- Houston Methodist (Houston, TX)
- …Certified Professional Medical Services Management (NAMSS) **OR** + CPCS - Certified Provider Credentialing Specialist (NAMSS) **KNOWLEDGE, SKILLS, AND ... At Houston Methodist, the Credentialing Specialist position is responsible for...the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an… more
- Banner Health (AZ)
- …to meet the organization's expectations. PREFERRED QUALIFICATIONS National Certified Provider Credentialing Specialist (NCPCS) certification preferred. ... them. Apply today, this could be the perfect opportunity for you. This Credentialing Specialist role is remote with a preference for candidates in Arizona… more
- Veterans Affairs, Veterans Health Administration (Buffalo, NY)
- Summary The incumbent serves as a Health Systems Specialist - C&P Specialist . They are assigned to the Credentialing and Privileging (C&P) Office at a VA ... System (HCS) environment which is constantly evolving. Responsibilities The Health System Specialist - Credentialing and Privileging Specialist is assigned to… more
- Spectrum Billing Solutions (Skokie, IL)
- … or hybrid in-office/ remote role. 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
- Veterans Affairs, Veterans Health Administration (Bronx, NY)
- Summary The Health System Specialist - Credentialing and Privileging Specialist is assigned to the Medical Staff Office, which is under the Chief of Staff at ... to the credentialing and privileging (C&P) operations. Responsibilities The C&P Specialist is aligned to and supervised by the C&P Manager. The incumbent ensures… more
- Aston Carter (Bethesda, MD)
- …10 years of experience in the healthcare or managed care industry, with 5 years in provider credentialing . + Certified by NAMSS as a CPMSM or CPCS. + Strong ... credentialing turnaround times to maintain high-quality results. + Provide on-site support and training on credentialing ...education and hands-on experience. + Proven ability to manage credentialing for large provider groups (500+). +… more
- Centene Corporation (Austin, TX)
- …of credentialing documents + Act as a "go to" person for other Credentialing Specialists and provide feedback to reduce errors and improve processes + Assist ... and standards **Education/Experience:** High school diploma or equivalent. 4+ years of credentialing and/or provider data experience. Knowledge of NCQA or URAC… more
- Mount Sinai Health System (New York, NY)
- …multi-entity health system and/or a CVO is strongly preferred + **NAMSS Certified Provider Credentialing Specialist (CPCS)-Must be obtained within two (2) ... **Job Description** ** Remote Medical Staff Credentialing Coordinator-Initial &...medical or allied health staff membership and/or clinical privileges. Provide support for all credentialing functions within… more
- Devereux Advanced Behavioral Health (Phoenix, AZ)
- …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...with evenings and weekends as required** **Hybrid Work Enviornment: remote (home office) and in-office days** **Benefits and Rewards**… more
- Molina Healthcare (Cincinnati, OH)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... engagement after contract. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …considered. + Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) Certification preferred. ... credentialing processes, expiration and other duties that support provider onboarding activities. Serves as effective liaison between the provider… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …considered. + Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) Certification preferred. ... credentialing processes, expiration and other duties that support provider onboarding activities. Serves as effective liaison between the provider… more
- University of Rochester (Albany, NY)
- …CPMSM - Certified Professional Medical Services Management upon hire preferred + Certified Provider Credentialing Specialist (CPCS) upon hire preferred The ... 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
- LogixHealth (Dania Beach, FL)
- …GA, MI, MO, NC, NH, OH, OK, TN, TX, WI, WV This Role: As a Provider Enrollment Specialist at LogixHealth, you will perform all provider enrollment related ... provider enrollment requirements by state + Enter group/individual data to credentialing system + Prepare and submit provider enrollment applications to… 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
- Fujifilm (Phoenix, AZ)
- **Position Overview** The purpose of this role is to provide customer support of Fujifilm ES equipment in the Endoscopy department and/or specified departments by ... customers. + Support of VIP customers as directed. + Provide weekly and/or monthly reports to management as directed....+ Comply with and pass all requirements for vendor credentialing as part of gaining access to hospitals and… more
- Martin's Point Health Care (Portland, ME)
- …judgement, conducts multi-faceted, complex investigations through claims review, provider credentialing , authorization processing, timeliness evaluations, and ... to Work" since 2015. Position Summary The Appeals Quality and Training Specialist supports the Appeals Department. This role supports Appeals quality goals through… more
- Insight Global (San Francisco, CA)
- 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...development, and operations, to effectively address customer needs and provide timely solutions. * Maintain a thorough understanding of… more
- Molina Healthcare (Bellevue, WA)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... engagement after contract. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes… more
- Cordis (Irvine, CA)
- …that address unmet and critical medical needs. **Responsibilities** The **Field Specialist , Clinical Research** position that provides case support to physicians ... IFU, core lab manuals and case report forms + Provide field support for clinical studies by participating in...back up for other CFS territories, including holding necessary credentialing + Attend and lead SIV and site activation… more
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