- Sutter Health (Sacramento, CA)
- …. Ensures program integrity and compliance with standards, federal/state requirements, and health plan credentialing / enrollment requirements. Maintains ... SHSO-Sutter Health System Office-Valley **Position Overview:** Responsible for completion of Health Plan reporting functions and provider enrollment… 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....vacation/time off + Continuing education opportunities + Generous retirement plan + Health insurance, including dental and… more
- HCA Healthcare (Stafford, TX)
- …a committed, caring group of colleagues. Do you want to work as a(an) Credentialing and Enrollment Coordinator PRN where your passion for creating positive ... Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...personal growth, we encourage you to apply for our Credentialing and Enrollment Coordinator PRN opening. We… more
- Community Clinic Inc. (Silver Spring, MD)
- …(CAQH). + Maintain good rapport and professional communication with Health Plan Representatives. + Support provider enrollment staff with Medicare, Medicaid, ... The Credentialing Coordinator will be responsible for credentialing new and established health care providers,...commercial insurances + Minimum of 3 years' experience in credentialing and provider enrollment at a healthcare… more
- Hackensack Meridian Health (Neptune, NJ)
- …presenting applications to the Credentialing Committee, assisting customers with credentialing inquiries, responding to health plan provider inquiries, ... + 2+ years in industry healthcare setting. + 1+ years in Enrollment /Delegated Credentialing . + Takes accountability, uses initiative, possesses critical thinking… more
- Mosaic Pediatric Therapy (Charlotte, NC)
- …the quality, compliance, and tactical delivery of day-to-day operations related to the enrollment and credentialing of new locations, providers, as well as the ... communicates opportunities for process improvement + Respond to inquiries regarding practitioner credentialing and enrollment + Maintains confidentiality of all … more
- Atlantic Health System (Morristown, NJ)
- …demographic updates and ensure database is kept accurate and updated. Audits health plan directories/portals for current and accurate provider information. + ... into participating insurance plans, Medicare (PECOS) and Medicaid. + Submit payer enrollment and follows up on credentialing applications per established follow… more
- Nuvance Health (Danbury, CT)
- …a high level of expertise and knowledge in hospital and medical group credentialing and payer enrollment functions. The role manages the credentialing ... business, healthcare related field 5 years of relevant payer contract support, credentialing and/or enrollment experience Strong detail orientation and high work… more
- Guidehouse (Birmingham, AL)
- …+ 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term & ... **Clearance Required** **:** None **What You Will Do** **:** The Credentialing Specialist is responsible for coordinating, processing, monitoring, and maintaining… more
- Children's Hospital Boston (Boston, MA)
- …in a hospital or healthcare environment + One year of experience in credentialing , provider enrollment or closely related field. + Attention to detail, ... 75825BRJob Posting Title: Credentialing Specialist IDepartment:Medical Staff ServicesAutoReqId:75825BRStatus:Full-TimeStandard Hours per Week:40 Job Posting… more
- Insight Global (Philadelphia, PA)
- …mitigate risk and improve provider satisfaction. This person will use their previous credentialing background to recommend a plan of corrective action for ... A large healthcare insurance company is looking to hire a Quality Management Credentialing Analyst to their Final Optical Check Quality Management team. This person… more
- Prime Healthcare (Kansas City, MO)
- …applications with #commercial and #government health Connect With Us! (https://careers-primehealthcare.icims.com/jobs/172745/medical-insurance- credentialing ... Responsibilities Shift: Full Time Schedule: Days The Medical Insurance Credentialing Coordinator is responsible for tracking provider enrollments, re-… more
- McLaren Health Care (Grand Blanc, MI)
- …Physician Partners, McLaren's Physician-Hospital Organization (PHO), related to requests for credentialing applications, contracted health plan inquiries, ... with appropriate McLaren Health Care system divisions relative to enrollment and credentialing .** **Qualifications:** _Required:_ + **High school diploma or… more
- Henry Ford Health System (Detroit, MI)
- …claims & enrollment issues. + Possesses in depth knowledge of health plan standards and department operating procedures and effectively communicates issues, ... emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans… more
- Indian Health Service (Whiteriver, AZ)
- …Whiteriver, Arizona. This position is responsible for completing revalidation and re- enrollment requests from CMS, Arizona Medicaid, and other state Medicaid ... This position ensures account information is maintained and updated for credentialing , insurance, and billing purposes. Responsibilities This position is being… more
- HCA Healthcare (Nashville, TN)
- …verification, hospital billing, revenue integrity, collections, payment compliance, credentialing , health information management, customer service, payroll ... We care like family! Jump-start your career as a Medicaid Provider Enrollment Specialist today with Parallon. **Benefits** Parallon, offers a total rewards package… more
- HCA Healthcare (Brentwood, TN)
- …verification, hospital billing, revenue integrity, collections, payment compliance, credentialing , health information management, customer service, payroll ... and inclusion thrive? Submit your application for our Provider Enrollment Director opening with Parallon today and find out...Parallon offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- PeaceHealth (Vancouver, WA)
- **Description** **PeaceHealth is seeking a Provider Enrollment Specialist - Remote for a Full Time, 1.00 FTE, Day position.** The salary range for this job opening ... collective bargaining agreement, seniority, etc. **Job Summary** Coordinates provider enrollment service processes for governmental and non-delegated third-party payers… more
- TEKsystems (Renton, WA)
- …Preferred Skills: + Previous provider credentialing + Knowledge of TriCare or Health Plan is preferred + Any experience working in the insurance industry ... Description: The Credentialing Coordinator is accountable for data collection, organization...is accountable for data collection, organization and submission of enrollment applications required by health plans, hospitals… more
- Northern Light Health (Pittsfield, ME)
- …following processing and primary source verification by the Northern Light Health Credentialing Verification Office (CVO); performs review and analysis, ... management and medical staff to coordinate operational processes and ongoing credentialing , privileging, and medical staff governance functions of the Medical Staff… more