- CareFirst (Baltimore, MD)
- …for performing verification and/or appropriate actions. **Licenses/Certifications** : Certified Provider Credentialing Specialist (CPCS) Preferred Salary ... group accordingly. + Responds to external and internal inquiries regarding provider participation eligibility and criteria, participation status, credentialing ,… more
- 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
- BayCare Health System (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)
- … 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
- Robert Half Office Team (New Orleans, LA)
- …* Create and update a comprehensive credentialing database to track provider information and documentation. * Provide timely follow-up and resolve issues ... Description We are looking for an experienced Credentialing Specialist to join our team... credentials and renewals. Requirements * Proven experience in credentialing processes, including provider and physician … 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
- Geisinger (Danville, PA)
- …necessary to successfully perform the job. #LI- REMOTE Position Details Certified Provider Credentialing Specialist (CPCS) - NAMSS preferred. Certified ... Duties + Lead the design, implementation, and ongoing refinement of a centralized provider and facility credentialing and enrollment model across the enterprise.… 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...development, and operations, to effectively address customer needs and provide timely solutions. * Maintain a thorough understanding of… more
- OhioHealth (Columbus, OH)
- …And Duties:** Serve as strategic partner to providers and CIN payers (15%): * Provide services to provider network offices for issues related to claims payment, ... need, and negotiations of their fee schedules. Audit payer rosters, update credentialing software (Cactus) after committee approval and verify and audit practice and… 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
- Insight Global (Marlton, NJ)
- …Skills and Requirements Must Haves: * 3-5 years of experience in provider / physician credentialing * 3-5 years' experience utilizing CAQH, NPI, ... medical group in Marlton, NJ to hire a CAQH Credentialing Coordinator. A typical day for a CAQH ...providers, handling updates for existing clinicians and processing new provider onboarding using DocuSign for required documentation. Throughout the… more
- Cedars-Sinai (CA)
- …Staff Services (NAMSS) as a Certified Medical Staff Coordinator (CMSC) or Certified Provider Credentialing Specialist (CPCS) is highly preferred within two ... and qualitative requirements. Participates in effective day-to-day operations of the credentialing functions and provide recommendations to enhance productivity… more
- Molina Healthcare (Long Beach, CA)
- **_ Remote and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the ... engagement after contract. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes… 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
- Organon & Co. (Plymouth Meeting, PA)
- …Medicare, and Medicaid. Serve as an expert on DRG hospital and provider reimbursement. + **Customer Engagement:** Provide customer-facing support to troubleshoot ... professional to join our team as the MedTech Billing & Coding Contract Specialist . This role is essential in developing and implementing strategies that support… more
- CareFirst (Baltimore, MD)
- …and implemented. Provides expert knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and ... in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing , and contracting rules knowledge to build the effective guides and… 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...(http://www.medtronic.com) . It is the policy of Medtronic to provide equal employment opportunity (EEO) to all persons regardless… 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
- Molina Healthcare (Albany, NY)
- …and state/federal quality compliance activities. Contributes to overarching strategy to provide safe, efficient and cost-effective member care. Essential Job Duties ... of care and critical incident cases; review of medical record documentation for credentialing and model of care oversight; and any other federal and state required… more