- Caris Life Sciences (Irving, TX)
- …+ Maintain and track Continuing Medical Education (CME) for providers + Initial enrollment and revalidation of provider Medicare + Other duties as assigned ... yourself, Caris is where your impact begins.** **Position Summary** This Credentialing Specialist - Physician Licensing position is responsible for individually… more
- DERMCARE MANAGEMENT LLC (Shingle Springs, CA)
- …answered to the billing & claims team. Works closely with Credentialing & Enrollment to ensure all business and provider licenses are paid, up to date ... with the Call Center to ensure that wait times, enrollment status, incremental days and provider biographies...inventory counts on time, and if the responsibility is delegated , signs off that all counts are true and… more
- University of Virginia (Charlottesville, VA)
- …assist in complying with all delegated credentialing and enrollment processes to maintain provider eligibility to bill Medicare/Medicaid/Department of ... to ensure the highest level of accuracy. + Completes enrollment process including provider enrollment ...and entry of all physician and allied health professional credentialing information into the Symplr provider database… 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 ... years minimum of healthcare experience including Medicare or Medicaid Provider or Facility Enrollment or Credentialing...of official PAR status notifications from the CBO and Delegated Credentialing teams. + Trouble shoot, critical… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …commercial payers. + Become subject matter expert on NCQA, URAC, CMS standards, delegated credentialing policies and procedures, and update in policy software. + ... specialized credentialing program to assure compliance with the payer credentialing requirements and delegated carrier agreements and NCQA requirements that… more
- Nuvance Health (Danbury, CT)
- …well as any other reporting requests from WCHN leadership. Maintains Med Kinetics provider enrollment database with all required information. 4. Responsible for ... for all commercial payers ie Aetna, United/Oxford, Anthem, Cigna, etc. and delegated credentialing agreements signed by WCHN to assure timely participation… more
- Essentia Health (Duluth, MN)
- …field, or Certified as a Credentialing Specialist (CPCS) or Certified Provider Enrollment Specialist certified Required Qualifications: + Minimum of 3 years' ... communication across teams + Hire, train, supervise, and evaluate credentialing and enrollment staff; provide ...experience in Credentialing and/or Provider Enrollment +… more
- AdventHealth (Maitland, FL)
- …works closely with practice office operations staff, Managed Care (MC) contracting, MC Credentialing and Enrollment and billing support teams to identify and ... value you'll bring to the team:** + Submits the delegated and nondelegated credentialing reports once all... and nondelegated credentialing reports once all credentialing and enrollment tasks have been completed… more
- Bassett Healthcare (Cooperstown, NY)
- …assist in the development of systems that maximize patient experience and provider efficiency. In addition, the Nursing Team Leader will assist with Departmental ... as observed by manager or supervisor. + Attends all divisional staff and provider meetings with the exception of scheduled time off, presents agenda items as… more
- Bassett Healthcare (Cooperstown, NY)
- …proof of current BLS validation to supervisor.* Completes required unit credentialing according to departmental policy by providing documented evidence of completion ... of completion of all required training and competency validation.* As delegated , makes clinical assignments, monitors performance, sets work schedules and arranges… more
