- Northeast Georgia Health System, Inc (Gainesville, GA)
- …an accurate provider roster. Works in partnership with the Quality Specialist , the Provider Relations Representative and the Central Verification Office ... with credentialing program. Follows proper documentation practices and maintains provider files in an orderly and secure fashion.Initiates contact with the… more
- Rose International (Atlanta, GA)
- …ability to explain Client, Plan regulations, policies and procedures to relating to provider contracts. This requires the Contract Specialist to stay current ... The Contract Specialist is responsible for building, and maintaining positive...concepts.Demonstrates ability to work independently.Supports the Plan, Shared Services, Credentialing , Configuration and Provider Enrollment Services in… more
- Health First (Rockledge, FL)
- *POSITION SUMMARY* The Provider Network Credentialing Specialist is responsible for coordinating, monitoring and maintaining the credentialing and ... use of personal vehicle. **Job:** **Operations* **Organization:** **HF Administrative Plan Inc* **Title:** * Provider Network Credentialing Specialist - … more
- Hartford HealthCare (Wethersfield, CT)
- …matters here. We invite you to become part of Connecticut's most comprehensive healthcare network . The Medical Staff Credentialing Specialist carries out the ... **Professional Non-Clinical* **Organization:** **Hartford HealthCare Corp.* **Title:** *Medical Staff Credentialing Specialist * **Location:** *Connecticut-Wethersfield-1290 Silas Deane… 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
- State of Georgia (Baldwin, GA)
- …. Review listings for CWRO2 or 60282 License/Certifications: . CPCS- Certified Provider Credentialing Specialist - Certificate . AAPC- Certified-American ... Medical Credentialing Specialist Georgia - Baldwin -...insurance network providers. . Review and find in- network providers for services . Audit provider … 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
- Cedars-Sinai (CA)
- **Job Description** The Credentialing Specialist will assist the Manager, Quality Management / Credentialing in all credentialing activities. The primary ... throughout Los Angeles and beyond. **Req ID** : 4432 **Working Title** : Credentialing Specialist (Hybrid) - Quality Management **Department** : MNS Quality Mgmt… more
- Elevance Health (Plano, TX)
- …our infusion centers, and the home setting._ **Title:** Managed Care Credentialing Specialist (Risk Management Analyst) **Location:** This position will ... (CST). **Build the Possibilities. Make an Extraordinary Impact.** The **Managed Care Credentialing Specialist ** is responsible for Responsible for supporting the… 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
- Catholic Health Services (Melville, NY)
- …organizational skills Well versed in the use of the Cactus Database CPCS (Certified Provider Credentialing Specialist ) Knowledge of Cactus a plus Knowledge ... was named Long Island's Top Workplace! Job Details The Credentialing Specialist will be responsible for auditing,...Assist in preparation and mailing of correspondence required for Credentialing , when necessary Provide support services and… more
- Molina Healthcare (Georgetown, KY)
- …**Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk ... daily/weekly production goals and maintaining a high level of confidentiality for provider information. **Job Duties** * Evaluates credentialing applications for… more
- TEKsystems (Philadelphia, PA)
- A leading healthcare provider and hospital network in the Greater Philadelphia area is looking for experienced Credentialing Specialists to join their team! ... operational and strategic functions. + Responsible for preparing and submitting credentialing applications and supporting documentation for the purpose of medical… more
- BayCare Health System (Clearwater, FL)
- …member be working remotely?** Always Equal Opportunity Employer Veterans/Disabled **Position** Credentialing Specialist - CVO **Location** Clearwater | Business ... to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health… more
- Amergis (Phoenix, AZ)
- …creates unmatched staffing experiences to deliver the bestworkforce solutions. The Credentialing Specialist provides the highest level of customer service ... connectingpeople to the work that matters since 1988. We provide meaningful opportunitiesto our extensive network of...to clients, suppliers, and team members. The Credentialing Specialist contributes to the culture of… 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
- Health First (Rockledge, FL)
- *POSITION SUMMARY* The Provider Network Contract Specialist is responsible for the drafting and maintenance of provider and facility contracts for Health ... of personal vehicle. **Job:** **Operations* **Organization:** **HF Administrative Plan Inc* **Title:** * Provider Network Contracting Specialist - Provider… 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
- Centene Corporation (Omaha, NE)
- …educational outreach with a focus on improving quality and financial outcomes within the provider network . Act as liaison between providers and the health plan ... to enhance the business relationship. + Conduct initial provider orientations as well as ongoing educational outreach + Educate providers regarding policies and… more
