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
Provider Enroll & Credentialing Support Specialist (Dentaquest) Remote
By DentaQuest At United States
Verify potential and existing provider’s licensure, NPI, insurance, CDS, DEA certificate, education, hospital privileges, board certification.
Monitors and reports provider complaints and utilization management reports.
Assist management in the implementation of department process improvements.
Assist with the ongoing NCQA certification activities.
1 year job related experience
Previous experience working with files or the collection and coordination of data preferred.
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 ...