- Vighter Medical Group (San Antonio, TX)
- …demonstrated proficiency in credentialing standards and processes. + Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical ... Antonio, TX Position Type: Full time (30-40+ hours/week), hourly. Contract : GSA Education Level: Bachelor's Degree Job Category: Health...in credentialing standards and processes. + Certified Provider Credentialing Specialist (CPCS) or… more
- Spectrum Billing Solutions (Skokie, IL)
- …has the option to work 100% fully remote. Your Responsibilities: + Complete provider credentialing and contract applications with third-party carriers and ... and streamlined manner. We are seeking to add a Credentialing Specialist to our growing team. If...government health plans. + Review provider credentialing and contracting information to ensure… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …and Access Qualifications Requirements and Qualifications * Associates Degree and Certified Provider Credentialing Specialist (CPCS) and minimum 2-3 Years ... any other required credentialing documents for all providers * Maintains corporate provider contract files * Maintains knowledge of current health plan and… more
- ASM Research, An Accenture Federal Services Company (Columbus, OH)
- …+ Associate's Degree in healthcare or business field; Bachelor's Degree preferred + Certified Provider Credentialing Specialist (CPCS) preferred + 5 years of ... Performs end to end credentialing functions and applies overall advanced knowledge of...status, documentation of contingency and continuing education training, national provider identification number, and for non-personal services contract… more
- Robert Half Office Team (Hood River, OR)
- Description Robert Half is looking for a Credentialing Specialist to join one of our clients in the healthcare and social assistance sector. As a ... Credentialing Specialist , you will manage key processes...job seekers to opportunities at great companies. We offer contract , temporary and permanent placement solutions for finance and… more
- Robert Half Office Team (Alameda, CA)
- Description Robert Half Healthcare Group has an immediate opening for a Credentialing Specialist for one of our leading healthcare clients! The Credentialing ... (ie, Medi-Cal, NCQA, DHS, DMHC, and CMS). Requirements The ideal candidate for this Credentialing Specialist role MUST HAVE recent experience of 2 years or more… more
- University of Washington (Seattle, WA)
- …and natural beauty. **The School of Dentistry has an outstanding opportunity for a Provider and Contract Enrollment Specialist to join their team.** The ... Reporting to the Director of Patient Revenue Cycle, the Provider and Contract Enrollment Specialist ...RESPONSIBILITIES** Enrollment in and evaluation of payer contracts and provider re- credentialing : 70% + Use independent judgement… more
- Robert Half Office Team (Novato, CA)
- Description We are seeking an organized and detail-oriented Credentialing Specialist to join our team. This role is primarily responsible for ensuring that all ... training, licensure, and certifications. + Maintain up-to-date data for each healthcare provider in credentialing databases and online systems. + Prepare and… more
- Hawaii Pacific Health (Honolulu, HI)
- …Administration or health related field. National Medical Staff Coordinator Certification. Provider Credentialing Specialist Certification. Health care ... and training, as well as internal peer equity. **Position** Credentialing Specialist - Centralized Verification **Category** Administrative **Employment… more
- Novant Health (Winston Salem, NC)
- Job Summary The Vendor Credentialing Specialist is responsible for the Vendor Credentialing Program to include oversight and guidance. They will work ... directly with the 3rd party vendor credentialing provider on system updates, annual flu...and third parties along multiple lines of business that contract , wish to contract or do business… more
- Amergis (Dallas, TX)
- …staffing experiences to deliver the best workforce solutions. The Onboarding and Credentialing Field Support Specialist provides the highest level of customer ... to caregivers, field staff, clients, patients, offices and coworkers. The Onboarding and Credentialing Field Support Specialist will contribute to the culture of… more
- Amergis (Phoenix, AZ)
- …creates unmatched staffing experiences to deliver the bestworkforce solutions. The Credentialing Specialist provides the highest level of customer service ... connectingpeople to the work that matters since 1988. We provide meaningful opportunitiesto our extensive network of healthcare and...to clients, suppliers, and team members. The Credentialing Specialist contributes to the culture of… more
- Robert Half Finance & Accounting (Augusta, ME)
- …regulations, such as the National Committee for Quality Assurance * Certified Provider Credentialing Specialist (CPCS) certification preferred * Federal ... with an established community non-profit to locate a Healthcare Contract & Credential Specialist for a full...Acquisition Certification in Contracting (FAC-C) preferred * Knowledge of Provider credentialing and contract procedures… more
- Robert Half Office Team (Griffin, GA)
- …handling escalations and coordinating with providers. + Familiarity with claims workflows, provider credentialing processes, and tax documentation. + Ability to ... Description The Provider Administration Specialist is responsible for...practices. + Adding associates, license updates, specialty changes, and contract revisions. + Assistance with provider directory… more
- CareFirst (Baltimore, MD)
- …details in the contracts meet the need of key stakeholders. Manages the provider contract including negotiations, level of network participation, rates, payment ... with the Legal Department for any changes to standard contract templates. Work with Legal to develop and review...expert in support of BCBSA workgroups. + Performs the provider credentialing as assigned, and data maintenance… more
- Logan Health (Kalispell, MT)
- …processes? At Logan Health, we are seeking a meticulous and detail-oriented Payer Enrollment Contract Specialist to join our dynamic team. Your role will be ... current and compliant. + Maintain Provider Records: Ensure all provider credentials, licenses, certifications, and re- credentialing documents are up-to-date… more
- Molina Healthcare (Warren, MI)
- …effective and efficient business results. * Trains and monitors newly hired Contract Specialist (s). * Participates in other contracting related special projects ... in the negotiation of medical group/IPA and hospital contracting. * Identified as contract system lead by developing and maintaining provider contracts in … more
- Point32Health (Canton, MA)
- …organization, working closely with the Contract Administrator to keep our Provider Network current. The Specialist also has knowledge regarding contracts and ... company.Under direction of the Provider Enrollment Supervisor, the Provider Enrollment Specialist processes, maintains, and revises all components… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** As a member of the pharmacy team, the Contract Specialist manages and coordinates all financial information with third party plans to ensure ... to support and manage pharmacy revenue management activities. The Contract Specialist will also be responsible for...records, notifying them of any relevant changes to pharmacy operations/ credentialing + Act as a subject matter expert in… more
- Molina Healthcare (Fresno, CA)
- …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 2 - 4 years provider contract support or negotiation experience in the health care field ... live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
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