- Altru Health (East Grand Forks, MN)
- …programs. Performs utilization review when required. Collaborates with Primary Care Provider (PCP) regarding the patient's progress and changing needs. Performs ... LCSW or LPCC Position will be credentialed through Altru Health System's credentialing process Altru Physical Demand s : *Sit: Frequently (34-66%) *Stand:… more
- Altru Health (East Grand Forks, MN)
- …guidelines, ie, associates, 2 years, bachelor's, 4 years * Recipients must provide proof of on-going full-time enrollment within degree program, ie, transcript and ... Start Date | HR Primary Sources Cardiovascular Technologist - Registered | Cardiovascular Credentialing International | Within 24 Months of Start Date | HR Primary… more
- Medical Mutual of Ohio (OH)
- …consider equivalent combination of education/training and experience. . 7 years progressive provider credentialing and/or data or equivalent experience in a ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...which includes team lead or supervisory experience. . Certified Provider Credentialing Specialist (CPCS) preferred. . Intermediate… more
- Medical Mutual of Ohio (OH)
- …position has the option to work remote; Ohio residents preferred._** **Responsibilities** ** Provider Credentialing & Data Specialist I** + Categorizes returned ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...projects as needed. + Performs other duties as assigned. ** Provider Credentialing & Data Specialist II** +… 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 ... network operations including but not limited to: customer and provider relations, credentialing and provider file maintenance. Provides training, quality… more
- Medical Mutual of Ohio (OH)
- …combination of education/training and experience. + 1 year of experience as a Provider Credentialing & Data Specialist or equivalent experience in a health ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...management system), and internet navigation skills. + Knowledge of provider credentialing and/or database management procedures. +… more
- UT Health (Houston, TX)
- Provider Services Specialist- Credentialing & Provider Enrollment **Location:** Texas Medical Center-Houston, Texas **Category:** Healthcare Support Services ... 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
- Oak Orchard Health (Brockport, NY)
- …Staff to identify and resolve any denials or authorization issues related to provider credentialing . + Attends meetings with Insurance Representatives as needed. ... by the Director of Revenue Cycle. Requirements Skills/Qualifications: + Working knowledge of provider credentialing and its direct impact on the Revenue Cycle. +… more
- Fresenius Medical Center (Franklin, TN)
- …credentialingagent to ensure credentialing processis completed. Ensures all provider credentialing verification is performed in accordance with regulatory ... or which may be of a sensitive nature. + Perform provider credentialing verification tasks to facilitate compliance with Medical Staff by-laws regardingthe… more
- Morehouse School Of Medicine (Atlanta, GA)
- …Compile and maintain current and accurate data for all providers. + Complete provider credentialing and re- credentialing applications. + Monitor applications ... in the capacity of credentialing coordinator or credentialing specialist specializing in provider enrollment. +...Provide consistent and timely follow-up on all outstanding credentialing /re- credentialing files. + Prepare and scan … more
- CareFirst (Baltimore, MD)
- …in (level 2 or above) operational role. **Preferred Qualifications:** Certified Provider Credentialing Specialist (CPCS). **Knowledge, Skills and Abilities ... Provides analysis and reporting for practitioners credentialing and institutional credentialing and ancillary providers by obtaining provider related data;… more
- Apex Health Solutions (Houston, TX)
- …regular analysis and audits on data across the department's multiple processes. Ie, Credentialing and Provider Data Management workflows. Ensure rosters and ... Summary: The Credentialing and Network Coordinator will be responsible for...responsible for research, analysis and maintenance of payer contracts, provider database and database loads, provider participation… more
- The County of Los Angeles (Los Angeles, CA)
- …out job-related essential functions. CERTIFICATION: Successful certification as a Certified Provider Credentialing Specialist issued by the National Association ... indicate "No Experience" 03 Do you possess certification as a Certified Provider Credentialing Specialist issued by the National Association of Medical… more
- Aston Carter (San Marcos, CA)
- … Credentialing Specialist and performing administrative tasks related to new provider credentialing and recredentialing. You will answer basic provider ... credentialing , recredentialing, and CME in accordance with the provider credentialing policy. Responsibilities + Create Continuing Medical Education… more
- Hartford HealthCare (Wethersfield, CT)
- …and Tallwood Urology & Kidney. Position Summary: The Senior Director will provide \ strategic leadership to the HHC System Credentialing Verification Organization ... staffs, and any contracted clients. The Senior Director will have oversight for credentialing and provider enrollment and medical staff functions for all HHC… more
- LA Care Health Plan (Los Angeles, CA)
- …Licenses/Certifications Preferred Certified Medical Staff Coordinator (CMSC) Certified Provider Credentialing Specialist (CPCS) Required Training Physical ... Credentialing Specialist II Job Category: Administrative, HR, Business...Specialist II Job Category: Administrative, HR, Business Professionals Department: Provider Data Management Location: Los Angeles, CA, US, 90017… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- …regulations related to Credentialing and Coding and identifies potential risks. Credentialing + Coordinates all aspects of individual provider and facility ... Regional Manager of Credentialing and Auditing Rochester, NY (http://maps.google.com/maps?q=114+University+Ave+Rochester+NY+USA+14605) * Revenue Cycle Job Type… more
- Billings Clinic (Billings, MT)
- …the National Association of Medical Staff Services (NAMSS) as a Certified Provider Credentialing Specialist (CPCS), preferred Billings Clinic is Montana's ... credentialing process of physicians and other practitioners who provide patient care in BC facilities and are members...patient care in BC facilities and are members of provider panels for third-party payers. Credentials and re-credentials all… more
- Elevance Health (Altamonte Springs, FL)
- …background. **Preferred Skills, Capabilities and Experiences:** + Strongly preferred certified Provider Credentialing Specialist and college course work. Please ... of license renewals. + Maintains confidentiality of all pertinent pharmacy and provider information. + Administers credentialing and re- credentialing to… more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- …reviews VetPro reports detecting problem areas requiring further investigation. Managing provider applications (initial) for Non-LIPs credentialing within the ... Summary The Program Support Assistant - Credentialing Specialist is assigned to the Credentialing...and other documents meet technical requirements per specialty of provider and assures application folder and database account (VetPro… more
