- BayCare Health System (Tampa, FL)
- …4:00 PM (may vary) + **Days:** Monday through Friday The ** Credentialing and Provider Enrollment Specialist ** is a full-time remote position. This team ... Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist **Location** Tampa:Concourse Center |… 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
- Dignity Health (Prescott, AZ)
- …auditing setting, or Health Care Enrollment . + Bachelor's degree + Certified Provider Credentialing Specialist **Pay Range** $22.95 - $33.28 /hour We ... opportunity! **Responsibilities** The Credentials Coordinator is responsible for coordinating the credentialing re- credentialing and payer enrollment process… more
- Ventura County (Ventura, CA)
- …of Medical Staff Services (NAMSS) as Certified Provider Credentialing Specialist (CPCS) or Certified Provider Enrollment Specialist (CPES); ... + Provider Enrollment Specialist Certificate (PESC) + Certified Provider Credentialing Specialist (CPCS) + Certified Provider Enrollment… more
- Highmark Health (Columbus, OH)
- …used in the enrollment processes. **ESSENTIAL RESPONSIBILITIES:** + Completes provider payer enrollment / credentialing and recredentialing with all ... professional providers with various payers for professional services reimbursement. Reviews provider credentialing and/or recredentialing data for accuracy based… more
- LifePoint Health (Brentwood, TN)
- * Provider Enrollment Specialist * *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, ... environments where employees find purpose and fulfillment. *What you'll do:* The* Provider Enrollment Specialist *is responsible for requesting participation… more
- St. Luke's University Health Network (Allentown, PA)
- …ability to pay for health care. The Provider Enrollment Specialist ensures that initial and re- credentialing applications for St. Luke's University ... and professional organization memberships. JOB DUTIES AND RESPONSIBILITIES: + Prepares provider enrollment applications and/or written link letters to be… more
- LogixHealth (Bedford, MA)
- …for revalidation + Obtain information as requested by management + Update /Maintain Provider Enrollment Credentialing System + Collaborate with Billing ... multitask We want to meet YOU! Purpose Perform all provider enrollment related procedures for physicians/mid/level providers...to credentialing system + Prepare and submit provider enrollment applications with provider ,… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …the medical staff and allied health professionals that result from the enrollment credentialing and recredentialing process. **ESSENTIAL FUNCTIONS** + Compiles, ... certificate updates. Contacts manage care plan representatives weekly for new provider enrollment effective dates. Designs and updates appropriate spreadsheets… more
- AdventHealth (Altamonte Springs, FL)
- …experience with 1 year directly related to hospital medical staff or managed care credentialing and/or provider enrollment . . Completed degree(s) from an ... . 4 years directly related to hospital medical staff or managed care credentialing and/or provider enrollment . **LICENSURE, CERTIFICATION OR REGISTRATION… more
- Fresenius Medical Center (Waltham, MA)
- …all specialties that provide services to the organization's members. The Credentialing Specialist incumbent will meet all credentialing turnaround time ... **PURPOSE AND SCOPE:** The Credentialing Specialist is responsible for verifying...CLIA licensure, facility surveys, as applicable. + Enters all provider information and primary source verification data into the… more
- Josselyn (Northbrook, IL)
- …that the payor enrollment process is complete for participation. The Credentialing and Billing Specialist is also responsible for executing any designated ... Job Summary The Credentialing and Billing Specialist is responsible...and resolve any denials or authorization issues related to provider credentialing in a timely manner. +… more
- Atlantic Health System (Morristown, NJ)
- …department. Principal Accountabilities: Atlantic Medical Group is seeking a Full Time Credentialing Specialist . The Selected candidate will be responsible for ... Responsible for collecting and maintaining provider credentials necessary to ensure initial credentialing...insurance plans, Medicare (PECOS) and Medicaid. + Submit payer enrollment and follows up on credentialing applications… 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
- Insight Global (Morristown, NJ)
- …to sit full-time in Morristown, NJ. This person will maintain credentials for Payor/ Provider enrollment . They will be responsible for submission of managed care, ... https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements -2+ years' experience in Payer/ Provider credentialing - credentialing high-volume… 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
- Insight Global (Cherry Hill, NJ)
- Job Description One of Insight Global's revenue cycle clients are looking for a Credentialing Specialist to join their team in Cherry Hill, NJ. This individual ... will be responsible for submitting initial and re- credentialing enrollment applicants for payor HMO, Medicare,...and the payors on troubleshooting claims denials due to provider enrollment issues. The ideal candidate is… more
- McLaren Health Care (Grand Blanc, MI)
- …and assists with applicable payers relative to changes of information for provider or facility credentialing and enrollment .** **Essential Functions ... third party and governmental payers' regulations and changes pertaining to credentialing and enrollment .** **4.** **Collaborate with McLaren Physician Partners,… 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 ... building strong partnerships that drive our mission forward. Key Responsibilities: + Manage Provider and Facility Enrollment : Take the lead in ensuring the… more
- Beth Israel Lahey Health (Wakefield, 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
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