- Bon Secours Mercy Health (Cincinnati, OH)
- …staff and allied health professionals that result from the enrollment credentialing and recredentialing process. **ESSENTIAL FUNCTIONS** + Compiles, audits and ... CAQH database and confidential credential files. Facilitates all of the credentialing functions and application management. Consistently updates credentialing … more
- Baptist Memorial (Memphis, TN)
- …+ Maintains current licensure, DEA, certifications, board certifications and all other credentialing documents. + Reviews EPIC's related to payer enrollment on ... education + Employee referral program Job Summary: Position: 5347 - Specialist - Payer Enrollment Facility: BMG - Central Business Office Department:… more
- CommonSpirit Health (West Jordan, UT)
- …entities. The primary focus of this role is contracting support (specifically credentialing , payer / provider relations and payer operations). **Essential ... degree or equivalent education and experience + Minimum of three (3) years payer relations experience + Hospital system or physician office experience strongly… more
- TEKsystems (Cincinnati, OH)
- …previously in a hospital system + NO nursing, allied, or agency credentialing specialist experience Experience Level: Intermediate Level About TEKsystems: We're ... Healthcare Payer Enrollment Specialist 100% On-Site -...Additional Skills & Qualifications: + 5+ years experience in Physician / Advance Practice Payer Enrollment (Hospital… more
- Atlantic Health System (Morristown, NJ)
- …department. Principal Accountabilities: Atlantic Medical Group is seeking a Full Time Credentialing Specialist . The Selected candidate will be responsible for ... + Prepare document checklist. Establish a rapport with the physician and practice manager to gather missing items in...participating insurance plans, Medicare (PECOS) and Medicaid. + Submit payer enrollment and follows up on credentialing … more
- Trinity Health (Boise, ID)
- …SAHS and SAHA and ensuring network providers and internal colleagues understand payer and physician participation requirements. Assists the Regional Director and ... operations including but not limited to: customer and provider relations, credentialing and provider file maintenance. Provides training, quality reviews, issue… more
- Dignity Health (Prescott, AZ)
- …Knowledge of commonly-used concepts, practices, and procedures used in health care and physician credentialing **Preferred** + Five years experience in a Health ... auditing setting, or Health Care Enrollment. + Bachelor's degree + Certified Provider Credentialing Specialist **Pay Range** $22.95 - $33.28 /hour We are an… more
- LifePoint Health (Las Cruces, NM)
- …Opportunities o And much more *_Position Summary_**_ _* Coordinates the insurance payer enrollment process for Las Cruces Physician Practice employed providers. ... Services* **Organization:** **Las Cruces Radiologst Sppt Svc* **Title:** *Payor Enrollment Specialist as Cruces Physician Services* **Location:** *New Mexico-Las… more
- Highmark Health (Columbus, OH)
- … credentialing individual providers based on government and commercial payer credentialing processes. Proactively communicated any changes regarding ... payer billing requirements and claims processing or experience with payer credentialing /enrollment requirements + Advanced computer skills using word, excel,… more
- Billings Clinic (Billings, MT)
- …National Association of Medical Staff Services (NAMSS) as a Certified Provider Credentialing Specialist (CPCS), preferred Billings Clinic is Montana's largest ... Starting Wage DOE: $20.66 - 25.83 Coordinates and conducts thorough credentialing which ensures that every physician and medical associate/assistant,… more
- McLaren Health Care (Grand Blanc, MI)
- …third party and governmental payers' regulations and changes pertaining to credentialing and enrollment.** **4.** **Collaborate with McLaren Physician Partners, ... Physician -Hospital Organization (PHO), related to requests for credentialing applications, contracted health plan inquiries, assistance on information requests,… more
- HCA Healthcare (Nashville, TN)
- … credentialing , health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well ... Eligible* Do you have the career opportunities as an Inpatient Coding Denial Specialist you want with your current employer? We have an exciting opportunity for… more
- Tidelands Health (FL)
- …serve as department expert on coding questions. + Have knowledge of payer guidelines related to MUE, Medical Necessity, LCD/NCD requirements and HIPAA/Compliance in ... order to take corrective actions to allow for payer processing for payment. + Gathers and verifies all...on-the-job coding experience in an acute care hospital or physician 's office or successful completion of Tidelands Health coding… more
- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** The Women's Health Clinical Account Specialist (WHCAS) supports customers by providing clinical information on our Company's ... the provider or system meet the goals of their patients. The Clinical Account Specialist is a key member of our customer-facing team and is responsible for… more
- TEKsystems (Cincinnati, OH)
- …worked previously in a hospital system - NO nursing, allied, or agency credentialing specialist experience About TEKsystems: We're partners in transformation. We ... credentialing Additional Skills & Qualifications: - 5+ years experience in Physician / Advance Practice Payer Enrollment (Hospital Setting, NOT insurance… more
- Sanford Health (Fargo, ND)
- …rapidly expanding program that includes (3) Pediatric Surgeons, (1) is a Certified Wound Specialist Physician , an APP with CWS certification, and a WOCN RN. ... practices, including reimbursement of services. Keep abreast of regulatory processes and payer systems such as Medicare, Medicaid, managed care, and private sources,… more
- HCA Healthcare (Nashville, TN)
- … credentialing , health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well ... Unlock your potential! **Job Summary and Qualifications** The Clinical Review Specialist is responsible for performing retrospective medical reviews based on patient… more