Credentialing Specialist, CPCS

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The Certified Provider Credentialing Specialist (CPCS) is typically employed or contracted by a healthcare organization including, but not limited to, hospitals (health systems), health plans, ambulatory care settings, group practices, and credentialing verification organizations.

A CPCS is an integral part of a credentialing team whose responsibilities include but are not limited to:

• Maintaining compliance with regulatory and accrediting bodies;
• Participating in the development and implementation of credentialing processes and procedures;
• Credentialing of physicians, allied health and other practitioners;
• Overseeing or participating in the development of and adherence to:
  • Governance bylaws;
  • Department rules and regulations;
  • Policies pertaining to medical staff, practitioner/provider and the organization;
• Collecting and maintaining an accurate practitioner database and analyzing verification information.

• Candidate must have a CPCS certification, this is a Certified Provider Credentialing Specialist.
• This is an online certification that can be acquired after passing an exam.
• In order to apply for the certification the candidate must be currently employed in the medical services profession for at least the past 12 consecutive months AND have a total of three years’ experience in the medical services profession within the past five years.

Are you an experienced Credentialing Specialist looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career In Credentialing by joining a rapidly growing company? If you answered “yes