Register
Recruit Create CV

Credentialing Analyst Jobs

Ncqa Credentialing Jobs
By Randstad At United States
Conduct thorough verification and analysis of healthcare professionals' credentials, licenses, certifications, education, and work experience.
Utilize electronic systems and databases to manage and track credentialing documents and status updates.
Minimum of 3 years’ experience working for an organization with an NCQA-accredited credentialing program
Minimum of 3 years’ experience directly assisting in the completion of an NCQA credentialing accreditation/re-accreditation survey
Strong understanding of healthcare terminology, licensing regulations, and professional qualifications
Assist with completing NCQA credentialing accreditation and re-accreditation surveys.
Credentialing Assistant Jobs
By Unified Women's Healthcare At Florida, United States
Monitor and advise care centers on Licensure, DEA, Board Certification, and Malpractice Insurance expirations via Salesforce.
1 year of experience in healthcare field (Primary Source Verification, Payer, MSO office or Physician Office).
Knowledge of Salesforce is a plus.
Knowledge of Credentialing terminology is a plus.
Ability to multi-task, excellent organizational skills and planning skills required.
1 year of experience working with credentialing and/or enrollment preferred.
Credentialing Coord Ii Jobs
By One Call At Jacksonville, FL, United States
Excellent problem solving, time management, and work prioritization skills.
General Knowledge, Skills & Abilities
Must be able to successfully maintain multiple projects simultaneously, manage and meet multiple deadlines, be detail-oriented, and possess strong organizational skills.
Opportunities to work from home
Tuition Reimbursement Program including certifications
Experience with computer systems required, including web-based applications and Microsoft Office applications which include Outlook, Word, Excel, PowerPoint, and PDF
Credentialing Coord I Jobs
By One Call At Home Park, FL, United States
Excellent problem solving, time management, and work prioritization skills.
General Knowledge, Skills & Abilities
Manage and maintain continuing medical education records for practitioners/providers.
Must be able to successfully maintain multiple projects simultaneously, manage and meet multiple deadlines, be detail-oriented, and possess strong organizational skills.
Clerical office, data entry, e-filing, and customer interfacing/communication experience required (preferably in a healthcare setting).
Opportunities to work from home
Credentialing Jobs
By Hire Writing, LLC At United States
REMOTE | Base: $23-$26/hour + Full Benefits (medical, dental, vision, and PTO)
Manage documentation uploads critical to a client ‘activation’ in the system e.g. w-9s and licenses
Bonus: billing, coding, auditing, appeals, and medical records experience
Excellent interpersonal skills and strong communication
Enter pertinent information as a new record for each client account
Identify, retrieve, upload, and secure any documents missing from a client record
Credentialing Data Analyst Jobs
By Ohm Systems, Inc. At Baton Rouge, LA, United States
Location: Baton Rouge, Louisiana 70810 (Remote)
·Assist managers with process improvement as necessary.
·Assist managers with project planning related to contracting and credentialing workflow processes.
·Excellent written and verbal skills.
·EXCELLENT WRITTEN AND VERBAL COMMUNICATION SKILLS
·Serving as the point of contact regarding submitted application for Corporate Credentialing.
Credentialing Coord Sr Jobs
By One Call At Jacksonville, FL, United States
Typically requires a minimum of 3 years of experience performing hands on Credentialing Cycle Management experience.
Excellent problem solving, time management, and work prioritization skills.
General Knowledge, Skills & Abilities
Manage and maintain continuing medical education records for practitioners/providers.
Must be able to successfully maintain multiple projects simultaneously, manage and meet multiple deadlines, be detail-oriented, and possess strong organizational skills.
Clerical office, data entry, e-filing, and customer interfacing/communication experience required (preferably in a healthcare setting).
Manager Delegated Credentialing Jobs
By One Call At Jacksonville, FL, United States
Educational, Certification And Experience Requirements
2+ years Delegated Credentialing experience (in a Healthcare Organization or hospital credentialing setting) with at least 2 years Credentialing Management experience
Certification by the National Association Medical Staff Services (NAMSS) as a Certified Professional in Medical Services Management (CPMSM), or Certified Provider
General Knowledge, Skills & Abilities
Maintain working knowledge of regulatory credentialing requirements.
Collaborate effectively with key internal and external stakeholders, including clients, compliance/legal, account management/client success, and other matrix partners, as applicable.
Credentialing Manager 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 Coordinator Jobs
By hims & hers At United States
Manage, resolve, or escalate credentialing related support issues through ZenDesk. Identifying common themes and developing processes to improve the provider experience.
Audit and verify compliance with NCQA and state level requirements for providers to practice.
Must demonstrate exceptional communication skills - both written and verbal, listening effectively and asking questions when clarification is needed.
Excellent computer skills including Excel, Word, Google Suite, and Internet use.
Mental health & wellness benefits
Own agreement workflows with all contracted providers ensuring new applications/licenses are recorded accurately in the credentialing database.
Credentialing Manager Jobs
By Mindful Care At West Hempstead, NY, United States
Certification in credentialing or healthcare quality management (e.g., CPCS, CPMSM) is a plus
Strong knowledge of credentialing standards, regulations, and best practices, including delegated credentialing requirements
Manage the end-to-end credentialing process for all behavioral health providers, including physicians, advanced practice providers (APPs), therapists, and other clinical staff
Collaborate with internal departments and external organizations to obtain and verify provider credentials, licenses, certifications, and insurance information
Maintain accurate and up-to-date provider files, ensuring compliance with all regulatory requirements and accreditation standards
Conduct thorough background checks and primary source verifications for all providers, including education, training, work history, malpractice claims, and professional references
Credentialing Associate Jobs
By AbleTo Inc. At United States
Producing management reports regarding status of therapist community
Data entry into multiple platforms
Bachelor’s degree or equivalent work experience preferred
Excellent written and verbal communication skills
Tracking expirable documents such as licenses and malpractice insurance and working with therapists to obtain updated documents
Preparing notification letters and sending to therapists based on determinations made by the team
Credentialing Coordinator Jobs
By Diverse Lynx At New York City Metropolitan Area, United States

