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Internal Credentialing Coordinator Remote Jobs

Credentialing Specialist - Remote | Wfh
By Get It Recruit - Healthcare inc At Plymouth, MN, United States
Communicate established provider numbers to professional billing for claims processing and clinic managers for patient scheduling.
Collaborate with the finance department to identify patient population needs and target payers for contracting purposes.
Manage each provider's Council for Affordable Quality Healthcare (CAQH) and National Provider Identifier (NPI) accounts.
Cultivate strong working relationships with providers, office managers, professional billing teams, and payer contacts.
Identify and address any credentialing red flags in collaboration with OHMG managers and directors.
Manage the credentialing and re-credentialing process for all OHMG providers based on established network schedules.
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.
Payor Credentialing Specialist (Remote)
By Ophelia At United States
Knowledge of Google Workplace/Microsoft office or other task management suites
Associates degree or equivalent combination of education and experience
National Association of Medical Staff Services (NAMSS) Certified Provider Credentialing Specialist (CPCS) certification a plus
3-5 years of working experience in a healthcare setting is required
Knowledge of multi-state/national provider credentialing and/or enrollment required
Knowledge of billing processes preferred
Credentialing Specialist (Remote) Jobs
By Mass General Brigham At , , Ma
Maintains competency on vendor database via participation in online education learning modules and monthly skills related webinars
Ability to manage demanding workload; self-motivated; able to carry out responsibilities with minimum supervision.
Performs timely and accurate scanning, data entry/entry validation of application information received in the database
Utilizes appropriate database tracking reports to ensure accuracy and thoroughness of data entry documentation.
3-5 + years of experience in credentialing services or related field
Organizational skills required to handle high data flow and to prioritize tasks in order to meet cyclical deadlines.
Credentialing Specialist - Initial (Remote Position)
By St. Joseph's Health At , Paterson, 07503, Nj

Overview St. Joseph’s Healthcare System is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding ...

Physician Credentialing Coordinator Jobs
By Imedview, Inc At , Remote $20 - $25 an hour
Re-credentialing existing and current experts
Updating resumes and CV's of physicians and experts
Consistently update resumes and CV's of physicians and experts
Adding to our national panel of experts
Recruiters & Staffing Occupations: 1 year (Preferred)
Daily tasks, but are not limited to:
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
Sr. Credentialing Specialist (Remote)
By OCHIN At , Remote $25.36 - $38.04 an hour
OCHIN is 100% remote organization. Work from home requirements are:
Maintenance of credentialing cycles, Expirables management, and Sanctions monitoring.
Preparing provider credentialing summaries and reports for OCHIN management and OCHIN Collaborative members.
We offer a comprehensive range of benefits. See our website for details: https://ochin.org/employment-openings
Maintaining current knowledge of credentialing standards and regulations to ensure compliance at a national level.
Knowledge of credentialing, privileging, and provider enrollment regulatory standards
Insurance And Credentialing Coordinator
By University of California Merced At , Merced, 95343, Ca $24.16 an hour
Prepare the billing batch in the electronic patient management system.
Ensure/maintain the service cost in the patient management system.
High school diploma and/or equivalent certification/experience/training. (Required)
1 year progressive experience and demonstrated knowledge in clinical/professional credential verification. (Preferred)
Advise clinical managers during review of credentialing files.
Perform various data entry and information retrieval tasks using a computerized patient records system.
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
Associate Credentialing Coordinator (100% Remote)
By Vanderbilt University Medical Center At , Nashville, Tn
The responsibilities listed are a general overview of the position and additional duties may be assigned.
Works proactively to resolve issues before providers and/or patients are impacted.
Performs primary source verification as applicable.
Collaborates with personnel in other departments and organizations.
Ensures appropriate documentation is maintained and that information is easily retrievable.
Discretion & Privacy (Intermediate): The ability to use and keep information confidential in a secure setting.
Associate Credentialing Coordinator (100% Remote)
By Vanderbilt University Medical Center At Nashville, TN, United States
The responsibilities listed are a general overview of the position and additional duties may be assigned.
Works proactively to resolve issues before providers and/or patients are impacted.
Performs primary source verification as applicable.
Collaborates with personnel in other departments and organizations.
Ensures appropriate documentation is maintained and that information is easily retrievable.
Discretion & Privacy (Intermediate): The ability to use and keep information confidential in a secure setting.
Credentialing Specialist (Remote) - 3 Openings
By OCHIN At , Remote $24.01 - $33.61 an hour
OCHIN is 100% remote organization. Work from home requirements are:
Maintenance of credentialing cycles, Expirables management, and Sanctions monitoring.
Preparing provider credentialing summaries and reports for OCHIN management and OCHIN Collaborative members.
We offer a comprehensive range of benefits. See our website for details: https://ochin.org/employment-openings
Maintaining current knowledge of credentialing standards and regulations to ensure compliance at a national level.
Knowledge of credentialing, privileging, and provider enrollment regulatory standards
Remote Credentialing Specialist Jobs
By Dental Care Alliance At North Port-Sarasota Area, United States
1-2 years of medical or dental credentialing experience.
Basic computer skills including Microsoft word, excel and adobe.
Prepares credentialing files for completion and presentation to the Dental Care Alliance Delegated Credentialing Committee which meets once a month.
Achieves productivity standards and accuracy via delegated audits which are conducted by our plan partners.
Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow-up.
Assists with insurance plan delegated audits.
Sr. Credentialing Coordinator - Remote | Wfh
By Get It Recruit - Healthcare At Columbia, MD, United States

