- Devereux Advanced Behavioral Health (Phoenix, AZ)
- …respite services and therapeutic foster care. Reporting to the Revenue Cycle Manager, the ** Contract & Credentialing Specialist ** is responsible contract ... development, contract management, negotiations, compliance monitoring, and credentialing providers and facilities. This position develops and manages assigned… more
- Robert Half Office Team (Palm Springs, CA)
- …to manage multiple priorities in a fast-paced environment. Preferred Certifications: Certified Provider Credentialing Specialist (CPCS) by the National ... and timelines and respond to inquiries promptly. Renewals and Appeals: Manage provider contract and credentialing renewals within California-specific… more
- Robert Half Office Team (Palm Springs, CA)
- …multiple tasks and work efficiently under deadlines. * Certification as a Certified Provider Credentialing Specialist (CPCS) is preferred but not required. ... Description We are looking for a meticulous Credentialing Specialist to join our team...as The Joint Commission. * Manage accurate databases for provider credentialing files, including tracking expiration dates… more
- Spectrum Billing Solutions (Skokie, IL)
- …is a remote or hybrid in-office/remote role. Your Responsibilities: + Complete provider credentialing and contract applications with third-party carriers ... and streamlined manner. We are seeking to add a Credentialing Specialist to our growing team. If...and government health plans. + Review provider credentialing and contracting information to ensure… more
- Excelsior Orthopaedics Group (Amherst, NY)
- …verification. Qualifications Requirements and Qualifications + Associates Degree and Certified Provider Credentialing Specialist (CPCS) and minimum 2-3 ... any other required credentialing documents for all providers. + Maintains corporate provider contract files. + Maintains knowledge of current health plan and… more
- Aston Carter (Bethesda, MD)
- …CAQH and Medicare's PECOS database. Additional Skills & Qualifications + Certified Provider Credentialing Specialist (CPCS) certification preferred or ... application processing. + Collaborate with internal teams and external partners to provide credentialing -related information. + Resolve pending action items in… more
- Option Care Health (Nashville, TN)
- … or contract administration. + Basic Qualifications + Experience with Provider credentialing application completion or Request for Proposal work in the ... and compiles all executive summary documents to present for review including contract and credentialing documents, financial models, Legal and Operational review… more
- ASM Research, An Accenture Federal Services Company (Forest Park, GA)
- …diploma or GED; Bachelor's Degree in healthcare or business field preferred + Certified Provider Credentialing Specialist (CPCS) preferred + 2-5 years of ... Processes credentialing and re- credentialing applications for the...status, documentation of contingency and continuing education training, national provider identification number, and for non-personal services contract… more
- US Tech Solutions (Columbia, SC)
- …from physician/ provider /office staff regarding participating networks, directories, and provider credentialing . + Ensures communication of provider ... Communicates with impact + Manages database files for reporting + Understands credentialing provider lifecycle **Education:** + Associate's Degree **About US… more
- Robert Half Office Team (Rochester, NY)
- Description We are looking for a meticulous HR Specialist to join our team in Rochester, New York. In this long-term contract role, you will play a key part in ... ensuring compliance with credentialing processes and maintaining accurate records for healthcare professionals....job seekers to opportunities at great companies. We offer contract , temporary and permanent placement solutions for finance and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …documents are entered and/or scanned into the Doctors HealthCare Plans, Inc, ("DHCP") credentialing CACTUS database, provide data entry and clerical support to ... Position is On-Site Scope of Position: Maintain an efficient provider credentials system by ensuring completed credentials CAQH profiles and/or applications are… more
- Amergis (Las Vegas, NV)
- …staffing experiences to deliver the best workforce solutions. The Onboarding and Credentialing Field Support Specialist provides the highest level of customer ... to caregivers, field staff, clients, patients, offices and coworkers. The Onboarding and Credentialing Field Support Specialist will contribute to the culture of… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** The purpose of the Provider Relations Development Specialist role for PruittHealth Premier to support the plans (I-SNP and D-SNP) with ... Conducts outreach by phone or email to providers to provide plan overview and request to contract ...expired or other needed information in order to complete credentialing 10. Manages emails received from Provider … more
- Guthrie (Sayre, PA)
- …ability to mentor and guide junior team members. Thorough understanding of provider credentialing , licensing, and regulatory compliance Education A high school ... Summary The Senior Provider Onboarding Specialist oversees the onboarding...Conduct regular audits to ensure compliance with regulatory standards. Provide detailed reports to leadership. Collaborates with credentialing… more
- Robert Half Office Team (Torrance, CA)
- Description About the Role: We are seeking a detail-oriented Credentialing Specialist with strong experience in managing provider enrollment and ... with payer and regulatory requirements. Key Responsibilities: + Manage the credentialing and re- credentialing process for providers, ensuring accuracy and… more
- Magellan Health Services (Albuquerque, NM)
- The Network Contract Specialist will be responsible for creating and maintaining behavioral health provider contracts across the New Mexico territory for ... 1 year experience in related position/field. General Job Information Title Network Management Specialist ( Contract Specialist ) Grade 21 Work Experience -… more
- HCA Healthcare (Campbell, CA)
- …and intrinsic worth of each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today and find out what it ... may vary by location._** **Job Summary and Qualifications** The Contract Specialist is responsible for understanding the...getting approval from the President of SCCIPA, any Network Provider or ancillary provider contract … more
- Molina Healthcare (Cincinnati, OH)
- …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 2 - 4 years provider contract support or negotiation experience in the health care field ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
- Organon & Co. (Plymouth Meeting, PA)
- …a highly skilled and experienced professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy. This role is essential in ... Medicare, and Medicaid. Serve as an expert on DRG hospital and provider reimbursement. + **Customer Engagement:** Provide customer-facing support to troubleshoot… more
- AmeriHealth Caritas (Harrisburg, PA)
- **Role Overview:** The Provider Network Contract Representative oversees the daily operations related to Out of Network (OON) agreements, provider contracts, ... Specialist liaises between providers and internal departments such as Credentialing , Clinical, Member Services, and Provider Maintenance, ensuring compliance… more
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