- BayCare Health System (Tampa, FL)
- …4:00 PM (may vary) + **Days:** Monday through Friday The ** Credentialing and Provider Enrollment Specialist ** is a full-time remote position. This team ... Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist **Location** Tampa:Concourse Center |… more
- UT Health (Houston, TX)
- Provider Services Specialist - Credentialing & Provider Enrollment **Location:** Texas Medical Center-Houston, Texas **Category:** Healthcare Support ... to leave.** It's because we reward our team for the excellent service they provide . Our total rewards package includes the benefits you'd expect from a top… more
- Morehouse School Of Medicine (Atlanta, GA)
- …of experience in the capacity of credentialing coordinator or credentialing specialist specializing in provider enrollment . + Minimum two (2) years ... Medical Services Management ( CPMSM ) or Certified Professional Credentialing Specialist ( CPCS ) certification is...current and accurate data for all providers. + Complete provider credentialing and re- credentialing applications.… more
- CareFirst (Baltimore, MD)
- …Level:** High School Diploma or GED. **Licenses/Certifications Preferred:** + Certified Provider Credentialing Specialist (CPCS) **Experience:** 3 years ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Provider Enrollment and Data **Equal Employment Opportunity**… more
- Highmark Health (Columbus, OH)
- …used in the enrollment processes. **ESSENTIAL RESPONSIBILITIES:** + Completes provider payer enrollment / credentialing and recredentialing with all ... professional providers with various payers for professional services reimbursement. Reviews provider credentialing and/or recredentialing data for accuracy based… more
- LifePoint Health (Brentwood, TN)
- * Provider Enrollment Specialist * *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, ... environments where employees find purpose and fulfillment. *What you'll do:* The* Provider Enrollment Specialist *is responsible for requesting participation… more
- St. Luke's University Health Network (Allentown, PA)
- …ability to pay for health care. The Provider Enrollment Specialist ensures that initial and re- credentialing applications for St. Luke's University ... and professional organization memberships. JOB DUTIES AND RESPONSIBILITIES: + Prepares provider enrollment applications and/or written link letters to be… more
- LogixHealth (Bedford, MA)
- …for revalidation + Obtain information as requested by management + Update /Maintain Provider Enrollment Credentialing System + Collaborate with Billing ... multitask We want to meet YOU! Purpose Perform all provider enrollment related procedures for physicians/mid/level providers...to credentialing system + Prepare and submit provider enrollment applications with provider ,… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …the medical staff and allied health professionals that result from the enrollment credentialing and recredentialing process. **ESSENTIAL FUNCTIONS** + Compiles, ... certificate updates. Contacts manage care plan representatives weekly for new provider enrollment effective dates. Designs and updates appropriate spreadsheets… more
- Fresenius Medical Center (Waltham, MA)
- …all specialties that provide services to the organization's members. The Credentialing Specialist incumbent will meet all credentialing turnaround time ... **PURPOSE AND SCOPE:** The Credentialing Specialist is responsible for verifying...CLIA licensure, facility surveys, as applicable. + Enters all provider information and primary source verification data into the… more
- Guidehouse (Birmingham, AL)
- …None **Clearance Required** **:** None **What You Will Do** **:** The Credentialing Specialist is responsible for coordinating, processing, monitoring, and ... as well as all legal and regulatory requirements. The Credentialing Specialist is responsible for accuracy and...or equivalent + 1-3 years of prior relevant experience- provider enrollment and or billing **What Would… more
- Josselyn (Northbrook, IL)
- …that the payor enrollment process is complete for participation. The Credentialing and Billing Specialist is also responsible for executing any designated ... Friday, 8:30 AM - 4:30 PM Job Summary The Credentialing and Billing Specialist is responsible for...and resolve any denials or authorization issues related to provider credentialing in a timely manner. +… more
- Hawaii Pacific Health (Honolulu, HI)
- …Administration or health related field. National Medical Staff Coordinator Certification. Provider Credentialing Specialist Certification. Health care ... and training, as well as internal peer equity. **Position** Credentialing Specialist - Centralized Verification **Category** Administrative **Employment… more
- Trinity Health (Boise, ID)
- …in behaviors, practices, policies and decisions. Manages the operational work for SAHA provider credentialing and SAHA provider file maintenance under the ... managing the daily network operations including but not limited to: customer and provider relations, credentialing and provider file maintenance. Provides… more
- Insight Global (Morristown, NJ)
- …to sit full-time in Morristown, NJ. This person will maintain credentials for Payor/ Provider enrollment . They will be responsible for submission of managed care, ... https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements -2+ years' experience in Payer/ Provider credentialing - credentialing high-volume… more
- Insight Global (Cherry Hill, NJ)
- Job Description One of Insight Global's revenue cycle clients are looking for a Credentialing Specialist to join their team in Cherry Hill, NJ. This individual ... will be responsible for submitting initial and re- credentialing enrollment applicants for payor HMO, Medicare,...and the payors on troubleshooting claims denials due to provider enrollment issues. The ideal candidate is… more
- Guidehouse (Birmingham, AL)
- …manages payer enrollment functions and coordinates closely with the medical credentialing team for provider updates, resolves enrollment issues, and ... None **Clearance Required** **:** None **Job Summary:** The Payer Enrollment Specialist is responsible for ensuring the...and Issue Resolution: + Work closely with the medical credentialing team to ensure seamless updates for provider… more
- Logan Health (Kalispell, MT)
- …processes? At Logan Health, we are seeking a meticulous and detail-oriented Payer Enrollment Contract Specialist to join our dynamic team. Your role will ... building strong partnerships that drive our mission forward. Key Responsibilities: + Manage Provider and Facility Enrollment : Take the lead in ensuring the… more
- Beth Israel Lahey Health (Westwood, MA)
- …difference in people's lives.** **Job Description:** Under the direction of the Manager, Provider Enrollment and Reporting, the government payer enrollment ... individual providers and groups/locations with non-commercial payers (Medicare, Medicaid). The provider enrollment process ensures that the appropriate … more
- Beth Israel Lahey Health (Wakefield, MA)
- …making a difference in people's lives.** Under the direction of the Manager, Provider Enrollment completes enrollment and health plan recredentialing ... . Maintains knowledge of NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and... provider practices and health plan contacts regarding provider enrollment statuses. Investigates and resolves … more