We are seeking a Credentialing Coordinator to join our dynamic team! As our Credentialing Coordinator, you will play a critical role in ensuring that all internal and external providers have the ...

Credentialing Onboarding Specialist - Remote
By Thriveworks At United States
Data entry into eVIPs (credentialing database)
Associates Degree or 2 years of credentialing experience
Have the ability to manage workflow to meet deadlines.
Experience working with credentialing software, eVIPs, preferred.
Healthcare, Dental, Vision, and life insurance benefits
Correspond with stakeholders to obtain documents needed for the credentialing process
Program Coordinator Ii (Internal)
By State of South Carolina At Columbia, SC, United States

Internal Posting: Current Midlands Technical College Employees Only**

Credentialing Specialist I - Full Time - Remote
By Experity At Atlanta, GA, United States
A minimum of one year experience in health care industry
General knowledge of medical insurance, claims processing and coding a sit relates to contractual agreements
Certification in healthcare billing or medical administration
Experience with credentialing software, PECOS, CAQH, and other enrollment portals
Benefits – We love all our X-tras! What’s in it for you?
Build and maintain professional relationships with team members as well as with other departments, clients and payer representatives

Are you looking for an exciting opportunity to work remotely as an Internal Credentialing Coordinator? We are looking for a motivated individual to join our team and help us streamline our credentialing process. You will be responsible for verifying provider credentials, managing the credentialing database, and ensuring compliance with all applicable regulations. If you have excellent organizational skills and a passion for accuracy, this could be the perfect job for you!

Overview:

The Internal Credentialing Coordinator Remote is responsible for providing support to the credentialing department by managing the credentialing process for providers. This includes verifying provider credentials, maintaining provider files, and ensuring compliance with state and federal regulations. The Internal Credentialing Coordinator Remote will also be responsible for providing customer service to providers and other stakeholders.

Detailed Job Description:

The Internal Credentialing Coordinator Remote is responsible for managing the credentialing process for providers. This includes verifying provider credentials, maintaining provider files, and ensuring compliance with state and federal regulations. The Internal Credentialing Coordinator Remote will also be responsible for providing customer service to providers and other stakeholders. The Internal Credentialing Coordinator Remote will be responsible for:

• Verifying provider credentials, including licensure, education, and training
• Maintaining provider files and ensuring accuracy of information
• Ensuring compliance with state and federal regulations
• Providing customer service to providers and other stakeholders
• Assisting with the development and implementation of credentialing policies and procedures
• Assisting with the preparation of reports and other documents
• Maintaining and updating provider databases
• Assisting with the coordination of provider onboarding
• Other duties as assigned

What is Internal Credentialing Coordinator Remote Job Skills Required?

• Knowledge of credentialing processes and regulations
• Excellent customer service skills
• Strong organizational and time management skills
• Ability to work independently and as part of a team
• Excellent written and verbal communication skills
• Proficiency in Microsoft Office Suite

What is Internal Credentialing Coordinator Remote Job Qualifications?

• Bachelor’s degree in healthcare administration, business administration, or related field
• At least two years of experience in a credentialing or related role
• Knowledge of state and federal regulations related to credentialing
• Ability to work in a fast-paced environment

What is Internal Credentialing Coordinator Remote Job Knowledge?

• Knowledge of credentialing processes and regulations
• Knowledge of state and federal regulations related to credentialing
• Knowledge of healthcare administration and business administration

What is Internal Credentialing Coordinator Remote Job Experience?

• At least two years of experience in a credentialing or related role
• Experience working in a fast-paced environment

What is Internal Credentialing Coordinator Remote Job Responsibilities?

• Verifying provider credentials, including licensure, education, and training
• Maintaining provider files and ensuring accuracy of information
• Ensuring compliance with state and federal regulations
• Providing customer service to providers and other stakeholders
• Assisting with the development and