- 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
- 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
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …Lead the revalidation efforts to maintain compliance with managed care organizations, Medicaid, and other payer credentialing requirements. Ensure that ... + GENERAL SUMMARY + The Leader, Managed Care Contracting, is responsible for...and working with internal stakeholders to address issues. Ensure credentialing and revalidations are updated timely and accurately in… more
- Genesis Healthcare (Seven Fields, PA)
- …degree or equal work experience is preferred. 2. Two years plus experience in provider credentialing within the managed care , hospital, or long term care ... nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care . We're proud to deliver personalized care exactly where and… more
- Prime Healthcare (Inglewood, CA)
- …five years of management experience in one of the following venues: hospitals, managed care , credentialing verification organizations, or ambulatory care ... nationally for quality and patient safety, Centinela Hospital is a 362-bed acute- care hospital with a 24-hour STEMI certified emergency department and primary stroke… more
- Novant Health (Charlotte, NC)
- …or business office experience, required. Knowledge of provider enrollment application process for credentialing in a Managed Care , Medical Staff Services or ... Job Summary Responsible for leading, coordinating and managing the credentialing and re- credentialing process for physician, advanced clinical professionals and… 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
- 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
- HCA Healthcare (Nashville, TN)
- …+ NAMSS certified preferred + Minimum two years' experience in healthcare credentialing (ie, healthcare facility, managed care setting, credentials ... Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Credentialing Specialist II with Parallon you can be a part of an… 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
- HCA Healthcare (Denver, CO)
- … credentialing in a healthcare facility (ie, Medical Staff Office), managed care setting, or credentials verification organization. + Certified Provider ... required.** Do you have the career opportunities as a Credentialing Coordinator you want with your current employer? We...an exciting opportunity for you to join HealthONE Colorado Care Partner which is part of the nation's leading… 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
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