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Credentialing Analyst Jobs

Credentialing Representative 2 Jobs
By Humana At , San Antonio, 78229, Tx
Experience and knowledge in CAQH Application process
Ability to work independently in a remote environment and ability to work on a virtual team
Excellent communication skills, both verbal and written
Working knowledge of computers, or a demonstrated technical aptitude and an ability to quickly learn new systems
Associate's or Bachelor's Degree in Business, Finance or a related field
Previous experience in a dental provider setting (dental assistant or front office)
Credentialing Coordinator (Remote) Jobs
By LEARN Behavioral At Indianapolis, IN, United States
Maintain records and manage provider profiles with internal credentialing software and databases
Excellent computer skills including Excel
Detail oriented with strong organizational skills
Excellent customer service skills; communicates clearly and effectively
Gather necessary information and documentation needed for credentialing direct care staff with payors
Complete re-credentialing applications upon request from payor
Hr Credentialing Coordinator Jobs
By ScribeAmerica At United States
Demonstrate technical capability, strategic thinking, exceptional attention to detail, time management and organization, communication proficiency, leadership and teamwork
Minimum of 3 years Professional and/or Customer Service experience
Display exemplary work ethic, professionalism and interpersonal skills
Processes background checks, compliance checks, fingerprint registration, etc.
Liaises with background check vendors
Creates and maintains accounts related to the background check portion of the onboarding process
Credentialing Lead Jobs
By PsychPlus At United States
Excellent organizational and time management skills, ability to multitask, high attention to detail, and follow-up skills
Monitoring of all Clinician expirables to include: licenses, board certifications, professional liability insurance, hospital privileges, and payer revalidations
Minimum of 3 year’s experience in within a Credentialing or Payer Enrollment Coordinator
Provider Group or Health Plan experience required
Experience in healthcare credentialing across Behavioral Health specialties is strongly preferred
Ability to organize and prioritize work and manage multiple priorities simultaneously to meet deadlines
Credentialing Contractor Jobs
By hims & hers At United States
Audit and verify compliance with NCQA and state level requirements for providers to practice.
Data entry of new applications/licenses in the credentialing database.
Must demonstrate exceptional communication skills, listening effectively and asking questions when clarification is needed.
Excellent computer skills including Excel, Word, Google Suite, and Internet use.
Categorize and resolve (escalating when necessary) credentialing related support issues
Assist with organizing, maintaining, and verifying all aspects of the credentialing process while updating current files on practitioners.
Credentialing Verifier Virtual Jobs
By HCA Healthcare At Nashville, TN, United States
Education assistance (tuition, student loan, certification support, dependent scholarships)
High School graduate or GED, Associate degree or an equivalent combination of education and experience is preferred
At least 1 year of office experience including data entry, typing and computer proficiency
Family support through fertility and family building benefits with Progyny and adoption assistance.
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Notify your Manager of questionable information received or any barriers to completion
Credentialing Associate Jobs
By Competency & Credentialing Institute (CCI) At , Remote $20 an hour
Excellent written and verbal communication skills with the ability to explain
Strong analytic, problem solving, and research skills to sufficiently
The ideal candidate will have a combination of education, training and
The Credentialing Associate facilitates a positive customer experience for
experience that includes a minimum of two (2+) years working experience
Benefits Include: Medical Insurance, Dental Insurance, Paid Time Off,
Credentialing Coordinator Jobs
By MindCare Solutions At Brentwood, TN, United States
Drafts correspondence and requests for information, following departmental SOPs, regulations and compliance requirements
Experience with Credential Stream preferred but not required
2 years experience in a healthcare credentialing/licensing environment REQUIRED
Direct experience with long-term care communities is preferred
Maintains ongoing communication by phone, text, email with clinicians requiring initial and appointment and/or reappointment credentialing across all platforms
Initiates credentialing process of clinicians within 1 day of onboarding launch
Manager, Credentialing Jobs
By ArchWell Health At , Remote

ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where ...

