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Medical Credentialing Specialist

Theradynamics Rehab Management The Bronx Full-Time
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Medical Credentialing Specialist Job Description

Medical credentialing specialists are typically employed by different types of health care organizations, such as hospitals, group practices, ambulatory care services, and credentialing agencies. A specialist's main focus is to verify that the credentials of health care professionals are in compliance with state and federal standards. This can involve verifying the legitimacy of practitioner information with universities, licensing agencies, and certification groups. Along with processing re-credentialing paperwork and maintaining a database of practitioners' training, education, licensing, and experience information, specialists also ensure that practitioners adhere to staff policies, department regulation, and government laws.

Medical Credentialing Specialist Requirements

Medical credentialing specialist positions require an associate's degree in health care or business administration or three years of experience in a medical office. Other requirements include interpersonal and organizational skills, as well as knowledge of administrative tools like word processing and spreadsheet applications.  Must be proficient with PECOS, CAQH, NPPES as well as the credentialing and re-credentialing process


Skills required

Customer Service
Maintain Indexed Record
Billing Systems


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Medical Credentialing Specialist
Estimated Salary: $44K
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Job ID: medical-credentialing-specia


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Theradynamics Rehab Management is the leading provider of rehabilitation management and physical, occupational, and speech-language therapy services across the acute and post-acute care continuum. For over twenty years, Theradynamics has been offering therapy services and solutions across multiple settings including skilled nursing facilities, outpatient centers, home care programs, and pediatric clinics.

We provide an integrated, hands on approach to rehabilitative care. Utilizing our vast depth of resources and knowledge of the rehabilitation industry, we collaborate with our facility partners and the patients we serve to deliver individualized rehabilitation programs to meet the unique needs of each client we work with to yield positive clinical outcomes.

The Theradynamics team of highly qualified professionals is committed to being the best. We are focused on providing the most informed approach related to day-to-day operations, regulatory compliance, clinical program development, financial reimbursement, and more in order to achieve the distinctive goals of each individual organization, employee, and patient with which we work.

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