- WellSpan Health (York, PA)
- … credentialing or payer enrollment required. **Licenses:** + Certified Provider Credentialing Specialist Upon Hire Preferred or + Certified Professional ... and enhance stakeholder satisfaction. + Partners with health plans, credentialing / enrollment committees and provider groups...the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer… more
- HCA Healthcare (Brentwood, TN)
- **Description** **Introduction** Do you have the career opportunities as a ** Credentialing Enrollment Specialist** you want with your current employer? We have ... of colleagues. Do you want to work as a(an) Credentialing Enrollment Specialist where your passion for...providers and inter departmental personnel regarding all facets of Provider Enrollment . + Assists with maintaining the… more
- Aspen Dental (East Syracuse, NY)
- …+ Daily oversight, audit functionality and responsibility for teams that perform all provider credentialing and dental plan enrollment (including delegated ... of the end-to-end credentialing process, including primary source verification, delegated credentialing and dental plan provider enrollment . + Proven… more
- BayCare Health System (Tampa, FL)
- …8:00 AM to 5:00 PM (may vary) + **Days:** Monday through Friday The ** Credentialing and Provider Enrollment Specialist** is a full-time remote position. ... currently reside in Florida. Responsibilities + Responsible for initiating and maintaining credentialing , managed care provider enrollment and hospital… more
- Stony Brook University (Commack, NY)
- …and maintain open lines of communication and to foster collaboration for provider enrollment and facility credentialing /re- credentialing initiatives. ... data is current. Conducts provider managed care enrollment and facility credentialing and re- credentialing...* + Meet Regulatory Requirements for pre-employment screenings. + Provide a copy of any required New York State… more
- Highmark Health (Harrisburg, PA)
- …used in the enrollment processes. **ESSENTIAL RESPONSIBILITIES:** + Completes provider payer enrollment / credentialing and recredentialing with all ... professional providers with various payers for professional services reimbursement. Reviews provider credentialing and/or recredentialing data for accuracy based… more
- Community Health Systems (Antioch, TN)
- …and 401k. **Essential Functions** + Prepares, reviews, and submits applications for provider enrollment and re- credentialing with insurance companies, ... revenue cycle management. + Identifies and implements process improvements to streamline provider enrollment and credentialing workflows. + Performs other… more
- WMCHealth (Hawthorne, NY)
- …Internal Applicant link Job Details: Job Summary: The Credentialing Specialist - Provider Enrollment position ... that all providers are set up correctly with payers. The Credentialing Specialist - Provider Enrollment position is responsible for providing administrative… more
- Mount Sinai Health System (Astoria, NY)
- …+ **Education:** Bachelor's degree strongly preferred, or equivalent years of Provider /Facility Enrollment or credentialing experience and Associates ... **Experience:** Two years minimum of healthcare experience including Medicare or Medicaid Provider or Facility Enrollment or Credentialing experience… 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 ... provider enrollment activities. Skills + Customer service, provider enrollment , credentialing , insurance Top Skills Details Customer service, … more
- LogixHealth (Bedford, MA)
- …Collaborate with Account Managers to resolve provider denials + Update/Maintain Provider Enrollment Credentialing System + Attends conference calls with ... to credentialing system + Prepare and submit provider enrollment applications to insurance carriers +...and company-wide social events. About LogixHealth: At LogixHealth we provide expert coding and billing services that allow physicians… more
- Covenant Health Inc. (Knoxville, TN)
- … applications for assigned facilities, payer enrollment , pro-fee, and facility credentialing . Maintain provider credential files in a neat, accurate, and ... tasks in the Managed Care department in regards to Payer Enrollment and Hospital credentialing . With limited supervision, the Credentialing Specialist acts… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Preferred Qualifications: Knowledge of managed care enrollment desirable. Credentialing experience preferred. Certification as either Provider ... of experience in a related field (such as human resources recruiting, credentialing , privileging, or enrollment ) or other investigative and interpretive tasks… more
- Penn Medicine (Philadelphia, PA)
- …professional file maintenance to assure compliance. **Responsibilities:** + PROCESS MANAGEMENT: Provider Credentialing , Enrollment , and Regulatory Compliance ... + Coordinate the intake and input of the New Provider Credentialing Request both through the Department...follow-up. This includes maintaining proficiency in the utilization of credentialing and enrollment applications. + Work with… more
- Walmart (Bentonville, AR)
- …enrollment efforts with pharmacy clinical expansion + Lead and oversee pharmacist provider enrollment in Medicaid and Medicare with growth of expanded ... operations, contracting) to improve systems, procedures, and communication related to provider enrollment . + Mentor and develop a high-performing team… more
- Trinity Health (Athens, GA)
- …Leaders, and Administration. 10. Provides real-time communication updates regarding provider credentialing status and/or payer requirements to appropriate ... 12. Performs CAQH updates and maintenance. 13. Sets up and maintains electronic provider credentialing files. **What you will need:** **Education:** Must be a… more
- Aston Carter (Bethesda, MD)
- …and validate documentation. + Identify and resolve discrepancies affecting provider enrollment . + Monitor and maintain credentialing files for compliance. + ... and resolving discrepancies, gaps, or issues that may impact provider enrollment and escalating concerns when necessary....GED required. + 3+ years of experience in healthcare provider credentialing and recredentialing. + Certified … more
- AdventHealth (Tampa, FL)
- …delegated credentialing functions while managing the daily operations of the credentialing and provider enrollment team including selection, training, ... and supervision of credentialing and enrollment staff. Administers these services with a strong emphasis.... Provide oversight and guidance to the provider data and credentialing team to ensure… more
- Adecco US, Inc. (Cumberland, RI)
- …commercial payer credentialing + Resolve claims issues related to payer enrollment in billing systems + Coordinate with providers, field teams, and internal ... following requirements to be considered:** + Experience with healthcare credentialing , payer enrollment , or medical billing +...commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of… more
- Hunterdon Health Care System (Flemington, NJ)
- …and provides backup administrative support, if needed; maintains critical and confidential credentialing , privileging, provider enrollment and peer review ... of Experience (Amount, Type and Variation): Required: One (1) year of credentialing or provider enrollment experience Preferred: Two (2) years of … more