Top 2 Credentialing specialist Jobs in Laurinburg, Nc

Credentialing Specialist
Scotland Health Care System —Laurinburg, NC
- Full-time
- Hospital
- HIPAA
- Mid-level
- Paid parental leave
- Parental leave
Medical Staff Credentialing Specialist
Scotland Health Care System —Laurinburg, NC
- Full-time
- Hospital
- Customer service
- Research
- Paid parental leave
- Parental leave

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Provider Enrollment & Credentialing Subject Matter Expert (SME)
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Review current-state and future-state process designs. Support assessment of intake, validation, credentialing, approval/certification, monitoring, and…
$75 - $110 an hour
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Credentialing Specialist

Scotland Health Care System -
Laurinburg, NC

Apply Now

Job Details

Full-time

Benefits

Paid parental leave
Parental leave
Opportunities for advancement
Childcare

Qualifications

Collaborate with healthcare professionals
Medical credentialing application review
TJC
Medical credentialing background checks
Provider database maintenance for medical credentialing
Maintaining patient confidentiality
CMS
Regulatory compliance
HIPAA
Mid-level
CMS regulatory compliance
Medicare regulations
NCQA standards
Health information regulatory compliance
Data verification
Healthcare provider information
Medicaid regulations
Medicaid
Investigating compliance violations

Full Job Description

Department:

Scotland Memorial Hospital - Patient Financial Services

Status:

Full time

Shift:

1st (United States of America)

Schedule Details/Additional Information:

Job Description:

1.Performs the credentialing and privileging process in accordance with federal and state mandates as well as with criteria defined by Scotland Healthcare ‘s compliance policy, in a complete and accurate manner. 2.Tracks and follows up on physicians initial application/onboarding processes and reappointment application by performing primary source verification, preparing agency correspondence, and tracking responses within the organizations database 3.Works with necessary individuals- including physicians, other professional staff and their office to acquire necessary materials and information for provider certification and licensure 4.Serves as credentialing contact for employed physicians and advanced practice professionals. Monitors employed physicians and advanced practice professionals’ credentials including, but not limited to state licensure, board certification, and hospital affiliation status for timely renewal and renewal support. 5.Safeguards the integrity of privileged information and credential files in a professional, sensitive manner 6.Identifies sanctioned providers on state and federal disciplinary reports and initiates the requisite corrective processes to address cited violations 7.Quarries the Nation Practitioner Data Bank as needed, and does so in compliance with the Healthcare Quality Improvement Act (HCQIA) 8.Remains complaint with and knowledgeable of rules and regulations set forth by HIPAA, Joint Commission, the HCQIA, the National Committee for Quality Assurance (NCQA), the Centers for Medicare and Medicaid Services, as well as state regulations and relays this information to the necessary parties to ensure ongoing compliance organization-wide 9.Serves as credentialing contact for employed physicians and advanced practice professionals. Monitors employed physicians and advanced practice professionals’ credentials including

Careers

At Scotland Health Care System, we’re proud to employ a team of dedicated professionals who embody the Scotland Way.

Founded in 1946, Scotland Health Care System is a community-owned, not-for-profit organization serving Laurinburg, North Carolina. Our mission is simple yet powerful: to deliver safe, high-quality, compassionate, and sustainable health care to everyone in need.

We offer a full spectrum of services—including inpatient, outpatient, and emergency care—along with specialized programs in cancer treatment, cardiac care, surgical services, and women’s health.

Our culture is built on caring—for our patients and for our people. We believe that when we take exceptional care of our employees, they can provide exceptional care to our communities. That’s why we offer:

Competitive compensation
Family-friendly benefits including Paid Parental Leave and On-Site Childcare
Flexible scheduling
Exclusive savings programs
Career growth and advancement opportunities

If you’re looking for more than just a job—if you want a meaningful career where you can make a difference—Scotland Health Care System is the place for you. Join our team today!

Apply Now

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credentialing specialist jobs in laurinburg, nc

Credentialing Specialist

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