- Hackensack Meridian Health (Neptune, NJ)
- …programs. + 2+ years in industry healthcare setting. + 1+ years in Enrollment / Delegated Credentialing . + Takes accountability, uses initiative, possesses ... and serve as a leader of positive change. The ** Delegated Credentialing Coordinator** is responsible for coordinating...understanding of credentialing and NCQA guidelines around Credentialing and Provider Network. + Verifying the… more
- Insight Global (Morristown, NJ)
- …https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements -2+ years experience in Payer/ Provider delegated /Quality credentialing - ... top Healthcare client in NJ is looking for a Delegated Credentialing Coordinator to sit hybrid in...in Morristown, NJ. This person will maintain credentials for Payor/ Provider quality enrollment throughout the CVO process… more
- PeaceHealth (Vancouver, WA)
- …bargaining agreement, seniority, etc. **Job Summary** Coordinates provider enrollment service processes for governmental and non- delegated third-party payers ... **Description** **PeaceHealth is seeking a Provider Enrollment Specialist - Remote for...PECOS and NPPES data bases. Maintains CredentialStream for all non- delegated provider types. + Completes research for… more
- Prime Healthcare (Fort Gratiot, MI)
- …physician support functions of the PHO. Facilitates all aspects of credentialing , including applications, recredentialing, delegated credentialing audits, ... EXPERIENCE, TRAINING 1. Associates degree preferred or equivalent education/experience.2.Certified Provider Credentialing Specialist (CPCS) preferred3.Minimum of 3… more
- AdventHealth (Maitland, FL)
- …works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing support teams to identify and ... value you'll bring to the team:** . Submits the delegated and nondelegated credentialing reports once all... and nondelegated credentialing reports once all credentialing and enrollment tasks have been completed… more
- Bluestone Physician Services (Stillwater, MN)
- …a collaborative and respectful relationship with the multidisciplinary team, including Enrollment , Referrals, Credentialing and Payer Contracting, and Insurance ... social determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care, Bluestone… more
- Mount Sinai Health System (New York, NY)
- …implementation, audits, rosters, accuracy of fee schedule linkage, medical staff and/or delegated credentialing , and facilitation of the resolution of escalated ... Masters degree preferred + 5 years of experience in managed care, either in provider and MCO settings. 7 years preferred Non-Bargaining Unit, E01 - Partner MSO… more
- Loyola University Chicago (Chicago, IL)
- …development of their academic programs and competitive profiles for residency; provide support for the strategic process of residency opportunities; interface with ... fourth-year students in accord with national recommendations. Write a portion of MSPE's. Provide primary support to the Senior Associate Dean for Match Week and SOAP… more