical staff members credentials and licenses
  • Advise staff on renewal procedures
  • Keep records in licenses, credentials and insurance contracts
  • Release information to agencies and members of the public as required by law

Vacancy posted 3 days ago
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