Hospital And Facility Credentialing Specialist
By River Region Psychiatry Associates LLC At United States
Investigate candidates’ prior education, experience, and training to see if they qualify for a certain certificate.
A minimum of 2 years of Hospital credentialing experience.
Knowledge of medical credentialing procedures.
Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS).
Excellent communication and organizational skills. Proficient in MS Word and Excel.
Examine resumes, transcripts, and letters of recommendation to ascertain a candidate’s suitability for a position.
Credentialing Specialist | Remote Jobs
By Sandstone Care At Denver, CO, United States
Familiarity with payer portals and CAQH management
At least 2-3 years of experience in the field
A solid knowledge of HIPAA standards of operations and how to protect the privacy and security of health information
Continued Education Expanding your professional development.
We celebrate our team achievements and acknowledge individual contributions.
Proven aptitude for collaboration inside and outside of the department
Ncqa Credentialing Specialist Jobs
By Randstad At United States
Conduct thorough verification and analysis of healthcare professionals' credentials, licenses, certifications, education, and work experience.
Have a working knowledge of NCQA credentialing standards
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 completing an NCQA credentialing accreditation/re-accreditation survey
Strong understanding of healthcare terminology, licensing regulations, and professional qualifications
Ncqa Credentialing Specialist Jobs
By Randstad USA At Cornelius, NC, United States
Conduct thorough verification and analysis of healthcare professionals' credentials, licenses, certifications, education, and work experience.
Have a working knowledge of NCQA credentialing standards
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
Dental Specialist Jobs
By MATRIX Resources At California, United States
Strong organizational/time management skills and multi-tasking abilities.
Customer service, conflict management and dispute resolution skills.
Required Skills:A Bachelor's degree or equivalent education
Responsibilities:Process and/or adjudicate claims or treatment authorization requests that require professional review; review supporting documentation and adjudicate by applying dental standards.
A minimum of 10+ years clinical experience
Special training and/or professional certificates may be substituted for experience.
Technical Specialist & Scheme Manager - Orthopaedic & Dental
By BSI At , $113,500 - $146,850 a year
Awareness of certification business processes, the application of quality management standards, and audits
Delivering Medical Device CE Marking and ISO 13845 scheme management
Deliver technical reviews, scheme management and QMS assessment in support of the CE marking schemes
Ensuring appropriate qualification of external experts whose services may be required in the BSI CE certification process
To conduct quotation reviews, contract reviews, process applications, and compile certification decisions under the CE and ISO 13485 certification schemes
Ensure certificates reflect the scheme and clients requirements, in order that the integrity of the scheme is consistently maintained.
Credentialing Specialist (Central Verification Office)
By Henry Ford Health At , Detroit
Performs other duties as required which are subject to change at the discretion of management.
One (1) year of credentialing, provider enrollment, or background/verification specialist experience required.
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Henry
Senior Credentialing Specialist Jobs
By symplr At United States
Strong interpersonal skills-works well with a team
Strong oral and written communication skills
Bachelor's Degree and/or equivalent work experience
3 plus years of experience in medical credentialing
Strong knowledge of industry standards, to include but not limited to: TJC, NCQA, AAAHC and DNV
Strong knowledge of the Microsoft office suite to include Excel
Credentialing Specialist Jobs
By Rendr At New York City Metropolitan Area, United States
· Excellent time management and organizational skills
· Maintain working knowledge and ensure compliance with all payer requirements for documentation and credentialing standards
· Perform other duties and special projects as requested by Credentialing Manager
· 4+ years related credentialing experience in a healthcare setting
· Ability to manage competing priorities
· Strong interpersonal skills with ability to work effectively with clinical leadership and site operations
Credentialing Specialist Jobs
By ENDEAVORS At , San Antonio, 78249, Tx

JOB PURPOSE: The Credentialing Specialists will ensure that clinical staff members maintain current credentials and licenses to practice according to their certifying or licensing board for ...

Credentialing Specialist Jobs
By Fjord Ventures/Prelude DX At California, United States
Ability to prioritize work, multi-task and time management skills.
Excellent troubleshooting and time management skills, attention to detail, utilizes time in constructive manner
Problem solving skills, using good judgment, attention to detail and follow-through are a must.
Excellent customer service skills ; excellent verbal and written communication skills.
Understanding of State Medicaid Policies and Guidelines (i.e. claim timely filing, authorization requirements)
Understanding of Managed Care Organizations (MCOs) in relation to State Medicaids.
Remote Credentialing Specialist Jobs
By Guidehouse At District of Columbia, United States
Detailed oriented with demonstrated accuracy, organizational and time management skills
Strong verbal and written communication skills to effectively communicate with staff and client
Problem solving and critical thinking skills
Monitor and ensure compliance with company and client standards
Strong understanding of credentialing software software/systems used
Updating of spreadsheets, monitoring outstanding items for each client, and providing updates to leadership, client, and team
Dental Records Specialist Jobs
By Enable Dental At Austin, TX, United States
Computer Skills: An individual should have an intermediate knowledge of dental practice management software and Microsoft office and internet software.
Strong organizational and communicative skills required.
Dental front desk or dental assisting experience a plus.
Strong computer skills; use with Microsoft platform.
Obtain patient medical face sheets and medication history from applicable facilities and or patients or their advocates.
Entry of consent forms into applicable software from all locations with accuracy.
Credentialing Specialist Jobs
By IMA Medical Group At Orlando, FL, United States

Hiring for primary care provider group, must have strong CAQH and Medicare experience, along with excellent research and data base management skills.

