- WellSpan Health (York, PA)
- …office/insurance claims or credentialing experience. Preferred Licenses: Certified Provider Credentialing Specialist Upon Hire Preferred Knowledge, ... Board of Directors Meetings. Duties and Responsibilities Essential Functions: Processes initial provider enrollment with payers, initial credentialing and… more
- Molina Healthcare (Phoenix, AZ)
- …requirements of customers as it pertains to contracting (benefit and provider ), network management, credentialing , prior authorizations, fee schedules, and ... audit standards. Job Duties Reviews documentation regarding updates/changes to member enrollment , provider contract, provider demographic information, and/or… more
- Caris Life Sciences (Irving, TX)
- …orientation. **Preferred Qualifications** + Bachelor's degree preferred. + Current Certified Provider Credentialing Specialist (CPCS) with the National ... is where your impact begins.** **Position Summary** The Senior Enrollment Specialist plays a key role in...regulations. + Participate in the development and implementation of credentialing processes and procedures and provide input… 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, ... 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)
- …required. Associate's Degree, preferred. One (1) year of credentialing , provider enrollment , or background/verification specialist experience required. ... Credentialing Specialist - Medical Staff Affairs...mission-driven organization focused on excellence in patient care and provider support. Work in a collaborative environment with opportunities… more
- TEKsystems (Addison, TX)
- Description The Provider Enrollment Specialist role focuses on managing the credentialing and enrollment for providers. The specialist will work ... & Qualifications High school diploma or equivalent required 4 + years of enrollment experience Strong knowledge of medical credentialing and payer enrollment… more
- East Boston Neighborhood Health Center (Revere, MA)
- …Medical Staff Office All Locations: 300 Ocean Avenue - Revere Position Summary: The Provider Enrollment Specialist is responsible for supporting the ... at the time of provider departure. The Provider Enrollment Specialist verifies that...valid, reliable data as indicated. + Works closely with Credentialing Manager to coordinate the submission of enrollment… more
- HCA Healthcare (Austin, TX)
- …**Introduction** Do you want to join an organization that invests in you as a Provider Enrollment Specialist ? At Parallon, you come first. HCA Healthcare has ... lives and you have the opportunity to make a difference. We are looking for a dedicated Provider Enrollment Specialist like you to be a part of our team.… 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
- Growth Ortho (Portland, ME)
- …with regulatory and payer requirements to prevent revenue disruption. Key Responsibilities Provider Enrollment & Credentialing Prepare, submit, and track ... Credentialing Specialist Position Summary The ...commercial payers. This role manages the complete lifecycle of credentialing and payer enrollment , maintains accurate records,… more
- UCLA Health (Los Angeles, CA)
- …years of education, training and experience; Master's degree preferred + Certified Provider Credentialing Specialist (CPCS) and Certified Professional ... As a Principal Credentialing Specialist , you'll oversee credentialing , privileging, onboarding, and enrollment activities for physicians and allied… more
- Catholic Health (Buffalo, NY)
- …Hours: Standard work schedule: 8:00 am - 4:30 pm M - F Summary: The Credentialing Specialist is responsible for assisting with the process of electronic ... This requires electronic collection, processing and organizing significant amounts of enrollment data. Oversee the credentialing process in its entirety… more
- Aspen Dental (East Syracuse, NY)
- …join our dedicated team as_ **_Credentialing Specialist_** _. _ **Job Summary:** The Credentialing Specialist plays a vital role within our Insurance Operations ... will be responsible for ensuring the expeditious procurement of provider licenses and credentialing documents. Successful candidates...& Risk Management, etc. + Work closely with the enrollment team to ensure proper processing of Provider… more
- TEKsystems (Baltimore, MD)
- TeKsystems is currently hiring for a FULLY REMOTE Payor Credentialing Specialist ! MUST HAVE: 2+ years working for a payor in credentialing role working with ... Track Medicare & Medicaid revalidation status. Ensure compliance with all Federal provider enrollment programs. Additional Skills & Qualifications 2+ years… more
- Texas Health Resources (Fort Worth, TX)
- Credentialing Specialist _Bring your passion to Texas Health so we are Better + Together_ * Work location: 1301 Pennsylvania Ave Fort Worth TX 76104 * Work ... for enrollment * Respond to internal and external inquiries on enrollment statuses * Maintain provider documents, licenses, directories, files, and… 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
- 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
- Covenant Health Inc. (Knoxville, TN)
- Overview Credentialing Specialist , Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's ... , Hospital and Physician credentialing . With limited supervision, the Credentialing Specialist acts as a liaison among outside vendors, Physician… more
- Belle (GA)
- We're looking for a detail-oriented Payer Enrollment Specialist to join our team on a contractor basis. If you're highly organized, proactive, and experienced in ... provider or healthcare credentialing , this role offers...any kind. This employer participates in E-Verify and will provide the federal government with your Form I-9 information… more
- Nuvance Health (Danbury, CT)
- …in lieu of Associates Degree. Desired but not required: NAMSS Certified Provider Credentialing Specialist (CPCS) Certification Minimum Experience: three ... well as any other reporting requests from WCHN leadership. Maintains Med Kinetics provider enrollment database with all required information. 4. Responsible for… more
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