- Caris Life Sciences (Irving, TX)
- …data integrity. + Assures compliance with payor requirements as related to the provider enrollment and monitor activities to ensure compliance with all ... **Preferred Qualifications** + Bachelor's degree preferred. + Current Certified Provider Credentialing Specialist (CPCS) with the National Association… more
- Growth Ortho (Portland, ME)
- …with regulatory and payer requirements to prevent revenue disruption. Key Responsibilities Provider Enrollment & Credentialing Prepare, submit, and track ... state, and commercial payers. This role manages the complete lifecycle of credentialing and payer enrollment , maintains accurate records, and ensures compliance… more
- TEKsystems (Mountain View, CA)
- …in healthcare administration or related field preferred. 2-4 years of experience in provider enrollment or credentialing . Strong understanding of Medicare, ... status and requirements. Assist with audits and reporting related to provider enrollment activities. Additional Skills & Qualifications High school diploma… more
- Covenant Health Inc. (Knoxville, TN)
- …Office Services (KBOS), Billing Department regarding Out of State Medicaid Payer Enrollment , Hospital and Physician credentialing . With limited supervision, the ... and Vendors. The specialist may do any of the following: Process payer enrollment , facility credentialing , physician enrollment , expirables, hospital … more
- Nuvance Health (Danbury, CT)
- …well as any other reporting requests from WCHN leadership. Maintains Med Kinetics provider enrollment database with all required information. 4. Responsible for ... literature, in-house meetings and workshops. 8. Athena responsibilities include maintenance of credentialing enrollment table, client enrollment dashboard, … more
- University of Rochester (Rochester, NY)
- …and within the required timeframes. + Documents and tracks the status of provider enrollment applications for Medicaid, Medicare, and some Commercial Payers that ... requirements. + Communicates status of files or other payer enrollment / credentialing information directly to providers, various department representatives,… more
- TEKsystems (Addison, TX)
- Description The Provider Enrollment Specialist role focuses on managing the credentialing and enrollment process for anesthesia providers. The specialist ... on-site presence during regular business hours. Skills Customer service, medical, enrollment , credentialing Experience Level Intermediate Level Job Type &… more
- Intermountain Health (Santa Fe, NM)
- …experience in a revenue cycle setting + Preferred previous work experience with provider enrollment and/ or credentialing **Physical Requirements** + Ongoing ... assigned market. Provides status information to stakeholders. Keeps detailed notes about enrollment progress in provider enrollment database and distributes… more
- Beth Israel Lahey Health (Westwood, MA)
- …making a difference in people's lives.** Under the direction of the Manager, Provider Enrollment completes enrollment and health plan recredentialing ... . Maintains knowledge of NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and... provider practices and health plan contacts regarding provider enrollment statuses. Investigates and resolves … more
- Trinity Health (Hartford, CT)
- …**Description:** **Position Purpose:** The Credentialing Coordinator is responsible for performing credentialing and provider enrollment for all new and ... and all other pertinent information + Lead the processes and functions of credentialing and provider enrollment + Alert internal and external parties on … more
- TEKsystems (Baltimore, MD)
- …Track Medicare & Medicaid revalidation status. Ensure compliance with all Federal provider enrollment programs. Skills payer credentialing , medicaid, ... online sources. Contact providers for online approval of payor enrollment forms. Track provider numbers generated by...enrollment Top Skills Details payer credentialing ,medicaid, enrollment Additional Skills & Qualifications 2+ years… more
- Catholic Health (Buffalo, NY)
- …This requires electronic collection, processing and organizing significant amounts of enrollment data. Oversee the credentialing process in its entirety ... ability to work well under pressure + Ability to provide work of high quality and accuracy + Resourceful...credentialing is moving forward + Create & maintain provider 's CAQH + Remind practitioners of expiring DEA/Licensure +… more
- WellSpan Health (York, PA)
- …Directors Meetings. **Duties and Responsibilities** **Essential Functions:** + Processes initial provider enrollment with payers, initial credentialing and ... claims or credentialing experience. Preferred **Licenses:** + Certified Provider Credentialing Specialist Upon Hire Preferred **Knowledge, Skills, and… more
- Robert Half Office Team (Greenwood Village, CO)
- Description Credentialing Specialist ( Enrollment Specialist) We are looking for a Credentialing Specialist to join our team in Greenwood Village, Colorado. ... position offers an opportunity to apply your expertise in credentialing and enrollment processes within the detail-oriented...put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits,… more
- Henry Ford Health System (Jackson, MI)
- …School Diploma required. Associate's Degree, preferred. One (1) year of credentialing , provider enrollment , or background/verification specialist experience ... Credentialing Specialist - Medical Staff Affairs - Days...mission-driven organization focused on excellence in patient care and provider support. Work in a collaborative environment with opportunities… more
- Hunterdon Health Care System (Flemington, NJ)
- …and provides backup administrative support, if needed; maintains critical and confidential credentialing , privileging, provider enrollment and peer review ... of Experience (Amount, Type and Variation): Required: One (1) year of credentialing or provider enrollment experience Preferred: Two (2) years of … more
- WellSpan Health (York, PA)
- …demonstrated leadership, training, or QA experience Preferred **Licenses:** + Certified Provider Credentialing Specialist Upon Hire Preferred or + Certified ... Credentialing Coordinators. Ensures accuracy, timeliness, and compliance of credentialing , recredentialing, and enrollment activities in accordance with… more
- Dana-Farber Cancer Institute (Boston, MA)
- …diploma or equivalent experience. + 1 year experience in medical staff services/ provider enrollment credentialing preferred. **KNOWLEDGE, SKILLS, AND ... functions. Assists with all functions related to the credentialing and provider enrollment of...create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all… more
- State of Colorado (Denver, CO)
- …regarding data sharing and interoperability. This includes steering the overall provider enrollment / credentialing strategy, timely support of escalated ... day-to-day activities of the Office. The HCBS IT Operations, Provider Payment, and Credentialing Section within the...and approving test plans. + Provides operational support for provider enrollment activities, as well as technical… more
- UCLA Health (Los Angeles, CA)
- …of education, training and experience; Master's degree preferred + Certified Provider Credentialing Specialist (CPCS) and Certified Professional Medical Services ... operations. As a Principal Credentialing Specialist, you'll oversee credentialing , privileging, onboarding, and enrollment activities for physicians and… more
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