Dental Acquisitions Specialist Jobs
By Sage Dental At Boca Raton, FL, United States
Associates Degree, certification, Dental related experience
Operational experience within a dental office, four years + preferred(Office manager, Assistant Office Manager).
Provide onsite and remote clinic support throughout assignment, pre & post-close through systems conversion, practice stabilization, and hand-off to DMO.
Provide training and development support to ensure all practice staff demonstrate knowledge of the business model, operating procedures, and protocols.
Knowledge of Dentrix, SoftDent, Eaglesoft, Open Dental, and others a plus
Experience coaching and developing others.
Healthcare Credentialing Specialist Jobs
By Ansible Government Solutions At United States
Highly organized and strong time management skills.
Must have a minimum of 5 years of credentialing experience.
Highly developed oral and written communication skills.
Coordinates and reviews provider files for completeness, accuracy, and compliance with federal, state, and facility regulations, guidelines, policies, and standards.
Monitors provider files to ensure completeness and accuracy.
Conducts research on updated state and federal regulations and policies.
Administrative Contracting/Credentialing Specialist
By My Senior Health Plan At Nashville, TN, United States
AHIP, Carrier Certification, and Continuing Education monitoring/tracking for internal and external team.
Ensuring all internal Representatives and Agencies have completed certifications yearly.
Assisting external Agents with certifications and follow up to ensure completion.
Bachelor's degree or 5 years of administrative/clerical and/or credentialing and contracting experience
Initiative to take on additional responsibilities
Competitive base pay based on experience, and bonuses
Credentialing Specialist Jobs
By Variantyx At Framingham, MA, United States
Process and file applications with third party payors according to each payor’s individual requirements and addresses/corrects discrepancies as requested by payors.
Enroll provider in Medicare/Medicaid as prescribed by each program requirements.
Manage and/or facilitate internal and external credentialing projects as necessary.
Certified Provider Credentialing Specialist (CPCS) desired or 6 or more years of on the job Provider Enrollment experience.
Ability to maintain a high level of attention to detail and follow up skills.
Proficient in Microsoft Office Suite and general working knowledge of Internet for business use.
Dental Billing Specialist Jobs
By Insight Global At North Carolina, United States
Experience in or aptitude to learn about Accounts Receivable, Revenue Cycle, Billing
Experience with Dental Billing, commercial insurance or Medicaid
Completed HS diploma, Associate’s or Bachelor’s degree
Ability to learn new systems and software quickly
Proficiency with dental or medical software, Dentrix or EagleSoft is preferred
Lead Credentialing Specialist Jobs
By RLDatix At Indiana, United States
Proven time management skills, especially with demanding and recurring deadlines.
Active management of work ques, new & recurring deadline along with working in-process applications through completion
A generous & inclusive benefits package
Minimum 1 year working experience with healthcare credentialing systems – Verity, MDStaff, MSOW, Verge, Catus, Echo, etc.
Experience of professional communications with providers, practitioners, and medical staff office (i.e., in system, via phone and email)
Reviewing and processing provider applications with regulatory and client defined timelines while evaluating for accuracy & completeness.

Are you looking for a job that will give you the opportunity to make a real difference in the dental industry? We are looking for a Dental Credentialing Specialist to join our team and help us ensure that our dental providers are properly credentialed and compliant with all applicable regulations. If you have a passion for the dental industry and a keen eye for detail, this could be the perfect job for you!

Overview:

A Dental Credentialing Specialist is responsible for ensuring that all dental providers are properly credentialed and in compliance with all applicable laws and regulations. They are responsible for verifying the credentials of dentists, hygienists, and other dental professionals, and ensuring that all paperwork is completed accurately and in a timely manner.

Detailed Job Description:

A Dental Credentialing Specialist is responsible for verifying the credentials of dentists, hygienists, and other dental professionals. This includes verifying educational background, licensure, and any other relevant qualifications. The Dental Credentialing Specialist is also responsible for ensuring that all paperwork is completed accurately and in a timely manner. They must also ensure that all providers are in compliance with all applicable laws and regulations.

What is Dental Credentialing Specialist Job Skills Required?

• Knowledge of dental credentialing processes and procedures
• Excellent organizational and communication skills
• Ability to work independently and as part of a team
• Ability to multitask and prioritize tasks
• Attention to detail
• Proficiency in Microsoft Office Suite

What is Dental Credentialing Specialist Job Qualifications?

• Bachelor’s degree in healthcare administration, business administration, or related field
• At least two years of experience in a healthcare setting
• Knowledge of dental credentialing processes and procedures
• Knowledge of applicable laws and regulations

What is Dental Credentialing Specialist Job Knowledge?

• Knowledge of dental credentialing processes and procedures
• Knowledge of applicable laws and regulations
• Knowledge of healthcare administration and business administration

What is Dental Credentialing Specialist Job Experience?

• At least two years of experience in a healthcare setting
• Experience in dental credentialing
• Experience in healthcare administration and business administration

What is Dental Credentialing Specialist Job Responsibilities?

• Verify the credentials of dentists, hygienists, and other dental professionals
• Ensure that all paperwork is completed accurately and in a timely manner
• Ensure that all providers are in compliance with all applicable laws and regulations
• Maintain accurate records and databases
• Monitor and update credentialing information as needed
• Assist with other administrative tasks as needed