- Robert Half Finance & Accounting (Southborough, MA)
- Description We are in search of a skilled Credentialing Specialist to join our team in Southborough , Massachusetts. The successful candidate will play a critical ... role in the precise processing of credentialing applications and rosters with funders, insurance firms, other...active status with payer organizations. * Act as a liaison between healthcare providers, insurance companies, and internal departments… more
- Henry Ford Health System (Detroit, MI)
- …Services and other business units. 2. Independently evaluate and analyze contract proposals including completing initial proposal responses and reviewing/revising ... contract language and operational requirements. Reviews contracts with in... summaries on HFHS website (Henry). 9. Act as liaison between HFHS and Payors on contracting and operational… more
- Arkansas Children's (Little Rock, AR)
- …departments to identify and address payer related challenges. The specialist supports contract negotiations and serves as a liaison between internal stakeholders ... 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer contracts to...relationships with payers and internal stakeholders. Serve as a liaison to facilitate the resolution of payer related operational… more
- Henry Ford Health System (Troy, MI)
- …files of HFHS contractual relationships and maintain contract information in the contract database. 8. Act as liaison between HFHS and Payors and facilitate ... to Director or Manager, assist in the development of Contract Strategy and work directly with Payors to lead...of contracting and operational issues, ie billing, utilization review, credentialing site visits, notification of site closures or new… more
- Trinity Health (Urbandale, IA)
- …commitment to work toward board certification in Hospice & Palliative Care * Credentialing at one or more hospitals commonly serving patients in the hospice service ... area or commitment to obtaining credentialing at one or more hospitals commonly serving patients...other members of the hospice team. Act as the liaison between the patient's attending physician and the Interdisciplinary… more
- Bozeman Health (Bozeman, MT)
- …of medical staff operations across the health system, including credentialing , privileging, medical staff governance, and professional practice evaluations. This ... supports physician quality, safety, and performance through comprehensive management of the credentialing life cycle and a robust, fair, and timely peer review… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …enrollment contact for all internal and external inquiries. Manages managed care contract , credentialing , and enrollment projects. * Manages the WKHS-specific ... as a liaison between provider and payor during resolution of credentialing and enrollment issues. * Performs on-site evaluations across WKHS with regards to… more
- Northwell Health (Manhasset, NY)
- …network products and Independent Practice Association (IPA). Acts as liaison between physicians, third-party insurance administrators, and departmental staff ... staff, and managed care companies. + Resolves issues related to credentialing , managed care participation, claims payment, demographic changes, referrals, and… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** Serves as the primary liaison between providers and the Plan, by establishing and maintaining positive working ... and key provider staff on Plan products, processes, and contract terms, both orally and in writing. Resolves provider...Orientation Program for all new providers who meet the credentialing requirements and who are recommended for acceptance by… more
- Immigration and Customs Enforcement (Pearsall, TX)
- …and close out of all health care data encounters. 11. Maintains accurate credentialing folders in a secure location for all personnel. Government Technical Monitor ... 2. Monitors on-site contracts to ensure services rendered are consistent with the contract . 3. Reviews all invoices and vouchers for accuracy in a timely manner… more
- Penn Medicine (Bala Cynwyd, PA)
- …Summary: + The Provider Services Coordinator will provide support of all credentialing / re- credentialing activities for onboarding and existing physicians and ... in the area of provider onboarding, and the primary liaison between the new hire, the Office of Medical...The Coordinator will also oversee and execute the internal Contract Approval process once a new recruit signs their… more
- Datrose (West Haverstraw, NY)
- Job Description Job ID#: 26490 Job Category: Administrative/Clerical Position Type: Contract /W-2 Duration: 1 year Administrative Assistant Our client is seeking an ... that are required: - Coordinates Medical Staff activities and acts as a liaison between the Medical Staff, other professional staff and Administration to ensure that… more
- Veterans Affairs, Veterans Health Administration (Excelsior Springs, MO)
- …(must be full-time) Malpractice: Free liability protection with tail coverage provided Contract : No Physician Employment Contract and no significant restriction ... clearly in writing and verbally in English. The physician must provide complete credentialing and privileging information in a timely, expeditious way to the VA… more
- Veterans Affairs, Veterans Health Administration (Gainesville, FL)
- …the Facility Director as secondary supervisor. The incumbent serves as Chief of Credentialing and Privileging. Ideal applicants are those who want to contribute to ... board certification) Malpractice: Free liability protection with tail coverage provided Contract : No Physician Employment Contract and no significant restriction… more
- Zeiders Enterprises, Inc (Woodbridge, VA)
- …Essential Duties and Responsibilities + Serve as the primary authority and liaison for all contract -related matters, including direct coordination with the ... Summary- This is a contingent opportunity and would begin work upon the contract award The Veteran Affairs Transition Assistance Program (VA TAP) supports service… more
- University of Rochester (Rochester, NY)
- …**ESSENTIAL FUNCTIONS** **Compliance/Quality Assurance** + Manages the Programs' credentialing /compliance files for Joint Commission, Department of Health, Office ... Mental Health and hospital wide policy compliance. Prepares and reviews credentialing files for reviewer requests. Coordinates database maintenance to ensure… more
- Knowledge Builders Inc. (West Haverstraw, NY)
- …that are required: - Coordinates Medical Staff activities and acts as a liaison between the Medical Staff, other professional staff and Administration to ensure that ... of the Medical Staff are met. - Oversees all Medical Staff credentialing activities and privilege delineation activities in accordance with the Medical Staff… more
- Health Advocates Network (West Haverstraw, NY)
- …that are required: - Coordinates Medical Staff activities and acts as a liaison between the Medical Staff, other professional staff and Administration to ensure that ... of the Medical Staff are met. - Oversees all Medical Staff credentialing activities and privilege delineation activities in accordance with the Medical Staff… more
- Knowledge Builders Inc. (West Haverstraw, NY)
- …that are required: - Coordinates Medical Staff activities and acts as a liaison between the Medical Staff, other professional staff and Administration to ensure that ... of the Medical Staff are met. - Oversees all Medical Staff credentialing activities and privilege delineation activities in accordance with the Medical Staff… more
- Albany Medical Center (Albany, NY)
- …the AMHS market. Leading and mentoring, negotiating, continuous monitoring of contract performance, and engaging with internal and external stakeholders to optimize ... AMHS to facilitate best outcomes. To facilitate this, the Director is the primary liaison with AMHS analytics leadership. The Director oversees and leads the day to… more