- Health First (Rockledge, FL)
- *POSITION SUMMARY* The Provider Network Credentialing Specialist is responsible for coordinating, monitoring and maintaining the credentialing and ... personal vehicle. **Job:** **Operations* **Organization:** **HF Administrative Plan Inc* **Title:** * Provider Network Credentialing Specialist *… 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
- Trinity Health (Boise, ID)
- …guidelines. Responsible for issuing new network Participation Agreements for all network provider types. Assists Contract Specialist in verifying ... policies and decisions. Manages the operational work for SAHA provider credentialing and SAHA provider ...are handled accurately and promptly. Resolves administrative problems affecting, network credentialing , network providers and… more
- The County of Los Angeles (Los Angeles, CA)
- …carry out job-related essential functions. CERTIFICATION: Successful certification as a Certified Provider Credentialing Specialist issued by the National ... and inmates in the LA County jails. Across the network of DHS' directly operated clinical sites and through...Experience" 03 Do you possess certification as a Certified Provider Credentialing Specialist issued by… more
- Bassett Healthcare (Oneonta, NY)
- …contact and customer service, required Licensure/Certifications: CPCS - Certified Provider Credentialing Specialist , preferred Skills: ... to provide diversified, high quality, and confidential credentialing services. The Specialist is responsible for...file Responds to data requests * Coordinates all new provider orientation schedules after approval by the Board of… more
- Actalent (Glendale, CA)
- Job Title: Credentialing Specialist Job Description There will be 3 main parts/phases of this project and the responsibilities will encompass the duties below in ... each phase: CACTUS Implementation: * Review Credentialing Spreadsheets to ensure compliance with Visual Cactus Data Entry Policies * Assist with implementation tasks… more
- McLaren Health Care (Flint, MI)
- We are looking for a Casual Credentialing Specialist to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... (CAQH) records and liaison with PVCS. Responsible for meeting established provider credentialing timelines. Develops and implement processes to monitor… 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
- LifePoint Health (Brentwood, TN)
- …environments where employees find purpose and fulfillment. *What you'll do:* As a* Credentialing Support Specialist *, you will be responsible for credentialing ... valid job field* **Organization:** **LifePoint Health Support Center* **Title:** * Credentialing Support Specialist - Remote* **Location:** *Tennessee-Brentwood*… more
- Kelly Services (Richardson, TX)
- …always easy. That's where Kelly (R) Professional & Industrial comes in. We're seeking a Credentialing Specialist to work in an opportunity with a top client in ... this position doesn't work out, you're still in our network . That means all our recruiters will have access...so let's get to work. Apply to be a Credentialing Specialist today! As part of our… 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) ... Certified Professional Medical Services Management ( CPMSM ) or Certified Professional Credentialing Specialist ( CPCS ) certification is preferred. + Experience… more
- Dignity Health (Prescott, AZ)
- …and/or auditing setting, or Health Care Enrollment. + Bachelor's degree + Certified Provider Credentialing Specialist **Pay Range** $22.95 - $33.28 /hour ... **Minimum** + Three years experience in a Health Care Plan Credentialing / Provider Relations and/or auditing setting, or Health Care Enrollment.… more
- Hackensack Meridian Health (Neptune, NJ)
- …+ Demonstrate a solid understanding of credentialing and NCQA guidelines around Credentialing and Provider Network . + Verifying the accuracy of all ... applications to the Credentialing Committee, assisting customers with credentialing inquiries, responding to health plan provider inquiries, capturing… more
- Mosaic Pediatric Therapy (Charlotte, NC)
- …and external stakeholders + In a collaborative effort, guide and lead Credentialing Specialist (s), monitor their performance, and identify and addresses ... Credentialing Supervisor The Southeast's Premier Autism Therapy Provider for Children. We are a values-driven company and...providers, as well as the ongoing maintenance of all network participation agreements. This role will provide … more
- Nuvance Health (Danbury, CT)
- …required. High level of critical thinking and problem-solving skills. Credentialing Specialist (CPCS) Certification desired. NAMSS Certification preferred. ... directly with physicians/allied providers and 3d party payers to enroll provider for network participation. Responsible for fostering effective relationships… more
- Highmark Health (Columbus, OH)
- …professional providers with various payers for professional services reimbursement. Reviews provider credentialing and/or recredentialing data for accuracy based ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Coordinates and...analyzing, and researching data. (10%) + Proactively obtains updated provider credentialing data prior to expiration. Creates,… more
- Medical Mutual of Ohio (OH)
- …help our members achieve their best possible health and quality of life. Provider Contract Support Specialist Under general supervision, supports provider ... affecting providers and maintains contract management files and documentation. Senior Provider Contract Support Specialist Under limited supervision, supports … more
- Sharp HealthCare (San Diego, CA)
- …virtually, and conducts physician, hospital and/or ancillary meetings, as necessary.Ensures provider network meets all regulatory and accreditation requirements ... environment and regulatory changes to ensure the Plan maintains a compliant and adequate provider network . + Network DevelopmentEvaluates the provider … 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, you ... environments where employees find purpose and fulfillment. *What you'll do:* The* Provider Enrollment Specialist *is responsible for requesting participation for… more
- Molina Healthcare (ID)
- …and/or Applications sent as directed by management. * Formats and distributes Provider network resources (eg electronic specialist directory). **Job ... and must live in Idaho _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy… more