- Medical Mutual of Ohio (Brooklyn, OH)
- …achieve their best possible health and quality of life. **_The Provider Credentialing & Data Records Coordinator position allows you the flexibility ... OH Medical Mutual office._** Provides administrative support to the Provider Credentialing and Data Management...status is required at time of hire._ **Title:** _Provider Credentialing & Data Records Coordinator_… more
- CareFirst (Baltimore, MD)
- … provider related data ; analyzing gaps in provider records ; designing solutions; carrying out necessary credentialing activities. This role using ... providers for network participation with CareFirst BlueCross BlueShield and accurately maintain all provider data within the enterprise-wide Provider file to… more
- Inpatient Psych Solutions (Augusta, GA)
- … manager and relevant hospital departments regarding the status of provider credentialing and payer enrollment. 5. Data Management & Reporting: + Maintain ... resolve any issues with payor representatives. + Maintain detailed records of provider participation status with various...any issues related to credentialing , contracting, or provider enrollment. + Provide periodic status reports… more
- The County of Los Angeles (Los Angeles, CA)
- …out job-related essential functions. CERTIFICATION: Successful certification as a Certified Provider Credentialing Specialist issued by the National Association ... indicate "No Experience" 03 Do you possess certification as a Certified Provider Credentialing Specialist issued by the National Association of Medical… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …maintains current and accurate data for all providers * Completes provider credentialing and re- credentialing applications, monitors applications and ... and Access Qualifications Requirements and Qualifications * Associates Degree and Certified Provider Credentialing Specialist (CPCS) and minimum 2-3 Years … more
- Nuvance Health (Danbury, CT)
- …information, demographic information, and/or provider identification numbers. Ensures that credentialing records are maintained in an accurate and 100% ... of standardized reporting, data collection and verification. Updates all credentialing dashboards and reporting, including WCMG provider roster and… more
- Billings Clinic (Billings, MT)
- …the National Association of Medical Staff Services (NAMSS) as a Certified Provider Credentialing Specialist (CPCS), preferred Billings Clinic is Montana's ... licensing, board certifications privileges at other facilities, and maintenance of credentialing -related records required for all affiliations and managed care… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- …and Human Resources to develop and implement seamless protocols for gathering Credentialing data from Providers, including expediting completion of forms, ... Credentialing and Coding and identifies potential risks. Credentialing + Coordinates all aspects of individual provider...expiration for Providers and with contracted Payers. + Analyzes data and reports on applications and credentialing … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- … documents are entered and/or scanned into the Doctors HealthCare Plans, Inc, ("DHCP") credentialing CACTUS database, provide data entry and clerical support ... Onsite-Not a remote position Maintain an efficient provider credentials system by ensuring completed credentials CAQH...Creating and/or updating electronic records in the credentialing database by entering data , faxing, and/or… more
- Indian Health Service (Billings, MT)
- … actions. Maintains local requirement files and records pertaining to the credentialing process. Provides quality control checks on data . Time In Grade ... to the principles, practices and program goals of the credentialing program; Manages provider applications (initial) for...reports; Use software applications such as word processing and data bases and internet database applications for data… more
- Mindful Support Services (Mountlake Terrace, WA)
- …laws, internal policies and health plan requirements as related to the provider certification and credentialing + Identify which insurance carriers' providers ... of the leg work that comes with it. We provide high-quality billing, marketing, and administrative services to independent...we are continuing to grow! About the Role The Credentialing Specialist will work with a team to complete… more
- Guidehouse (Birmingham, AL)
- …termination requests to all health plans in a timely manner. Enter and maintain data in the credentialing database according to established data entry ... **Clearance Required** **:** None **What You Will Do** **:** The Credentialing Specialist is responsible for coordinating, processing, monitoring, and maintaining… more
- University of Washington (Seattle, WA)
- … credentialing team to implement these improvements. + Analyze credentialing data and audit results to provide leadership with insights into trends, ... standards and regulations (eg, TJC, NCQA, URAC). + CPCS (Certified Provider Credentialing Specialist) or CPMSM (Certified Professional Medical Services… more
- Banner Health (AZ)
- …meet the organization's expectations. PREFERRED QUALIFICATIONS National Certified Provider Credentialing Specialist (NCPCS) certification preferred. Additional ... will have an understanding of health plan enrollment and familiarity with credentialing databases, as demonstrated through three years of credentialing … more
- Indian Health Service (Pine Ridge, SD)
- …processing documents related to medical credentialing and privileging activities; reviewing records for completeness and to obtain data to verify privileging ... or public sector performing the following type of work and/or tasks: Interpreting and applying provider credentialing and privileging procedures and regulations;… more
- Cedars-Sinai (Beverly Hills, CA)
- …Staff Services (NAMSS) as a Certified Medical Staff Coordinator (CMSC) or Certified Provider Credentialing Specialist (CPCS) is highly preferred within two years ... and qualitative requirements. Participates in effective day-to-day operations of the credentialing functions and provide recommendations to enhance productivity… more
- ProSphere Tek (Forest Park, GA)
- …skilled Credentialing Specialist.The purpose of this overall project is to provide centralized credentialing and privileging services and support to the ... results to applicants and/or responding to questions from applicants regarding status of credentialing . + Data entry into CCQAS as the official system of… more
- BayCare Health System (Clearwater, FL)
- …presents practitioner-specific data collected for review to assure and assess provider competency toward the best healthcare delivery. + This role requires a ... skills. + Works independently and balances a minimum of 100 practitioner credentialing files as well as proficiency with computer and software skills, having… more
- Tenet Healthcare (Detroit, MI)
- …documents into the computer system to create, maintain and/or update department records or files. Verifies data entry activities; resolves discrepancies with ... Credentialing Assistant CVO Full Time Days - 2406003858...as the department receptionist and performing various clerical and data entry tasks. Greets visitors and personnel upon arrival;… more
- Behavioral Center of Michigan (Warren, MI)
- …computer applications DUTIES AND RESPONSIBILITIES: + Develop and document the credentialing , appointment and reappointment processes, obtains necessary data for ... document processes related to appointment and reappointments of providers. Maintain provider files and ensure timeliness and accuracy of appointments and… more