- AdventHealth (Maitland, FL)
- …healthcare experience with 1 year directly related to hospital medical staff or managed care credentialing and/or provider enrollment. . Completed degree(s) ... in healthcare . 4 years directly related to hospital medical staff or managed care credentialing and/or provider enrollment. **LICENSURE, CERTIFICATION OR… more
- BayCare Health System (Tampa, FL)
- …currently reside in Florida. Responsibilities + Responsible for initiating and maintaining credentialing , managed care provider enrollment and hospital ... bachelor's degree preferred. Experience + Required - 1 year Credentialing or 1 year Managed Care... Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist **Location** Tampa… more
- Billings Clinic (Billings, MT)
- …and maintenance of credentialing -related records required for all affiliations and managed care payer contracts. ESSENTIAL JOB FUNCTIONS * Coordinates the ... Personal computers, hardware and software * Medical terminology * Credentialing terminology and managed care ...of Medical Staff Services (NAMSS) as a Certified Provider Credentialing Specialist (CPCS), preferred Billings Clinic is… more
- The County of Los Angeles (Los Angeles, CA)
- CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $65,911.68 ... for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required… more
- Evolent (Columbus, OH)
- …Word, Excel, PowerPoint, Outlook- **Required.** + General understanding of US health care , Managed Care Organizations, Medicare and/or Medicaid- ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...Stay for the culture. **What You'll Be Doing:** The Specialist , Credentialing Operations will be a dynamic… more
- RWJBarnabas Health (Newark, NJ)
- …Essential Functions: + Work closely with New Jersey Medical School Managed Care Department + Process and maintain credentialing and re- credentialing ... 90 Bergen Street, Newark, NJ 07103 Job Overview: The Credentialing Specialist provides coordination and completion of...& Accidental Death Insurance + Tuition Reimbursement + Health Care /Dependent Care Flexible Spending Accounts + Wellness… more
- Banner Health (AZ)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... meet the organization's expectations. PREFERRED QUALIFICATIONS National Certified Provider Credentialing Specialist (NCPCS) certification preferred. Additional related… more
- CareFirst (Baltimore, MD)
- … Credentialing Specialist (CPCS) **Experience:** 3 years physician credentialing experience or health insurance/ managed care operations experience ... legal and company requirements and standards. **ESSENTIAL FUNCTIONS:** + Analyzes credentialing applications to perform the primary source verification of the… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …required. Qualifications: + Minimum of two (2) years previous experience in a managed care organization's Credentialing department. + NAMSS CPCS ... are received and processed, correct data entry, and updated regulatory and credentialing documents are entered and/or scanned into the Doctors HealthCare Plans, Inc,… more
- Hackensack Meridian Health (Edison, NJ)
- …positive change. The **Senior Contracting Specialist ** position will support the Managed Care Team during system and new entities negotiations in accordance ... of the Sr. Vice President and Vice President - Managed Care . Will be responsible for addressing...A day in the life of a **Senior Contracting Specialist ** at **Hackensack Meridian** **_Health_** includes: + Work under… more
- Insight Global (Morristown, NJ)
- …credentials for Payor/Provider enrollment. They will be responsible for submission of managed care , Medicare, Medicaid applications and monitor and track these ... top Healthcare client in NJ is looking for a Credentialing Specialists to sit full-time in Morristown, NJ. This...applications through the payer credentialing process. We are a company committed to creating… more
- WMCHealth (Valhalla, NY)
- Managed Care Specialist Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Finance/Info Systems Department: Managed Care ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/28110) Internal Applicant link Job Details: Job Summary: The Managed Care Specialist under the direction… more
- Astor Services (Rhinebeck, NY)
- …years direct experience with complex medical billing and collections, preferably in a managed care setting. . Strong problem solving skills. Salary Description ... Credentialing and Authorization Specialist Rhinebeck, NY... Credentialing and Authorization Specialist Rhinebeck, NY (http://maps.google.com/maps?q=6339+Mill+Streeet+Rhinebeck+NY+USA+12572) Job Type Full-time Description… more
- Scotland Health Care System (Laurinburg, NC)
- …position works with government agencies, third party payers, Medical Staff Coordinator and 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.… more
- Staffing Solutions Organization (Augusta, ME)
- …which is a reflection of our clients and the people they serve. **CNA Credentialing Specialist in Augusta, ME** Description: Support and assist in overview of ... Public Consulting Group LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed to a diverse… more
- Trinity Health (Ann Arbor, MI)
- …+ Fields telephone calls and monitors shared email inbox regarding managed care products, application requests, credentialing /recredentialing procedures, ... MSOW database and ensures mailing addresses, telephone numbers, participation in various managed care organizations, and other key demographics are up to… more
- Henry Ford Health System (Troy, MI)
- … or related field or four (4) years of related experience in healthcare industry, managed care experience in lieu of degree. + Bachelor's degree in business, ... + Minimum of two (2) years of experience in managed care experience. + Minimum of two...desirable. CERTIFICATIONS/LICENSURES REQUIRED: + Certification as CPCS (Certified Provider Credentialing Specialist ) or CMSC (Certified Medical Staff… more
- Hackensack Meridian Health (Neptune, NJ)
- …the medical staff. + Reviews Sanction sites for practitioner license/ managed care actions. + Covers for Medical Staff Specialist -Reappointments when needed. ... Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) **Job ID** _2024-154638_ **Department** _J-PHYS… more
- HCA Healthcare (Denver, CO)
- … credentialing in a healthcare facility (ie, Medical Staff Office), managed care setting, or credentials verification organization. + Certified Provider ... an exciting opportunity for you to join HealthONE Colorado Care Partner which is part of the nation's leading... Credentialing Specialist or Certified Profession in Medical… more
- Trinity Health (Boise, ID)
- …in lieu of degree. Minimum of five years' experience working with managed care contracts, healthcare billing and customer service required. **ESSENTIAL ... operations including but not limited to: customer and provider relations, credentialing and provider file maintenance. Provides training, quality reviews, issue… more