- RWJBarnabas Health (Newark, NJ)
- …Essential Functions: + Work closely with New Jersey Medical School Managed Care Department + Process and maintain credentialing and re- credentialing ... Credentialing SpecialistReq #:0000181440 Category:Clerical / Administrative Support Status:Full-Time...& Accidental Death Insurance + Tuition Reimbursement + Health Care /Dependent Care Flexible Spending Accounts + Wellness… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …lists, etc. + Maintain active DPH, DEA, and professional license, hospital privileges, managed care credentialing and CPR training. Qualifications: + ... equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in...12,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are… more
- AdventHealth (Burleson, TX)
- …: . High school diploma . 5 years' experience in medical staff services or managed care credentialing This facility is an equal opportunity employer and ... Coordinator provides essential verification functions to support the goals for credentialing health care providers while ensuring adherence to corporate,… more
- Elderwood (Buffalo, NY)
- …for this role will have experience in some or all these areas/disciplines: Managed Care , Delegated Credentialing and Sanction Monitoring, NCQA, accreditation ... Coordinate and complete external reporting to contracted health plans, including credentialing and various required reports and submissions. + Coordinate the… more
- Billings Clinic (Billings, MT)
- …and maintenance of credentialing -related records required for all affiliations and managed care payer contracts. ESSENTIAL JOB FUNCTIONS * Coordinates the ... Personal computers, hardware and software * Medical terminology * Credentialing terminology and managed care ...* Medical terminology * Credentialing terminology and managed care terminology (preferred) * Information management… more
- Mount Sinai Health System (NJ)
- …calls from VMG staff or physicians. + Completes in a timely manner all managed care applications, credentialing and re- credentialing requests from ... the corporate office. + Abides by guidelines established by all managed care and insurance payors. **Qualifications** : + MD or DO + Board certified in… more
- Mount Sinai Health System (NJ)
- …practices economical and effective healthcare + Completes in a timely manner all managed care applications, credentialing , and re- credentialing requests ... and contract compliance activities with the goal of optimizing and improving managed care reimbursement through efficient clinical delivery and aligned clinical… more
- Mount Sinai Health System (NJ)
- …practices economical and effective healthcare. 24. Completes in a timely manner all managed care applications, credentialing and re- credentialing ... from the corporate office. 25. Abides by guidelines established by all managed care and insurance payors including Medicare. 26. Conducts daily rounds on… more
- Methodist Health System (Dallas, TX)
- …with the managed care plans, Medicare and Medicaid. Knowledge of managed care processes and delegated credentialing is required along with knowledge ... for providing monthly, quarterly or semi-annual practitioner rosters and credentialing summaries to delegated managed care...practitioner rosters and credentialing summaries to delegated managed care plans._ Duty 4: _In coordination… more
- Astor Services (Rhinebeck, NY)
- …communication with contracts and credentialing personnel for all insurance payers ( Managed Care Organizations and Commercial Insurance). + Identifies out of ... by the MCL and Credentialing Supervisor, Director of Billing & RCM, Managed Care Liaison and MCOs if outside the scope of credentialing process. +… more
- Henry Ford Health System (Troy, MI)
- … or related field or four (4) years of related experience in healthcare industry, managed care experience in lieu of degree. + Bachelor's degree in business, ... GENERAL SUMMARY: Under minimal supervision, responsible for initial and re- credentialing functions including completion of the application and verification...+ Minimum of two (2) years of experience in managed care experience. + Minimum of two… more
- HCA Healthcare (Denver, CO)
- …initial credentialing and re- credentialing applications on all physicians for managed care + companies + Ensures all physicians' licensure, DEA and DPS ... Do you want to join an organization that invests in you as a(an) Credentialing Enrollment Coordinator? At Managed Service Organization, you come first. HCA… more
- The County of Los Angeles (Los Angeles, CA)
- …for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required ... CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING...health system, operating 25 health centers and four acute care hospitals, in addition to providing health care… more
- Covenant Health Inc. (Knoxville, TN)
- …Position Summary:This position is responsible for prioritizing and managing tasks in the Managed Care department in regards to Payer Enrollment and Hospital ... Overview Credentialing Specialist, Business Office Full Time, 80 Hours Per Pay...credentialing . With limited supervision, the Credentialing Specialist acts as… more
- Hackensack Meridian Health (Neptune, NJ)
- …members of the medical staff. + Reviews Sanction sites for practitioner license/ managed care actions. + Covers for Medical Staff Specialist-Reappointments when ... Tuition Reimbursement, Employee Discounts and much more!! The Medical Staff Credentialing Coordinator will complete the credentialing process from initial… more
- Trinity Health (Livonia, MI)
- …the health care industry including hospital settings, physician practices, and managed care organizations. Knowledge and understanding of NCQA and TJC ... PURPOSE** Ensures the timely completion of an application for initial and/or re- credentialing by assisting the applicant in submitting all documentation necessary to… more
- UNC Health Care (Morrisville, NC)
- …of listings and reports. Assists with onsite audits of credentials files by managed care organizations. Assists with day-to-day operations of the office. ... Summary: Responsible for the coordination/processing of all applications for credentialing /recredentialing of practitioners to UNC Hospitals Medical Staff and Allied… more
- Trinity Health (Boise, ID)
- …in lieu of degree. Minimum of five years' experience working with managed care contracts, healthcare billing and customer service required. **ESSENTIAL ... operations including but not limited to: customer and provider relations, credentialing and provider file maintenance. Provides training, quality reviews, issue… more
- Trinity Health (Fort Lauderdale, FL)
- …systems to adhere all credentialing criteria of Medicare, Medicaid, and managed care plans. + Proofreads applications and backup material for accuracy ... the accuracy of the status of Medical Group physicians in relation to participation in Medicare, Medicaid, and managed care plans. + Establish and implement… more
- Insight Global (Morristown, NJ)
- …credentials for Payor/Provider enrollment. They will be responsible for submission of managed care , Medicare, Medicaid applications and monitor and track these ... top Healthcare client in NJ is looking for a Credentialing Specialists to sit full-time in Morristown, NJ. This...applications through the payer credentialing process. We are a company committed to creating… more