- CAIPA MSO LLC (New York, NY)
- …professionals are credentialed and are participating in company contracted managed care organizations (MCOs). The Credentialing Specialist primary job is ... Credentialing Specialist New York, NY Description...their office staff, and MCOs individual representatives + Coordinate credentialing /enrollment of new and established health care … more
- American Endovascular & Amputation Prevention LLC (Glen Rock, PA)
- …Qualifications * High School Diploma/GED required.* Minimal five years' experience in a managed care credentialing and contracting preferred. Will consider ... CREDENTIALING SPECIALIST Job Details Job Location... credentialing requirements for governmental agencies and commercial managed care insurers/networks are met and … more
- AdventHealth (Altamonte Springs, FL)
- …healthcare experience with 1 year directly related to hospital medical staff or managed care credentialing and/or provider enrollment. . Completed degree(s) ... in healthcare . 4 years directly related to hospital medical staff or managed care credentialing and/or provider enrollment. **LICENSURE, CERTIFICATION OR… more
- BayCare Health System (Tampa, FL)
- …currently reside in Florida. **Responsibilities** + Responsible for initiating and maintaining credentialing , managed care provider enrollment and hospital ... + Preferred associate or bachelor's degree preferred. **Experience** + Required - 1 year Credentialing or 1 year Managed Care Equal Opportunity Employer… 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
- Banner Health (CO)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... we're excited about what the future holds for health care . That's why we're changing the industry to make...National Certification as a Medical Staff Services Professional or Credentialing Specialist is preferred. Knowledge of medical… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …overall strategic plan. **Summary:** Follows established procedures for enrolling providers with managed care plans and maintain the Council of Affordable ... Credentialing Office for every change and emailing all changes to the managed care plans MHP Management Team, Senior Account Consultants, the Management Team… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …required. Qualifications: + Minimum of two (2) years previous experience in a managed care organization's Credentialing department. + NAMSS CPCS ... are received and processed, correct data entry, and updated regulatory and credentialing documents are entered and/or scanned into the Doctors HealthCare Plans, Inc,… more
- Hackensack Meridian Health (Edison, NJ)
- …positive change. The **Senior Contracting Specialist ** position will support the Managed Care Team during system and new entities negotiations in accordance ... of the Sr. Vice President and Vice President - Managed Care . Will be responsible for addressing...A day in the life of a **Senior Contracting Specialist ** at **Hackensack Meridian** **_Health_** includes: + Work under… 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
- US Anesthesia Partners (Dallas, TX)
- …+ Processes initial applications and reappointments for hospitals, surgical centers and managed care entities for assigned divisions. + Maintains complete file ... military service, or other non-merit based factors. (https://careers-usap.icims.com/jobs/15229/facility- credentialing - specialist -ii/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336089587) Job ID2024-15229 FunctionRevenue Cycle… more
- Staffing Solutions Organization (Augusta, ME)
- CNA Credentialing Specialist Augusta, ME 04330, USA Req #933 Monday, July 22, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public Consulting ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...of our clients and the people they serve. **CNA Credentialing Specialist in Augusta, ME** Description: Support… more
- Scotland Health Care System (Laurinburg, NC)
- …position works with government agencies, third party payers, Medical Staff Coordinator and Managed Care Director, CHS MHR, and our medical providers to initiate ... enrollment and credentialing applications, maintain recredentialing and updates for individual providers and entities and subgroups of SMH, SRHN, and EMC.… more
- Trinity Health (Ann Arbor, MI)
- …+ Fields telephone calls and monitors shared email inbox regarding managed care products, application requests, credentialing /recredentialing procedures, ... MSOW database and ensures mailing addresses, telephone numbers, participation in various managed care organizations, and other key demographics are up to… more
- Elevance Health (Altamonte Springs, FL)
- …and re- credentialing to ensure compliance with regulatory, accreditation and various managed care plan policies and protocols, standards, and requirements. + ... Develops and fosters collaborative relationships with managed care plans, state agencies and PBM's...Skills, Capabilities and Experiences:** + Strongly preferred certified Provider Credentialing Specialist and college course work. Please… 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
- UT Health (Houston, TX)
- …years of credentialing , database management, or medical staff coordination in managed care environment. **Physical Requirements:** Exerts up to 20 pounds of ... 11. Performs other duties as assigned. **Certification/Skills:** Certified Professional Credentialing Specialist (CPCS) preferred Current and thorough knowledge… more
- SUNY Upstate Medical University (Syracuse, NY)
- …written, oral, and electronic forms required. Preferred Qualifications: Knowledge of managed care enrollment desirable. Credentialing experience preferred. ... Job Summary: The Credentialing Coordinator is responsible for credentialing ,...Certification as either Provider Credentialing Specialist (CPCS) or Professional in Medical Services Management (CPMSM)… 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
- 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