A company is looking for a Credentialing Specialist (Temporary - Remote).Key ResponsibilitiesComplete and submit individual and group credentialing applicationsManage the full cycle of the credentialing process, including primary source verification and payer contract reviewUpdate and maintain the credentialing data warehouse and develop employee and contractor rostersRequired Qualifications5+ years of experience in credentialing and enrollment processesHands-on experience with PECOS, CAQH, and PTAN applicationsExperience with multi-state credentialing across at least 5 different statesFamiliarity with payer portals such as CAQH and AvailityExperience with EDI / ERA / EFT setup post-contract execution
Credentialing Specialist
A company is looking for a Credentialing Specialist (Temporary - Remote). ...
Medical Staff Office Specialist III - Credentialing
Conducting initial or reappointment/re-credentialing for eligible practitioners; independently applying defined and may begin to suggest improvements to credentialing and privileging processes for all practitioners/providers, with general review; and may be maintaining documents needed for presentat...
Credentialing Specialist - Physicians 24-00802
You will be responsible for managing the entire credentialing process, from collecting and verifying provider credentials to payor enrollment, maintaining accurate records and coordinating with various internal and external entities. Process and manage all aspects of credentialing for healthcare pro...
Credentialing Specialist II
The Credentialing Specialist II is responsible for managing their workload, addressing all functions for initial and re-credentialing of Health Delivery Organizations (HDOs) and initial and re-credentialing of applicants in accordance with departmental policies and procedures, National Committee for...
Medical Staff Office Specialist III - Credentialing - West LA
Conducting initial or reappointment/re-credentialing for eligible practitioners; independently applying defined and may begin to suggest improvements to credentialing and privileging processes for all practitioners/providers, with general review; and may be maintaining documents needed for presentat...
Health System Specialist (Credentialing & Privileging)
OR, SPECIALIZED EXPERIENCE: specialized experience that is progressively responsible for analytical or administrative, or clinical management, or supervisory experience in the health care field performed in an operating health care facility or a higher organizational echelon with advisory or directi...
Credentialing Specialist
Responsible for all aspects of the credentialing and recredentialing processes for all medical providers that work in our clinics. Processing initial credentialing and re-credentialing applications. Presenting applications to facility’s Credentialing Committee. Assisting with credentialing inquiries...
Credentialing and Compliance Specialist - Los Angeles, CA
Under the supervision of the Chief People and Culture Officer (CPCO), the Credentialing & Compliance Specialist is responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process by working closely with providers and other licensed staff. Credent...
Benefits Enrollment Specialist
Are you passionate about making a difference in the lives of individuals seeking health benefits? We are looking for an experienced Benefits Enrollment Specialist to connect with patients and guide them through the enrollment process for vital public programs like ADAP, OA-HIPP, Medi-Cal, and Covere...
Credentialing Manager
A company is looking for a Credentialing Manager (FT Salaried-Remote) to oversee and optimize the credentialing process. ...