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Remote Credentialing Specialist Jobs

Credentialing Specialist Jobs
By Benjamin Douglas At Miami, FL, United States
Responsible for maintaining data integrity of credentialing database
Maintains Credentialing database to ensure data accuracy
Ensure provider credentialing and re-credentialing is conducted in accordance with organizational policies and applicable government and regulatory agency standards and guidelines
Prepares agenda, documents, and minutes for the Credentialing Committee
Effectively improve operational processes to achieve maximum efficiency
Assists in the review of Credentialing policies and procedures
Credentialing Specialist 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
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 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 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 ...

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
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
Credentialing/ Operations Specialist Jobs
By Vatica Health At Alpharetta, GA, United States
Ensure that all necessary provider information, such as licensing, certifications, education, and training, is current and accurate in the credentialing system
Knowledge of payer credentialing requirements, regulations, and processes
Competitive salary based on your experience and skills – we believe the top talent deserves the top dollar
Manage the provider credentialing process with various insurance payers, including initial applications, re-credentialing, and ongoing updates
Review and analyze credentialing applications and supporting documents to determine provider eligibility and compliance with payer requirements
Maintain accurate and organized provider credentialing records in accordance with payer requirements and industry standards
Delegated Credentialing Specialist Jobs
By Grow Therapy At United States
You’re a behavioral health credentialing expert. You’ve prepped for delegated committees before, and you meet the following requirements:
Our dedication to mental health guides our culture. Wellness benefits include (but are not limited to):
Flexible working hours and location (remote OR in-office, your choice!)
In-office lunch and biweekly remote lunch on us!
You can maintain confidentiality and discretion in all communications on behalf of credentialing applicants.
You’re detail oriented. You understand the importance of strong attention to detail when scrubbing or reviewing files.
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 & Privileging Specialist Jobs
By Jackson Healthcare At United States
QUALIFICATIONS – EDUCATION, WORK EXPERIENCE, CERTIFICATIONS
Project management skills and well organized.
Manage and facilitate credentialing/privileging efforts for the organization.
Manage day to day activities to include the following:
Bachelor’s degree preferred and/or relevant work experience.
Proficient Knowledge of Microsoft Word, Excel, and Outlook.
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.