- CareFirst (Baltimore, MD)
- …Level:** High School Diploma or GED. **Licenses/Certifications Preferred:** + Certified Provider Credentialing Specialist (CPCS) **Experience:** 3 years ... group accordingly. + Responds to external and internal inquiries regarding provider participation eligibility and criteria, participation status, credentialing ,… more
- US Anesthesia Partners (Dallas, TX)
- …training requirements. + Maintains and updates curriculum vitae/profiles for each provider . + Maintains correspondence files and credentialing archival files. ... military service, or other non-merit based factors. (https://careers-usap.icims.com/jobs/15229/facility- credentialing - specialist -ii/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336089587) Job ID2024-15229 FunctionRevenue Cycle… more
- Medical Mutual of Ohio (OH)
- …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 … more
- BayCare Health System (Tampa, FL)
- …**Days:** Monday through Friday The ** Credentialing and Provider Enrollment Specialist ** is a full-time remote position. This team member must currently ... or 1 year Managed Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist **Location**… more
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- …OH VA Medical Center is currently recruiting for a Program Support Assistant ( Credentialing Specialist ). This position is assigned to the Credentialing ... is responsible for providing administrative and technical direction and support to the credentialing operations. The Credentialing Specialist is aligned to… more
- Spectrum Billing Solutions (Skokie, IL)
- …option to work 100% fully remote . Your Responsibilities: + Complete provider credentialing and contract applications with third-party carriers and government ... and streamlined manner. We are seeking to add a Credentialing Specialist to our growing team. If...health plans. + Review provider credentialing and contracting information to ensure… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- Summary The Health System Specialist - Credentialing and Privileging Specialist is assigned to the Medical Staff Office, which is under the Chief of Staff at ... responsible for providing administrative and technical direction and support to the credentialing and privileging (C&P) operations. The C&P Specialist is aligned… 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
- Guidehouse (Birmingham, AL)
- …None **Clearance Required** **:** None **What You Will Do** **:** The Credentialing Specialist is responsible for coordinating, processing, monitoring, and ... client standards and compliance as well as all legal and regulatory requirements. The Credentialing Specialist is responsible for accuracy and integrity of the … more
- Medical Mutual of Ohio (OH)
- …similar administration, which includes team lead or supervisory experience. . Certified Provider Credentialing Specialist (CPCS) preferred. . Intermediate to ... **_Note,_** **_this is a remote opportunity._** **_Eastern & Central Time Zones preferred._**...combination of education/training and experience. . 7 years progressive provider credentialing and/or data or equivalent experience… more
- RWJBarnabas Health (Somerset, NJ)
- … and privileging + Certified Professional in Medical Staff Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred + Knowledge of ... Credentialing Specialist - Somerset, NJReq #:0000145791...the environment Scheduling Requirements: + Hybrid, with on-site and remote capabilities available. Essential Functions: + Oversees and assists… more
- Ansible Government Solutions (Malvern, PA)
- …Government Solutions, LLC (Ansible) is seeking a full-time Compliance & Credentialing Specialist . This work-from-home position is responsible for carrying ... external customers, as appropriate. + Enters, updates, and maintains data from provider files into credentialing database in accordance with internal policies… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …during the interview process. Position Description/PD#: Health System Specialist ( Credentialing & Privileging Analyst)/PD99877S Relocation/Recruitment ... Summary The Health System Specialist is assigned to the Medical Staff Office,...providing administrative and technical direction and support to the credentialing and privileging (C&P) operations. The incumbent ensures compliance… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Onsite-Not a remote position Maintain an efficient provider credentials system by ensuring completed credentials CAQH profiles and/or applications are received ... and/or scanned into the Doctors HealthCare Plans, Inc, ("DHCP") credentialing CACTUS database, provide data entry and clerical support to the Credentialing… more
- Mount Sinai Health System (New York, NY)
- …center, multi-entity health system or CVO is strongly preferred. + NAMSS Certified Provider Credentialing Specialist (CPCS), Required or must obtain within ... **Job Description** ** Remote Sr. Medical Staff Credentialing Coordinator (Team Lead) -Medical Staff Services-Full-Time-Days** The Senior Medical Staff … more
- Cedars-Sinai (Beverly Hills, CA)
- …Staff Services (NAMSS) as a Certified Medical Staff Coordinator (CMSC) or Certified Provider Credentialing Specialist (CPCS) is highly preferred within two ... and qualitative requirements. Participates in effective day-to-day operations of the credentialing functions and provide recommendations to enhance productivity… more
- LifePoint Health (Brentwood, TN)
- …a valid job field* **Organization:** **LifePoint Health Support Center* **Title:** * Provider Enrollment Specialist - Remote * **Location:** ... * Provider Enrollment Specialist * *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you… more
- Marshfield Clinic (Marshfield, WI)
- …come together to support the most exciting missions in the world!** **Job Title:** Provider Relations Specialist ( Remote Option within SHP Service Area) ... day shifts (United States of America) **Job Description:** **JOB SUMMARY** The Provider Relations Specialist works in cooperation with the Contracting Manager… more
- Molina Healthcare (Ann Arbor, MI)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... and local regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for… more
- Indian Health Service (Pine Ridge, SD)
- …the following type of work and/or tasks: Interpreting and applying provider credentialing and privileging procedures and regulations; processing documents ... Summary This position serves as a Credentialing Technician who is responsible for the management...testing for COVID-19 will be required. Your Human Resources Specialist will provide a list of documents… more