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Vendor Credentialing Specialist Jobs

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
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
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.

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.
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.
Vendor Sourcing Specialist Jobs
By Insight Global At United States

6 month contract, likely to extend

Vendor Onboarding Specialist Jobs
By Prudent Technologies and Consulting, Inc. At Irving, TX, United States
Effective time management, organization, and prioritization skills.
Prepare reports to assist management as requested.
People skills – problem solving, and experience with internal and external communication.
Data entry of case information into multiple application platforms including Icertis, and Concur
Excellent interpersonal skills, including strong diplomacy skills with the ability to build meaningful relationships.
Excellent verbal and written communication skills with attention to detail.
Vendor Onboarding Specialist (Remote)
By Dice At United States
Effective time management, organization, and prioritization skills.
Prepare reports to assist management as requested.
People skills – problem solving, and experience with internal and external communication.
Manage Vendor Onboarding notifications/tickets in Salesforce and Concur to determine and take next steps as dictated by policy and procedure.
Data entry of case information into multiple application platforms including Icertis, and Concur
Excellent interpersonal skills, including strong diplomacy skills with the ability to build meaningful relationships.
Credentialing Specialist Jobs
By LanceSoft, Inc. At Baton Rouge, LA, United States

Excellent written and verbal skills.

Proficiency in Microsoft Office, Excel and Access.

Credentialing Specialist (Remote) Jobs
By LanceSoft, Inc. At Baton Rouge, LA, United States

Excellent written and verbal skills.

Proficiency in Microsoft Office, Excel and Access.

Credentialing Specialist Jobs
By Novus Anesthesia Partners, LLC At Pensacola, FL, United States
Ensure compliance with all licensure, certification, and continuing education requirements.
Minimum of 1 year of experience in credentialing within a healthcare setting or anesthesia management company.
Coordinate and manage the credentialing and privileging processes for CRNAs and Anesthesiologists within our Anesthesia Management Company.
Associate degree in a related field or equivalent combination of education and experience.
Monitor and track expiring licenses, certifications, and other credentials, taking proactive measures for renewals.
Maintain knowledge of current industry regulations and standards related to anesthesia credentialing.