- 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
- Intermountain Health (Columbus, OH)
- …and execution of contracts under the supervision of the Provider Development Operations Manager. These responsibilities include the drafting, implementation, ... tracking, and updating of participating provider contracts for SelectHealth and maintaining appropriate records of these activities. This position contributes to the… 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
- 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 Diego, 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
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- Summary The Health System Specialist - Credentialing and Privileging Specialist is assigned to the Medical Staff Office, which is under the Chief of Staff at a VA ... for providing administrative and technical direction and support to the credentialing and privileging (C&P) operations. Responsibilities The C&P Specialist is… 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
- Rush University Medical Center (Chicago, IL)
- …training. * National Association of Medical Staff Services preferred * One year in provider credentialing . * One year experience in healthcare or managed care ... Coordinator will have responsibility for coordinating, monitoring, and maintaining the credentialing and re- credentialing of Provider Applicants. This… 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
- Acacia Network (Bronx, NY)
- … credentialing process. + Perform timely data entry and upkeep of provider information in the credentialing database, related spreadsheets and ... Human Resources Credentialing Coordinator Bronx, NY : 8/2/2024 Job Description...Clinical Staff. + Perform thorough review and analysis of provider applications, accompanying documents and files for new and… more
- Robert Half Accountemps (Minneapolis, MN)
- …* Participating in on-boarding and network representative meetings. * Maintaining provider enrollment information within the credentialing database and ... Description We are searching for an adept Credentialing Coordinator to join our team based in...Minnesota. The role primarily involves managing the process of provider enrollment applications, maintaining provider enrollment information,… more
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