- Prime Healthcare (Denville, NJ)
- …preferred. #LI-MA2 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/204257/ credentialing - specialist %28non- remote ... Clare's Health includes CMS 5-Star Rated hospitals and is an award-winning provider of safe, high quality, compassionate care, serving the communities of Morris,… more
- BayCare Health System (Largo, 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)
- …option to work 100% fully remote . 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
- WellLife Network (NY)
- Credentialing Specialist - FIN113 - Mon-Fri 9AM5PM Job Details Job Location Remote (Off Site) - NY Education Level High School Salary Range $60000.00 - ... deliver services within the organization. This position involves overseeing the credentialing process, verifying provider credentials, and maintaining accurate… more
- RWJBarnabas Health (Somerset, NJ)
- … and privileging + Certified Professional in Medical Staff Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred + Knowledge of ... Credentialing Specialist - Somerset, NJReq #:0000145791...the environment Scheduling Requirements: + Hybrid, with on-site and remote capabilities available. Essential Functions: + Oversees and assists… 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
- Elevance Health (Miami, FL)
- …live within 50 miles of one of our Elevance Health PulsePoint locations. The ** Credentialing Specialist ** builds provider credentials file and makes file ... ** Credentialing Specialist ** **Location** : This position...agencies. **How you will make an impact:** + Receives provider applications and contacts providers for any additional supporting… more
- University of Utah Health (Murray, UT)
- …Two years of related experience. **Qualifications (Preferred)** **Preferred** + Certified Provider Credentialing Specialist designation. **Working Conditions ... maintaining current information for each provider via the provider database or credentialing system and coordinating with systems team for Epic updates. +… more
- CareFirst (Baltimore, MD)
- …the subject matter expert in support of BCBSA workgroups. + Performs the provider credentialing as assigned, and data maintenance processes based on department ... negotiated terms with the Reimbursement Implementation department as well as the Provider Information and Credentialing department. + Develop business cases and… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …education and business experience related to job responsibilities and qualifications. + Provider Credentialing Specialist Certification (CPCS) by the ... transactions. + Be actively involved with the team members, provide support by responding to Associate questions in a...Operations teams including the Network Management Service (NMS) and Provider Directory teams with credentialing and peer… more
- Hackensack Meridian Health (Neptune City, NJ)
- …Preferred:** + Certified Professional in Medical Services Management or Certified Provider Credentials Specialist with ongoing maintenance of certification ... healthcare and serve as a leader of positive change. The **Delegated Credentialing Coordinator** is responsible for coordinating and performing all credentialing … more
- ProMedica Health System (Toledo, OH)
- To facilitate accurate Professional Provider credentialing , coding, 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. Accurately reviews and… more
- Molina Healthcare (Hattiesburg, MS)
- **_ Remote and must live in Mississippi _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the ... and local regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Responsible for… more
- LogixHealth (Bedford, MA)
- … provider enrollment requirements by state + Enter group/individual data to credentialing system + Prepare and submit provider enrollment applications to ... Location: Bedford, MA; Remote in AL, FL, GA, MI, MO, NC,...Managers to resolve provider denials + Update/Maintain Provider Enrollment Credentialing System + Attends conference… more
- Sanford Health (WI)
- …projects. These on-site responsibilities will be scheduled in advance. **Job Summary** The Provider Relations Specialist acts as the primary liaison between the ... to the work of health and healing across our broad footprint.** **Facility:** Remote WI **Location:** Remote , WI **Address:** **Shift:** Varies **Job Schedule:**… more
- Centene Corporation (Newark, NJ)
- …fresh perspective on workplace flexibility. **Position Purpose:** Perform health plan provider orientations and conduct ongoing educational outreach with a focus on ... improving quality and financial outcomes within the provider network. Act as liaison between providers and the health plan to enhance the business relationship. +… more
- Molina Healthcare (Naperville, IL)
- **_ Remote and must live in Illinois _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... engagement after contract. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes… more
- Medtronic (Mounds View, MN)
- …seeking a driven, passionate, and global-minded **Sr** **Global** **Strategic Product Specialist ** to support the transformation of our Aortic business. This role ... performance post-quarter, driving strategic adjustments and business optimization + Provide actionable, data-driven insights to senior leadership, guiding product… more
- Trinity Health (Livonia, MI)
- …Full time **Shift:** **Description:** The Health Information Management (HIM) Specialist analyzes health records for documentation compliance in accordance with ... necessary medical record elements for coding and DNFB encounters. Conducts provider suspension activities and assists with electronic record support for providers.… more
- SSM Health (MO)
- … (CCDS) certification from the Association of Clinical Documentation Improvement Specialist (ACDIS) **Eligible Remote States:** Candidates are required to ... **It's more than a career, it's a calling** MO- REMOTE **Worker Type:** Regular **Job Highlights:** Must have prior and direct Clinical Documentation experience… more
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