Credentialing Coordinator - Remote
By UnitedHealth Group At , Indianapolis, 46262, In $16.00 - $27.31 an hour
Apply knowledge/skills to a range of moderately complex activities
Demonstrate great depth of knowledge/skills in own function
2+ years of recent credentialing experience in a managed care organization, IPA/Medical Group organization and which included provider database processing
High School diploma, GED, or equivalent experience
Clerical or administrative experience in a healthcare setting
Experience maintaining confidentiality while working with sensitive information
Credentialing Support Associate Jobs
By Guardian Life At United States
1-3 years credentialing experience, preferably in a managed care setting
Strong computer, data entry, and clerical skills required.
Knowledge of dental industry preferred.
Excellent interpersonal, oral, and written communication skills required.
Critical thinking, detail oriented, and strong organizational skills required.
Previous experience working with CAQH application highly desired.
Credentialing Coordinator I Jobs
By Athletico At Oak Brook, IL, United States
Knowledge of CAQH/Proview, NPPES/I&A Management System and PECOS required
Minimum 1 year of payer enrollment experience required; 2-3 years' experience preferred
Knowledge of Medicare’s enrollment process, including enrollment forms required
Detail-oriented and excellent organizational skills
Obtains all necessary credentialing information and documentation required for payer enrollment process and verifies complete standard applications for new hires
Facilitates the credentialing process of new hires to ensure accurate and timely submission of enrollment applications
Manager Credentialing - Remote
By UnitedHealth Group At , Indianapolis, 46262, In $67,800 - $133,100 a year
Oversee the tracking and maintenance of all provider data in provider data management system, ensuring high quality standards are maintained
Healthcare and Managed Care experience
Undergraduate degree or equivalent experience
4+ years credentialing/payer enrollment experience
Government and commercial payer enrollment knowledge
Demonstrated knowledge of credentialing procedures, policies, and terminology (i.e., NCQA)
Associate Director Credentialing - Remote
By UnitedHealth Group At , Secaucus, 07096, Nj $101,200 - $184,000 a year
Lead and develop a high-performing team with accountability that emphasizes people and performance management, coaching and development, and employee engagement
Leverage technology and change management to improve quality, speed to market delivery and increased cost savings
Healthcare and Managed Care experience
Proven solid analytical skills with ability to drive transformational, provider-centric change and manage long-term programs
Provide leadership to and is accountable for the performance of managers and/or senior level professional staff
Bachelor's degree or equivalent experience
Credentialing Coordinator Jobs
By Proven Recruiting At Austin, TX, United States

North Austin – 100% on-site What you'll do: In this position you will be responsible for maintaining and onboarding credentialing needs of physicians and mid-level providers. You will prepare and ...

Are you looking for an exciting opportunity to use your skills in credentialing? We are looking for a Credentialing Analyst to join our team and help us ensure that our providers are credentialed in a timely and accurate manner. You will be responsible for verifying provider credentials, maintaining provider files, and ensuring compliance with all applicable regulations. If you have a passion for accuracy and attention to detail, this could be the perfect job for you!

Overview:

A Credentialing Analyst is responsible for verifying the qualifications of healthcare professionals and ensuring they meet the standards of the organization. They review applications, verify credentials, and ensure that all documentation is accurate and up to date. They also maintain records and databases, and provide reports to management.

Detailed Job Description:

A Credentialing Analyst is responsible for verifying the qualifications of healthcare professionals and ensuring they meet the standards of the organization. They review applications, verify credentials, and ensure that all documentation is accurate and up to date. They also maintain records and databases, and provide reports to management. They must be knowledgeable of the credentialing process, and be able to interpret and apply policies and procedures. They must also be able to communicate effectively with healthcare professionals, and be able to work independently and as part of a team.

What is Credentialing Analyst Job Skills Required?

• Knowledge of the credentialing process
• Ability to interpret and apply policies and procedures
• Excellent communication skills
• Ability to work independently and as part of a team
• Attention to detail
• Organizational skills
• Computer proficiency

What is Credentialing Analyst Job Qualifications?

• Bachelor’s degree in healthcare administration, business administration, or a related field
• Previous experience in a healthcare setting
• Knowledge of healthcare regulations and standards
• Ability to work with a variety of healthcare professionals
• Ability to maintain confidentiality

What is Credentialing Analyst Job Knowledge?

• Knowledge of the credentialing process
• Knowledge of healthcare regulations and standards
• Knowledge of medical terminology
• Knowledge of healthcare databases and software

What is Credentialing Analyst Job Experience?

• Previous experience in a healthcare setting
• Previous experience in a credentialing or administrative role

What is Credentialing Analyst Job Responsibilities?

• Review applications and verify credentials
• Maintain records and databases
• Ensure all documentation is accurate and up to date
• Provide reports to management
• Communicate effectively with healthcare professionals
• Interpret and apply policies and procedures
• Maintain confidentiality of healthcare information