- Clever Care Health Plan (Huntington Beach, CA)
- …Job Summary Under the supervision of the Vice President of Operations, the Credentialing Specialist supports all credentialing operations, including direct ... CMS, NCQA, and internal quality standards. In addition, the Credentialing Specialist will conduct Facility Site Reviews...of the job, with or without reasonable accommodation: Primarily remote with potential for occasional travel (eg, FSRs or… more
- TEKsystems (St. Louis, MO)
- Temporary Credentialing Specialist Overview: We are seeking a meticulous and highly organized Temporary Credentialing Specialist to support short-term, ... plays a critical part in ensuring timely and accurate credentialing and enrollment for both individual providers and group...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Credentialing Specialist position is responsible for processing applications for appointment and reappointment to the Medical Staff of ... Medical Services Management (NAMSS) **OR** + CPCS - Certified Provider Credentialing Specialist (NAMSS) **KNOWLEDGE, SKILLS, AND ABILITIES** + Demonstrates… more
- CareFirst (Baltimore, MD)
- …verification and/or appropriate actions. **Licenses/Certifications** : Certified Provider Credentialing Specialist (CPCS) Preferred Salary Range: $38,520 ... legal and company requirements and standards. **ESSENTIAL FUNCTIONS:** + Analyzes credentialing applications to perform the primary source verification of the… more
- Geisinger (Danville, PA)
- …successfully perform the job. #LI- REMOTE Position Details Certified Provider Credentialing Specialist (CPCS) - NAMSS preferred. Certified Professional in ... Job Summary Responsible for overseeing all aspects of credentialing , re- credentialing , payer enrollment, and facility enrollment activities for the health… more
- Molina Healthcare (Bellevue, WA)
- **JOB DESCRIPTION** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all ... safety for members. This position is responsible for the initial credentialing , recredentialing and ongoing monitoring of sanctions and exclusions process for… more
- Spectrum Billing Solutions (Skokie, IL)
- …is managed in the most efficient and streamlined manner. We are seeking to add a Credentialing Specialist to our growing team. If you are looking for a rewarding ... with strong communication and problem-solving skills. RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist | Revenue Cycle… more
- BayCare Health System (FL)
- …vary) + **Days:** Monday through Friday The Credentialing and Provider Enrollment Specialist is a full-time remote position. This team member must currently ... or 1-year Managed Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist **Location** US:Florida |… more
- AdventHealth (Altamonte Springs, FL)
- …Professional Medical Staff Management (CPMSM) Preferred Or Certified Provider Credentialing Specialist (CPCS) Preferred Additional Licenses and Certifications ... better. **Shift** : Monday- Friday Full time 8am-5pm **Job Location** : Remote **The role you will contribute:** Responsible for coordinating, monitoring, and… more
- Robert Half Office Team (New Orleans, LA)
- Description We are looking for an experienced Credentialing Specialist to join our team on a short-term contract basis. The ideal candidate will play a vital ... providers, including Medicaid and Medicare. This position may offer hybrid remote work flexibility, depending on the assignment details. Responsibilities: * Oversee… more
- Robert Half Office Team (West Chester, PA)
- Description We are looking for a detail-oriented part-time Credentialing Specialist to join a team on a contract basis in West Chester, Pennsylvania. This ... position is ideal for professionals who can efficiently handle credentialing tasks in a fast-paced, remote environment. The role involves working independently… more
- Insight Global (New York, NY)
- Job Description We are seeking a highly skilled and experienced Customer Support Specialist to join our growing Customer Support team. As a Customer Support ... Specialist , you will be responsible for providing world-class customer...support * 1+ years experience with Payer Enrollment, and/or Credentialing * Proficient in using GSuites tools including GSheets,… more
- University of Rochester (Albany, NY)
- …Certified Professional Medical Services Management upon hire preferred + Certified Provider Credentialing Specialist (CPCS) upon hire preferred The University of ... to all and is a place where all can thrive. **Job Location (Full Address):** Remote Work - New York, Albany, New York, United States of America, 12224 **Opening:**… more
- Prime Healthcare (Dallas, TX)
- …to learn Additional Qualifications That Are a Plus + Certified Provider Credentialing Specialist (CPCS) preferred + Minimum of 3 years technical/administrative ... as a Medical Staff Coordinator or Medical Staff Office Coordinator. A Credentialing Coordinator in our ensures that healthcare providers meet all necessary… more
- Cedars-Sinai (CA)
- …Services (NAMSS) as a Certified Medical Staff Coordinator (CMSC) or Certified Provider Credentialing Specialist (CPCS) is highly preferred within two years of ... cooperatively to ensure the seamless and timely flow of credentialing related information in order to meet appointment and...to assist in resolution and escalation of issues. **_Hybrid Remote = must currently live in Los Angeles area… more
- Insight Global (Marlton, NJ)
- …Global is supporting a large medical group in Marlton, NJ to hire a CAQH Credentialing Coordinator. A typical day for a CAQH Credentialing Coordinator begins by ... Throughout the day, the coordinator communicates with medical affairs and payer credentialing teams to address specific expirable items and ensure all … more
- Medtronic (Lafayette, CO)
- …HealthCast (TM) portfolio delivers intelligent patient monitoring through wearables, remote monitoring, analytics, and connectivity solutions. As the global ... downstream marketing lead for Remote Monitoring, you will own the strategy, positioning, and...and we expect our employees to comply with all credentialing requirements at the hospitals or clinics they support.… more
- GE HealthCare (TX)
- **Job Description Summary** The Clinical Education Specialist schedules and implements customer training and education for internal and external customers and acts ... a clinical setting. + Must be able to complete and maintain all vendor credentialing requirements for entry into hospital environments as required. + Must be skilled… more
- Martin's Point Health Care (Portland, ME)
- …to Work" since 2015. Position Summary The Appeals Quality and Training Specialist supports the Appeals Department. This role supports Appeals quality goals through ... judgement, conducts multi-faceted, complex investigations through claims review, provider credentialing , authorization processing, timeliness evaluations, and plan benefits design.… more
- CareFirst (Baltimore, MD)
- …in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing , and contracting rules knowledge to build the effective guides and ... data collection tools. **Licenses/Certifications Upon Hire Required:** + CCS-Certified Coding Specialist + Certified Coder (CCS or CPC)-AHIMA or AAPC Salary Range:… more
