- Medical Mutual of Ohio (OH)
- …the option to work remote; Ohio residents preferred._** **Responsibilities** ** Provider Credentialing & Data Specialist I** + Categorizes returned mail ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...+ Performs other duties as assigned. ** Provider Credentialing & Data Specialist II**… more
- Medical Mutual of Ohio (OH)
- …of education/training and experience. + 1 year of experience as a Provider Credentialing & Data Specialist or equivalent experience in a health plan, ... credentialing into the various modules of the Provider Data Management System. Ensures compliance with...perform pre-employment substance abuse and nicotine testing._ **Title:** _Provider Credentialing & Data Specialist II… more
- HCA Healthcare (Sunrise, FL)
- … Specialist I **GENERAL SUMMARY OF DUTIES** - The Credentialing Specialist I is responsible for data entry of credentialing documents submitted ... **Introduction** Do you have the career opportunities as a Credentialing Specialist WFH you want with your...credentialing guidelines + Responsible for accurate and timely data entry into credentialing database. + Consistently… more
- UT Health (Houston, TX)
- Provider Services Specialist - Credentialing & Provider Enrollment **Location:** Texas Medical Center-Houston, Texas **Category:** Healthcare Support ... 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
- Medical Mutual of Ohio (OH)
- …similar administration, which includes team lead or supervisory experience. . Certified Provider Credentialing Specialist (CPCS) preferred. . Intermediate to ... the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million...and individual plans. Supervises the daily workflow of the Credentialing and Provider Data departments,… more
- Oak Orchard Health (Brockport, NY)
- …Diploma or equivalent, required. + Associates Degree or higher, preferred. + Certified Provider Credentialing Specialist (CPCS), preferred. + Three or more ... Insurance Credentialing Specialist Brockport, NY (http://maps.google.com/maps?q=300+West+Avenue+Brockport+NY+USA+14420) *...by hospitals, commercial payers, Medicare and Medicaid. Maintain up-to-date data for provider in credentialing … more
- The County of Los Angeles (Los Angeles, CA)
- …carry out job-related essential functions. CERTIFICATION: Successful certification as a Certified Provider Credentialing Specialist issued by the National ... experience, indicate "No Experience" 03 Do you possess certification as a Certified Provider Credentialing Specialist issued by the National Association of… more
- LA Care Health Plan (Los Angeles, CA)
- …Required Licenses/Certifications Preferred Certified Medical Staff Coordinator (CMSC) Certified Provider Credentialing Specialist (CPCS) Required Training ... Credentialing Specialist II Job Category: Administrative, HR, Business Professionals Department: Provider Data Management Location: Los Angeles, CA, US,… more
- Fresenius Medical Center (Franklin, TN)
- …credentialingagent to ensure credentialing processis completed. Ensures all provider credentialing verification is performed in accordance with regulatory ... PURPOSE AND SCOPE: Knowledgeable, experienced specialist responsible for initial verification for all existing...which may be of a sensitive nature. + Perform provider credentialing verification tasks to facilitate compliance… more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- Summary The Program Support Assistant - Credentialing Specialist is assigned to the Credentialing and Privileging Office, which is under the Chief of Staff at ... and support to the credentialing operations. The Program Support Assistant - Credentialing Specialist is aligned to and supervised by the Credentialing… more
- Billings Clinic (Billings, MT)
- …by the National Association of Medical Staff Services (NAMSS) as a Certified Provider Credentialing Specialist (CPCS), preferred Billings Clinic is Montana's ... prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Credentialing /Medical Staff Specialist (1.0) MEDICAL STAFF SERVICES… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- Summary The Health System Specialist - Credentialing and Privileging Specialist is assigned to the Medical Staff Office, which is under the Chief of Staff at ... Virtual: This is not a virtual position. Position Description/PD#: Health Systems Specialist ( Credentialing and Privileging Specialist )/PD99876S and PD99620S… more
- Guidehouse (Birmingham, AL)
- …None **Clearance Required** **:** None **What You Will Do** **:** The Credentialing Specialist is responsible for coordinating, processing, monitoring, and ... as well as all legal and regulatory requirements. The Credentialing Specialist is responsible for accuracy and...health plans in a timely manner. Enter and maintain data in the credentialing database according to… more
- Josselyn (Northbrook, IL)
- …and re-credential clinicians and resolve any denials or authorization issues related to provider credentialing in a timely manner. + Notifies billing staff of ... Friday, 8:30 AM - 4:30 PM Job Summary The Credentialing and Billing Specialist is responsible for...or related field or equivalent experience + Knowledge of provider credentialing and its direct impact on… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- Summary The incumbent serves as a Lead Health Systems Specialist - C&P Specialist . They are assigned to the Credentialing and Privileging (C&P) Office at a ... competence for the ongoing provider practice evaluation (OPPE) and focused provider practice evaluation (FPPE). Serves as lead specialist over a group of… more
- Ansible Government Solutions (Malvern, PA)
- …to internal and external customers, as appropriate. + Enters, updates, and maintains data from provider files into credentialing database in accordance ... Government Solutions, LLC (Ansible) is seeking a full-time Compliance & Credentialing Specialist . This work-from-home position is responsible for carrying… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- … documents are entered and/or scanned into the Doctors HealthCare Plans, Inc, ("DHCP") credentialing CACTUS database, provide data entry and clerical support ... Onsite-Not a remote position Maintain an efficient provider credentials system by ensuring completed credentials CAQH...staff; + Creating a new electronic record in the credentialing database and perform data entry of… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …knowledge skills/abilities, preferably in a healthcare setting. **Licensure/Certification** Certified Provider Credentialing Specialist (CPCS) preferred, or ... more! **Responsibilities** **JOB SUMMARY** This job is responsible for performing provider credentialing , enrollment and database maintenance processing based on… more
- Sanford Health (Sioux Falls, SD)
- …administrative support, business or healthcare experience preferred. **Job Summary** The Credentialing Specialist is responsible and accountable for oversight of ... credentialing process; facilitating projects; and initiation of the provider application process. Models excellent customer service skills and take initiative… 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 ... managing the daily network operations including but not limited to: customer and provider relations, credentialing and provider file maintenance. Provides… more
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