- Pairtu (San Francisco, CA)
- …**What You'll Do** **1. Own Credentialing & Compliance Workflows** - Manage provider credentialing , payer enrollment , and ongoing compliance. - Keep ... clinic, or provider network. - Have **touched credentialing or payer enrollment ** directly - not...**What Success Looks Like in 12 Months** - All provider credentialing and payer contracts are up-to-date… more
- Caris Life Sciences (Irving, TX)
- …data integrity. + Assures compliance with payor requirements as related to the provider enrollment and monitor activities to ensure compliance with all ... **Preferred Qualifications** + Bachelor's degree preferred. + Current Certified Provider Credentialing Specialist (CPCS) with the National Association… more
- Growth Ortho (Portland, ME)
- …with regulatory and payer requirements to prevent revenue disruption. Key Responsibilities Provider Enrollment & Credentialing Prepare, submit, and track ... state, and commercial payers. This role manages the complete lifecycle of credentialing and payer enrollment , maintains accurate records, and ensures compliance… more
- TEKsystems (Mountain View, CA)
- …in healthcare administration or related field preferred. 2-4 years of experience in provider enrollment or credentialing . Strong understanding of Medicare, ... status and requirements. Assist with audits and reporting related to provider enrollment activities. Additional Skills & Qualifications High school diploma… more
- US Physical Therapy (Garden City, NY)
- …Resolve escalated payer and claims-related issues **Qualifications** + 2+ years of provider enrollment / credentialing experience (medical group, hospital, or ... data using CAQH and other platforms + Manage onboarding, credentialing , and re- credentialing + Keep provider databases accurate (Verifiable software a… more
- Covenant Health Inc. (Knoxville, TN)
- …Office Services (KBOS), Billing Department regarding Out of State Medicaid Payer Enrollment , Hospital and Physician credentialing . With limited supervision, the ... and Vendors. The specialist may do any of the following: Process payer enrollment , facility credentialing , physician enrollment , expirables, hospital … more
- University of Rochester (Rochester, NY)
- …and within the required timeframes. + Documents and tracks the status of provider enrollment applications for Medicaid, Medicare, and some Commercial Payers that ... requirements. + Communicates status of files or other payer enrollment / credentialing information directly to providers, various department representatives,… more
- Nuvance Health (Danbury, CT)
- …well as any other reporting requests from WCHN leadership. Maintains Med Kinetics provider enrollment database with all required information. 4. Responsible for ... literature, in-house meetings and workshops. 8. Athena responsibilities include maintenance of credentialing enrollment table, client enrollment dashboard, … more
- TEKsystems (Addison, TX)
- Description The Provider Enrollment Specialist role focuses on managing the credentialing and enrollment process for anesthesia providers. The specialist ... on-site presence during regular business hours. Skills Customer service, medical, enrollment , credentialing Experience Level Intermediate Level Job Type &… more
- Zelis (St. Petersburg, FL)
- …Zelis IMPACT Values What You'll Bring to Zelis + 0-3 years of experience in provider enrollment , credentialing , or a related healthcare role. + Proven ... thrive is a fast-paced, competitive environment + Industry healthcare and/or provider office workflow knowledge (preferred not required) + Coachability and… more
- Beth Israel Lahey Health (Westwood, MA)
- …making a difference in people's lives.** Under the direction of the Manager, Provider Enrollment completes enrollment and health plan recredentialing ... . Maintains knowledge of NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and... provider practices and health plan contacts regarding provider enrollment statuses. Investigates and resolves … more
- Trinity Health (Hartford, CT)
- …**Description:** **Position Purpose:** The Credentialing Coordinator is responsible for performing credentialing and provider enrollment for all new and ... and all other pertinent information + Lead the processes and functions of credentialing and provider enrollment + Alert internal and external parties on … more
- TEKsystems (Baltimore, MD)
- …Track Medicare & Medicaid revalidation status. Ensure compliance with all Federal provider enrollment programs. Skills payer credentialing , medicaid, ... online sources. Contact providers for online approval of payor enrollment forms. Track provider numbers generated by...enrollment Top Skills Details payer credentialing ,medicaid, enrollment Additional Skills & Qualifications 2+ years… more
- Catholic Health (Buffalo, NY)
- …This requires electronic collection, processing and organizing significant amounts of enrollment data. Oversee the credentialing process in its entirety ... ability to work well under pressure + Ability to provide work of high quality and accuracy + Resourceful...credentialing is moving forward + Create & maintain provider 's CAQH + Remind practitioners of expiring DEA/Licensure +… more
- WellSpan Health (York, PA)
- …Directors Meetings. **Duties and Responsibilities** **Essential Functions:** + Processes initial provider enrollment with payers, initial credentialing and ... claims or credentialing experience. Preferred **Licenses:** + Certified Provider Credentialing Specialist Upon Hire Preferred **Knowledge, Skills, and… more
- Robert Half Office Team (Greenwood Village, CO)
- Description Credentialing Specialist ( Enrollment Specialist) We are looking for a Credentialing Specialist to join our team in Greenwood Village, Colorado. ... position offers an opportunity to apply your expertise in credentialing and enrollment processes within the detail-oriented...put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits,… more
- Hunterdon Health Care System (Flemington, NJ)
- …and provides backup administrative support, if needed; maintains critical and confidential credentialing , privileging, provider enrollment and peer review ... of Experience (Amount, Type and Variation): Required: One (1) year of credentialing or provider enrollment experience Preferred: Two (2) years of … more
- Henry Ford Health System (Jackson, MI)
- …School Diploma required. Associate's Degree, preferred. One (1) year of credentialing , provider enrollment , or background/verification specialist experience ... Credentialing Specialist - Medical Staff Affairs - Days...mission-driven organization focused on excellence in patient care and provider support. Work in a collaborative environment with opportunities… more
- WellSpan Health (York, PA)
- …demonstrated leadership, training, or QA experience Preferred **Licenses:** + Certified Provider Credentialing Specialist Upon Hire Preferred or + Certified ... Credentialing Coordinators. Ensures accuracy, timeliness, and compliance of credentialing , recredentialing, and enrollment activities in accordance with… more
- UCLA Health (Los Angeles, CA)
- …of education, training and experience; Master's degree preferred + Certified Provider Credentialing Specialist (CPCS) and Certified Professional Medical Services ... operations. As a Principal Credentialing Specialist, you'll oversee credentialing , privileging, onboarding, and enrollment activities for physicians and… more
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