- Lundbeck (Minneapolis, MN)
- …messages to effectively position Lundbeck's products within the context of the provider 's setting and payer mix. Managing Execution Sets and maintains competent ... financial management. Demonstrated leadership with the ability to develop, train and provide feedback to a group of account managers. Must possess superior… more
- Lundbeck (San Francisco, CA)
- …messages to effectively position Lundbeck's products within the context of the provider 's setting and payer mix. Managing Execution Sets and maintains competent ... financial management. Demonstrated leadership with the ability to develop, train and provide feedback to a group of account managers. Must possess superior… more
- CareFirst (Baltimore, MD)
- …High School Diploma or GED. **Licenses/Certifications Preferred:** + Certified Provider Credentialing Specialist (CPCS) **Experience:** 3 years physician ... group accordingly. + Responds to external and internal inquiries regarding provider participation eligibility and criteria, participation status, credentialing ,… 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
- Medical Mutual of Ohio (Toledo, OH)
- …combination of education/training and experience. + 1 year of experience as a Provider Credentialing & Data Specialist or equivalent experience in health plan, ... management system), and internet navigation skills. + Knowledge of provider credentialing and/or database management procedures. +...includes: A Great Place to Work: + We will provide the equipment you need for this role, including… more
- BayCare Health System (Tampa, FL)
- …8:00 AM to 5:00 PM (may vary) + **Days:** Monday through Friday The Credentialing and Provider Enrollment Specialist is a full-time remote position. This team ... reside in Florida. Responsibilities + Responsible for initiating and maintaining credentialing , managed care provider enrollment and hospital privileges for… 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
- Southeast Health (Dothan, AL)
- …progressive experience in healthcare field Required Knowledge/ Skills/ Abilities + Certified Provider Credentialing Specialist (CPCS) within three (3) years of ... Always the right career direction. Job Description Summary The Medical Staff Credentialing and Provider Enrollment Coordinator (MSP) is a hands-on administrative… more
- Highmark Health (Harrisburg, PA)
- …sends necessary paperwork to credentialing vendor. + When necessary performs credentialing verifications and loads provider to appropriate networks and ... credentialing information to the provider database. + Manage credentialing inventory, reports...our business partners, internal departments and external clients. + Provide customer oversight for our customers who have unique… more
- Inpatient Psych Solutions (Augusta, GA)
- …representatives to resolve any issues related to credentialing , contracting, or provider enrollment. + Provide periodic status reports to the ... medical staff offices, and regulatory agencies to ensure timely and efficient provider credentialing and enrollment. Key Responsibilities: 1. Credentialing … more
- Vighter Medical Group (San Antonio, TX)
- …proficiency in credentialing standards and processes. + Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services ... of regulatory requirements, accreditation standards, and payer guidelines related to provider credentialing and enrollment. + Excellent organizational skills,… more
- Oak Orchard Health (Brockport, NY)
- …Staff to identify and resolve any denials or authorization issues related to provider credentialing . + Attends meetings with Insurance Representatives as needed. ... by the Director of Revenue Cycle. Requirements Skills/Qualifications: + Working knowledge of provider credentialing and its direct impact on the Revenue Cycle. +… more
- Somatus (Mclean, VA)
- …staff to identify and resolve any denials or authorization issues related to provider credentialing . + Process initial credentialing and re- credentialing ... Certification as a Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS). + Working knowledge of … 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
- Excelsior Orthopaedics Group (Amherst, NY)
- …and maintains current and accurate data for all providers * Completes provider credentialing and re- credentialing applications, monitors applications and ... and Access Qualifications Requirements and Qualifications * Associates Degree and Certified Provider Credentialing Specialist (CPCS) and minimum 2-3 Years … more
- Nuvance Health (Danbury, CT)
- …lieu of Associates Degree. * Desired but not required*: NAMSS Certified Provider Credentialing Specialist (CPCS) Certification Minimum Experience: three years ... changes including privileges, specialty, contact information, demographic information, and/or provider identification numbers. Ensures that credentialing records… more
- Trinity Health (Hartford, CT)
- …and notify external/internal customers as appropriate to ensure expeditious completion of provider credentialing . + Ensure complete and updated provider ... **Position Purpose** The Credentialing Coordinator is responsible for performing credentialing and provider enrollment for all new and existing providers… more
- Evolent (Columbus, OH)
- … Operations will be a dynamic role that will encompass determining provider types who require credentialing , initiating the Primary Source Verification ... Director, Credentialing Operations. **Collaboration Opportunities:** The Specialist, Credentialing Operations team collaborates with the Provider Data… more
- Vighter Medical Group (San Antonio, TX)
- …proficiency in credentialing standards and processes. + Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services ... of regulatory requirements, accreditation standards, and payer guidelines related to provider credentialing and enrollment. + Excellent organizational skills,… 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
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