- Prime Healthcare (East Liverpool, OH)
- …#LI-WM1 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/174240/ payor - credentialing - specialist ... This position is responsible for assigned Medical Staff as assigned by Credentialing Supervisor. Interfaces with physicians, management and co-workers in a positive… more
- Sevita (Boston, MA)
- …for infants, children, adolescents, Military Service Members and Veterans. **Contracts and Payor Senior Specialist ** Do you have an administrative background in ... partnership with senior leadership, Program Directors, and Director of Contracts and Payor Engagement to ensure consistency and secure public and private insurance… more
- LifePoint Health (Las Cruces, NM)
- …**Physician Services* **Organization:** **Las Cruces Radiologst Sppt Svc* **Title:** * Payor Enrollment Specialist as Cruces Physician Services* **Location:** ... o *Minimum Experience**:At least five (5) years of experience with Provider credentialing . * *_EEOC Statement_* Memorial Medical Center is committed to providing… more
- Spectrum Billing Solutions (Skokie, IL)
- …is managed in the most efficient and streamlined manner. We are seeking to add a Credentialing Specialist to our growing team. If you are looking for a rewarding ... with strong communication and problem-solving skills. RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist | Revenue Cycle… more
- BayCare Health System (Tampa, FL)
- …7:30 AM to 4:00 PM (may vary) + **Days:** Monday through Friday The ** Credentialing and Provider Enrollment Specialist ** is a full-time remote position. This ... 1 year Managed Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist **Location** Tampa:Concourse… more
- Insight Global (Morristown, NJ)
- Job Description Our top Healthcare client in NJ is looking for a Credentialing Specialists to sit full-time in Morristown, NJ. This person will maintain credentials ... for Payor /Provider enrollment. They will be responsible for submission of...and monitor and track these applications through the payer credentialing process. We are a company committed to creating… more
- Insight Global (Cherry Hill, NJ)
- Job Description One of Insight Global's revenue cycle clients are looking for a Credentialing Specialist to join their team in Cherry Hill, NJ. This individual ... will be responsible for submitting initial and re- credentialing enrollment applicants for payor HMO, Medicare, and Medicaid. They will also follow up and check… more
- Queen's Health System (Honolulu, HI)
- …status for all providers by successfully completing initial and subsequent credentialing packages as required by hospitals, surgery centers, commercial payors, ... Medicare and Medicaid. * Performs credentialing in accordance with policies and procedures of The...state, insurance carriers, health plans and other third party payor requirements. II. TYPICAL PHYSICAL DEMANDS: * Essential: standing,… more
- Mindful Support Services (Mountlake Terrace, WA)
- …NCQA (National Committee on Quality Assurance) requirements + Certified Provider Credentialing Specialist (CPCS) certification preferred + Prior credentialing ... improved access to high quality mental healthcare. About the Role The Credentialing Manager is responsible for the day-to-day management of the Credentialing… more
- ProMedica Health System (Toledo, OH)
- …for accounts that are greater than 30 days old. * Experience completing hospital and payor credentialing forms Years of Experience: Must have at least 3 years' ... credentialing follow up for all supported providers with hospital privileges, payor /plan credentialing , certifications, and regulations. 2. Acts as a liaison… more
- Henry Ford Health System (Detroit, MI)
- …of the insurance provider enrollment process including initial enrollment, re- credentialing or revalidation. Provider Enrollment Specialist ensures providers ... entry, data collection, analysis of information collected for appropriate enrollment. The Provider Enrollment Specialist must be knowledgeable to work in all aspects… more
- Catholic Health Services (Rockville Centre, NY)
- Overview Clinical Documentation Specialist Rockville Centre, NY Explore a career with Mercy Hospital, a 375-bed not-for-profit hospital and member of Catholic ... received Pathway to Excellence designation from the American Nurses Credentialing Center - the only hospital in the region...service rendered to all patients with a DRG based payor . Demonstrates knowledge of DRG payor issues,… more
- HCA Healthcare (Nashville, TN)
- …care like family! Jump-start your career as a Medicaid Provider Enrollment Specialist today with Parallon. **Benefits** Parallon, offers a total rewards package that ... Come join our team as a Medicaid Provider Enrollment Specialist . We care for our community! Just last year,...appropriate action to resolve + Appropriately resolve or escalate payor application denials + Meet and maintain established departmental… more
- HCA Healthcare (Brentwood, TN)
- …We care like family! Jump-start your career as a EDI Claims Filing Specialist today with Parallon. **Benefits** Parallon, offers a total rewards package that ... Come join our team as a EDI Claims Filing Specialist . We care for our community! Just last year,...claims to payors + Appropriately research and/or forward any payor filing requirements needing additional information to accurately resolve,… more
- OLV Human Services (Lackawanna, NY)
- Billing & Accounts Receivable Specialist 790 Ridge Rd, Lackawanna, NY 14218, USAReq #426 Thursday, September 19, 2024 **Join Our Team as a Billing & Accounts ... Receivable Specialist !** Are you a meticulous number-cruncher with a passion...claim rejections, denials, and non-payments of claims with various payor representatives. + Posting payments + Run monthly aging… more
- Texas Health Resources (Kaufman, TX)
- …to collect co-payments, self-pay deposits, and patient balances. + Ensures all payor and government required elements are completed correctly, particularly the MSPQ, ... is a Joint Commission-certified facility. We're recognized by the American Nurses Credentialing Center (ANCC) as a Pathway to Excellence hospital for our commitment… more
- PeaceHealth (Bellingham, WA)
- …or the American Red Cross at the time of hire. + Ability to meet payor credentialing requirements for pharmacist billing of clinic provided services. + Ability ... **Description** PeaceHealth is seeking a **Clinical Pharmacy Specialist Ambulatory for a Full Time, 1.00 FTE, Day position.** The salary range for this job opening… more
- ProMedica Health System (Toledo, OH)
- …are resolved. This includes items like billing issues, contract loading issues, credentialing issues and inpatient and post acute prior authorization issues. This ... and other PHS business teams, especially as it relates to billing, credentialing and other administrative functions, with goal to deliver cross-functional outcomes… more
- Sleep Data (San Diego, CA)
- …CERTIFICATES, LICENSES, REGISTRATIONS Preferred certifications include: + Certified Provider Credentialing Specialist through NAMSS + Registered Health ... Apply Job Type Full-time Description Are you an experienced contracting and credentialing professional? Are you driven to succeed, and being recognized for your… more
- Fair Haven Community Health Care (New Haven, CT)
- …Supervisor will direct and manage the daily operation of the Medical Billing Specialist team to ensure the posting and collections of all billable encounters are ... to changing billing environments as they occur through each payor source including Medicaid, Medicare, Commercial, and Private Pay....the process to work unpaid claims and backlogs (ie credentialing and carrier issues) are reported to be managed… more