- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a ** Credentialing Enrollment Specialist ** you want with your current employer? We ... caring group of colleagues. Do you want to work as a Credentialing Enrollment Specialist where your passion for creating positive patient interactions… more
- BayCare Health System (Tampa, FL)
- …7:30 AM to 4:00 PM (may vary) + **Days:** Monday through Friday The ** Credentialing and Provider Enrollment Specialist ** is a full-time remote position. ... or 1 year Managed Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist **Location**… more
- UT Health (Houston, TX)
- Provider Services Specialist - Credentialing & Provider Enrollment **Location:** Texas Medical Center-Houston, Texas **Category:** Healthcare Support Services ... Plus many more! **Position Summary:** Coordinates, monitors and completes the enrollment process for all providers. **Position Key Accountabilities:** 1. Responsible… more
- Ventura County (Ventura, CA)
- …Association of Medical Staff Services (NAMSS) as Certified Provider Credentialing Specialist (CPCS) or Certified Provider Enrollment Specialist (CPES); ... (select all that apply) + Provider Enrollment Specialist Certificate (PESC) + Certified Provider Credentialing ... Certificate (PESC) + Certified Provider Credentialing Specialist (CPCS) + Certified Provider Enrollment … more
- Morehouse School Of Medicine (Atlanta, GA)
- …(2) years of experience in the capacity of credentialing coordinator or credentialing specialist specializing in provider enrollment . + Minimum two (2) ... Professional Medical Services Management ( CPMSM ) or Certified Professional Credentialing Specialist ( CPCS ) certification is preferred. + Experience with the… more
- Baptist Memorial (Memphis, TN)
- …applications to submit per established protocols. Reviews for accuracy all enrollment applications and re- credentialing documents prior to submission. Follows ... credentialing documents. + Reviews EPIC's related to payer enrollment on a daily basis. + Completes assigned goals....+ Employee referral program Job Summary: Position: 5347 - Specialist -Payer Enrollment Facility: BMG - Central Business… more
- Fresenius Medical Center (Waltham, MA)
- **PURPOSE AND SCOPE:** The Credentialing Specialist is responsible for verifying submitted Credentialing documentation. for all specialties that provide ... services to the organization's members. The Credentialing Specialist incumbent will meet all ...in compliance with the organization's policies. + Completes payer enrollment and/or facility applications in a timely and complete… more
- AdventHealth (Altamonte Springs, FL)
- …with 1 year directly related to hospital medical staff or managed care credentialing and/or provider enrollment . . Completed degree(s) from an accredited ... years directly related to hospital medical staff or managed care credentialing and/or provider enrollment . **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:**… 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 for maintaining active status for all clinicians and physicians by successfully completing… more
- CAIPA MSO LLC (New York, NY)
- Credentialing Specialist New York, NY Description The Credentialing Specialist is responsible for processing information to ensure that all healthcare ... and are participating in company contracted managed care organizations (MCOs). The Credentialing Specialist primary job is to evaluate, analyze, and coordinate… 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, ... CAQH database and confidential credential files. Facilitates all of the credentialing functions and application management. Consistently updates credentialing … 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 ... insurance plans, Medicare (PECOS) and Medicaid. + Submit payer enrollment and follows up on credentialing applications...Submit payer enrollment and follows up on credentialing applications per established follow up time frames. Tracks… more
- Hawaii Pacific Health (Honolulu, HI)
- …health related field. National Medical Staff Coordinator Certification. Provider Credentialing Specialist Certification. Health care experience. Credentialing ... and training, as well as internal peer equity. **Position** Credentialing Specialist - Centralized Verification **Category** Administrative **Employment… more
- Insight Global (Morristown, NJ)
- Job Description Our top Healthcare client in NJ is looking for a Credentialing Specialists to sit full-time in Morristown, NJ. This person will maintain credentials ... for Payor/Provider enrollment . They will be responsible for submission of managed...and monitor and track these applications through the payer credentialing process. We are a company committed to creating… 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 Medicaid. They will also follow up and check… more
- Compass Strategy Solutions (Washington, VA)
- …We are an Equal Employment Opportunity employer. Job Summary: As a PIV Credentialing Specialist , you will issue, track, replace and verify identity badges ... as primary PIV Registrar Activator for EOUST + Conduct enrollment for personnel requiring PIV cards in the US...Serves as a back-up to the Program's Personnel Security Specialist and has the ability and knowledge to initiate… more
- Highmark Health (Columbus, OH)
- … enrollment processes. **ESSENTIAL RESPONSIBILITIES:** + Completes provider payer enrollment / credentialing and recredentialing with all identified payers in a ... payer billing requirements and claims processing or experience with payer credentialing / enrollment requirements + Advanced computer skills using word, excel,… more
- Scotland Health Care System (Laurinburg, NC)
- …Managed Care Director, CHS MHR, and our medical providers to initiate enrollment and credentialing applications, maintain recredentialing and updates for ... individual providers and entities and subgroups of SMH, SRHN, and EMC. Qualifications include high school graduate; Associate's degree preferred; excellent computer skills to include Microsoft Office applications; previous experience in office setting;… more
- McLaren Health Care (Grand Blanc, MI)
- …required to meet payers regulatory and compliance requirements for their credentialing and enrollment programs.** **Facilitates and assists with applicable ... payers relative to changes of information for provider or facility credentialing and enrollment .** **Essential Functions and Responsibilities As Assigned** **:**… 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 ... internal managers regarding enrollment matters. Troubleshoot issues related to enrollment , billing, and payer credentialing to ensure continuous and… more