Purpose of Position: Metroplus Health Plan is seeking an individual to join our Provider Services team in the capacity of Credentialing Coordinator. The responsibilities of this position include but ...

Credentialing Coordinator Jobs
By Palm Health Resources At Miami-Fort Lauderdale Area, United States
Strong Microsoft Office skills and experience with a CRM/ATS database.
2 + years’ experience with medical credentialing processes.
Excellent interpersonal, written, verbal and presentation skills with the ability to communicate and discuss information in a professional and sensitive manner.
Strong organizational, critical thinking and problem-solving skills.
Detail-oriented with solid follow up skills.
This is a 100% REMOTE full-time position.
Credentialing & Enrollment Liaison Jobs
By Privia Health At United States
Follows guidelines in alignment with all health plan requirements as related to the provider certification and credentialing.
Must be able to function independently, possess demonstrated flexibility in multiple project management
Works with care centers to obtain updates to licenses, certifications, and certificates of insurance and ensures timely renewal for the same.
2+ years healthcare experience working with providers and care center staff
Demonstrated skills in problem solving and analysis and resolution
High level of attention to detail with exceptional organizational skills
Credentialing Support Analyst - Part-Time- Remote
By Verisys At United States
Provider healthcare enrollment materials management
Data entry of provider demographic and enrollment data
Strong work ethic and self-starter, able to effectively manage multiple priorities simultaneously and adapt to change within a fast-paced business environment
Detail-oriented and able to independently manage a variety of projects and tasks simultaneously to meet the organization's business objectives.
Call center requests and triage
Document labeling, indexing, research, and routing
Credentialing Support Tech Jobs
By State of Michigan At , Lansing, Mi Up to $200,000 a year
The Michigan Department of Education (MDE
Alternative and Remote Work Schedules:
Resume (entered or attached to the job posting)
Official copy of transcripts (when necessary)
The Office of Educator Excellence
15 and 35 personal days
Credentialing Coord Sr Jobs
By One Call At , $22.45 - $33.70 an hour
Typically requires a minimum of 3 years of experience performing hands on Credentialing Cycle Management experience.
Excellent problem solving, time management, and work prioritization skills.
GENERAL KNOWLEDGE, SKILLS & ABILITIES:
Manage and maintain continuing medical education records for practitioners/providers.
Must be able to successfully maintain multiple projects simultaneously, manage and meet multiple deadlines, be detail-oriented, and possess strong organizational skills.
Clerical office, data entry, e-filing, and customer interfacing/communication experience required (preferably in a healthcare setting).
Credentialing Coordinator (Remote) Jobs
By LEARN Behavioral At Greater Indianapolis, 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
Credentialing Analyst-Junior Jobs
By Equifax At , Atlanta, 30309, Ga
Previous experience in a production environment (non-call center).
Proficient PC skills, including MS Office products and internet search engines.
Experience with WinZip and moving/saving electronic files.
Perform daily investigative functions related to the verification of existing Equifax customers.
Review and analyze current client data based upon established guidelines.
Acquire, review, document and save all information obtained from the investigation.

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