- Insight Global (New York, NY)
- …https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements 2+ years of provider credentialing experience, especially with payers (Optum ... when needed Participate in team meetings alongside other team members to discuss credentialing issues, provide feedback to product and engineering, and discuss… more
- BayCare Health System (Tampa, FL)
- …**Days:** Monday through Friday The ** Credentialing and Provider Enrollment Specialist ** is a full-time remote position. This team member must currently ... within the Tampa Bay area. Position Details + **Location:** Remote (must reside in the State of Florida) +...or 1-year Managed Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist … more
- Spectrum Billing Solutions (Skokie, IL)
- … or hybrid in-office/ remote role. Your Responsibilities: + Complete provider credentialing and contract applications with third-party carriers and government ... and streamlined manner. We are seeking to add a Credentialing Specialist to our growing team. If...health plans. + Review provider credentialing and contracting information to ensure… more
- TEKsystems (Danville, KY)
- Description 1.Ensures credentialing processes are completed on time and in compliance with the guidelines of regulatory agencies, including Kentucky Board of Medical ... and distributing, checking and stamping in all applications. Filing and boxing up credentialing files to take to storage. Ordering supplies and binders. 5. Maintains… more
- Ansible Government Solutions (Malvern, PA)
- …Government Solutions, LLC (Ansible) is seeking a full-time Compliance & Credentialing Specialist . This work-from-home position is responsible for carrying ... external customers, as appropriate. + Enters, updates, and maintains data from provider files into credentialing database in accordance with internal policies… more
- Mount Sinai Health System (New York, NY)
- …multi-entity health system and/or a CVO is strongly preferred + **NAMSS Certified Provider Credentialing Specialist (CPCS)-Must be obtained within two (2) ... **Job Description** ** Remote Medical Staff Credentialing Coordinator-Initial &...medical or allied health staff membership and/or clinical privileges. Provide support for all credentialing functions within… more
- University of Washington (Seattle, WA)
- …(NAMSS) as a Certified Professional in Medical Staff Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS). + Demonstrated expertise in ... Credentialing Business Partners, and the Privileging Clinical Support Specialist . The Associate Director partners closely with entity Chief Medical Officers,… more
- Prime Healthcare (Dallas, TX)
- …attitude and willingness to learn Additional Qualifications That Are a Plus + Certified Provider Credentialing Specialist (CPCS) preferred + Minimum of 3 ... setting you are encouraged to apply!This is not a remote position, in office only. Essential Duties and Responsibilities...regulations, and insurance panels + Maintain accurate and confidential credentialing files and provider databases; use … more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Remote Medical Staff Services Health Care Specialist (Delegation/Enrollment)** The Medical Staff Services Health Care Specialist is ... and Delegated Credentialing . + Coordinates and administers all aspects of provider enrollment, including: + Submission of rosters; reconciliation of provider … more
- TEKsystems (Nashville, TN)
- MUST-HAVE: 2 years of recent experience in provider enrollment or credentialing is REQUIRED + Prepare and submit enrollment and re-enrollment applications for ... related to provider enrollment activities. Skills + Customer service, provider enrollment, credentialing , insurance Top Skills Details Customer service, … more
- ProMedica Health System (Lansing, MI)
- To facilitate accurate Professional Provider credentialing , billing, posting, and collection for ProMedica Physicians and all other supported entities. ... between providers/office staff and hospitals or payor plans. 3. Accurately maintains provider information in credentialing software. 4. Timely responses to… more
- CareOregon (Portland, OR)
- …Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Provider Data Specialist I Exemption Status Non-Exempt Management Level n/a ... (DMAP) and CMS encounter data submission, PCP assignment, authorization processing, credentialing , IRS reporting, regulatory projects, and the provider … more
- LogixHealth (Bedford, MA)
- …MO, NC, NH, OH, OK, TN, TX, UT, WI, and WV This Role: As a Provider Enrollment Specialist at LogixHealth, you will perform all provider enrollment related ... provider enrollment requirements by state + Enter group/individual data to credentialing system + Prepare and submit provider enrollment applications to… more
- University of Utah Health (Salt Lake City, UT)
- …integrity, quality and trust that are integral to our mission. EO/AA_ The Provider Enrollment Specialist is responsible for obtaining and coordinating all ... **Overview** **This position is primarily remote work, but candidate must reside within the...this one.** **Preference for candidates with prior Enrollment or credentialing experience!** _As a patient-focused organization, University of Utah… more
- Molina Healthcare (Traverse City, MI)
- **_ Remote and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... and local regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for… more
- Molina Healthcare (Long Beach, CA)
- **_ Remote and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the ... engagement after contract. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes… more
- Community Health Systems (Fort Smith, AR)
- **Job Summary** The Scheduling Specialist is responsible for creating, maintaining, and distributing clinician schedules for assigned hospital facilities. This role ... hours and compensation are tracked for payroll processing. The Scheduling Specialist fosters strong communication with clinicians and leadership while ensuring… more
- Veterans Affairs, Veterans Health Administration (Leavenworth, KS)
- Summary The Health System Specialist - Credentialing and Privileging Analyst is assigned to the Medical Staff Office, which is under the Chief of Staff at a VA ... responsible for providing administrative and technical direction and support to the credentialing and privileging (C&P) operations. The C&P Specialist is aligned… more
- Veterans Affairs, Veterans Health Administration (Roseburg, OR)
- …program audit results and interprets facility quarterly report card data. Researches provider credentialing requirements. Contributes to the development of local ... Summary The incumbent serves as a Health System Specialist and is assigned to the Medical Staff...supporting all divisions of the Roseburg VAMC per VHA Credentialing and Privileging, Directives, VA Handbooks, Policies, Memos, and… more
- SSM Health (MO)
- **It's more than a career, it's a calling** MO- REMOTE **Worker Type:** Regular **Job Highlights:** Must have prior experience as a Clinical Documentation ... Specialist **Required Qualifications:** + 1 year of experience as...indicator) or experience with Vizient specialized mortality reviews. **Eligible Remote States:** Candidates are required to reside on one… more