- Astor Services (Rhinebeck, NY)
- …communication with contracts and credentialing personnel for all insurance payers ( Managed Care Organizations and Commercial Insurance). + Identifies out of ... Credentialing and Authorization Specialist Rhinebeck, NY... Credentialing Supervisor, Director of Billing & RCM, Managed Care Liaison and MCOs if outside… more
- HCA Healthcare (Nashville, TN)
- …+ NAMSS certified preferred + Minimum two years' experience in healthcare credentialing (ie, healthcare facility, managed care setting, credentials ... over 156,000 hours volunteering in our communities. As a Credentialing Specialist II with Parallon you can...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… 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 ...of Medical Staff Services (NAMSS) as a Certified Provider Credentialing Specialist (CPCS), preferred Billings Clinic is… more
- The County of Los Angeles (Los Angeles, CA)
- CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $65,911.68 ... for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required… more
- RWJBarnabas Health (Newark, NJ)
- …Essential Functions: + Work closely with New Jersey Medical School Managed Care Department + Process and maintain credentialing and re- credentialing ... 90 Bergen Street, Newark, NJ 07103 Job Overview: The Credentialing Specialist provides coordination and completion of...& Accidental Death Insurance + Tuition Reimbursement + Health Care /Dependent Care Flexible Spending Accounts + Wellness… more
- Trinity Health (Syracuse, NY)
- …Participates in education conferences and in-services. Certified Provider Credentialing Specialist (CPCS) Certification preferred.Participates in orientation ... professional agency staff.SUPERVISED BY:Director, Manager, or CoordinatorSUPERVISES:NoneCAREER PATH:Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical… 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
- 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
- WMCHealth (Valhalla, NY)
- Managed Care Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Managed Care ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28110) Internal Applicant link Job Details: Job Summary: The Managed Care Specialist under the direction… 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, ... + Minimum of two (2) years of experience in managed care experience. + Minimum of two...desirable. CERTIFICATIONS/LICENSURES REQUIRED: + Certification as CPCS (Certified Provider Credentialing Specialist ) or CMSC (Certified Medical Staff… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Credentialing Specialist , Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's ... is responsible for prioritizing and managing tasks in the Managed Care department in regards to Payer...and Hospital credentialing . With limited supervision, the Credentialing Specialist acts as a liaison among… more
- Hackensack Meridian Health (Neptune, NJ)
- …the medical staff. + Reviews Sanction sites for practitioner license/ managed care actions. + Covers for Medical Staff Specialist -Reappointments when needed. ... Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) **Job ID** _2024-154638_ **Department** _J-PHYS… more
- HCA Healthcare (Denver, CO)
- … credentialing in a healthcare facility (ie, Medical Staff Office), managed care setting, or credentials verification organization. + Certified Provider ... an exciting opportunity for you to join HealthONE Colorado Care Partner which is part of the nation's leading... Credentialing Specialist or Certified Profession in Medical… more
- Penn Medicine (Philadelphia, PA)
- …**Education or Equivalent Experience:** + HS Diploma/GED. (Required) + 6+ years of credentialing experience in a managed care , hospital, or related ... **Hours: M-F, Hybrid** **Summary:** + The Medical Staff Office Specialist (MSO)(Philadelphia) is responsible for ensuring the accurate and...(Required) Or + Bachelor's degree and 4+ years of credentialing experience in a managed care… more
- Houston Methodist (Houston, TX)
- …the designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, ... At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties enabling the delivery of optimal… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …The Provider Enrollment Specialist follows procedures for enrolling providers with managed care plans and maintains the Council of Affordable Quality ... to enhance understanding of various regulations and legislation of the health care industry. + Maintains proficiency in credentialing and enrollment databases… more
- Organon & Co. (Las Vegas, NV)
- …utilization while meeting the needs of customers. + Understanding of the local managed care and reimbursement environment relevant to various customer segments ... their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers,… more
- HCA Healthcare (Sunrise, FL)
- …We want you to apply! **Job Summary and Qualifications** **JOB TITLE - Managed Services Onboarding Specialist ** **GENERAL SUMMARY OF DUTIES** : The Onboarding ... where diversity and inclusion thrive? Submit your application for our Onboarding Specialist WFH opening with HealthTrust Workforce Solutions today and find out what… more
- Northern Light Health (Brewer, ME)
- …plan enrollment requests. This includes group, individual, Medicare, Medicaid, commercial, and managed care health plans. + Ensure The Provider Management ... Northern Light Health Department: Credentialing Position is located: Cianchette Professional Blding Work...8:00 AM to 5:00 PM Summary: The Provider Management Specialist is responsible for coordinating with Provider Management Platform… more
- Banner Health (Glendale, AZ)
- …for the duration of their employment. PREFERRED QUALIFICATIONS Previous knowledge of managed care concepts. Working knowledge of medical terminology and ICD-9 ... spinal disorders and many other conditions **As a** **Referral Specialist ** , you will be providing exceptional customer service...position must work with and understand the concepts of managed health care and be able to… more
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