Credentialing Specialist: CAQH ProView & Provider Files
butterflyeffects
Butterfly Effects in Deerfield Beach, FL is seeking a Credentialing Specialist to coordinate credentialing and re-credentialing of providers. This role involves managing provider files and ensuring compliance with health plan requirements. The ideal candidate will possess strong communication skills, a commitment to service excellence, and experience in healthcare credentialing. Join a passionate team dedicated to making a difference in the lives of children and families. #J-18808-Ljbffr butterflyeffects
- ...full-time employees Credentialing Specialist Butterfly Effects -... ...re-credentialing of providers and maintains provider credentialing files. If you are ready to... ...according to contractual CAQH and payor standards.... ...providers CAQH ProView profiles to ensure data...SuggestedHourly payFull timeWork at office
- Butterfly Effects is seeking a Credentialing Specialist for its corporate office in Deerfield Beach, FL. This full-time position involves coordinating... ...functions for healthcare practitioners, maintaining provider files, and ensuring compliance with payor standards. The ideal...SuggestedFull timeWork at office
- ...the long‑term loyalty of our clients, providers, and employees through our dedication... ...in the work. Now let’s get into the Credentialing Specialist role: Reviewing and processing initial... ...within 24 hours of being assigned a new file. Client - confirm if they issue...SuggestedRemote jobPermanent employmentTemporary workLocumWork at officeLocal areaImmediate start1 day per week
- The OpportunityPerform all aspects of the credentialing, re-credentialing, and privileging process of applicable medical staffMaintain CAQH, PECOS, and NPI registry for all IHTC providers as applicable.Maintain copies of current state licenses, CSR and DEA certificates,...SuggestedContract workWork experience placement
- ...Type Full-time Description Summary The Credentialing Specialist is responsible for leading, coordinating, monitoring, and maintaining... ...follow-up on outstanding verifications, ensuring timely file completion. Respond to inquiries from healthcare...SuggestedFull timeWork at office
- ...Job Description We are seeking a Credentialing Specialist to join our growing administrative team... ...will play a vital role in supporting provider onboarding and compliance, ensuring that... ...and maintain provider information in CAQH, NPPES, and payer portals Collaborate...Contract work
- NuView Health is seeking a Credentialing Specialist for a full-time, on-site position in Boca Raton, FL. This role involves managing provider credentialing and ensuring compliance with regulatory and payer requirements. The ideal candidate should have strong credentialing...Full time
- Remedial Pro LLC in Boca Raton, Florida is seeking a qualified individual to manage the credentialing and contract negotiation processes for healthcare providers. This role includes maintaining compliance with licensing and certification requirements as well as active participation...Contract work
- MPLT Healthcare in Boca Raton, FL is seeking a Credentialing Specialist to review and process applications for locum tenens providers, perform primary source verification, and ensure timely hospital privileging submissions. You will monitor credentialing progress and maintain...Locum
- ...Incidents & 4530 Reporting - Arbitration, Disputes & Disclosure Filings - Licensing, Registration & Onboarding Controls -... ...employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.
$25 - $35 per hour
...looking for an experienced Insurance Credentialing Specialist to support our outpatient physical therapy... ...clinics, outpatient rehabilitation providers, or similar healthcare practices and... ...therapy clinics Experience with CAQH, payer portals, provider enrollment, and...Remote jobContract workPart timeFor contractors- ...Description Job Description Porter is hiring a Clinical Credentialing Specialist to join our Team! Porter blends the power of... ...support tailored to their unique needs. Our expert clinicians provide in-home assessments, including lab and diagnostic testing,...Full timeWork at officeImmediate startMonday to FridayWeekend work
- ...Payment Posting Specialist Banyan Treatment Centers is seeking a detail-oriented and organized... ...to check amounts. Process EDI files (e.g., 835/837) and associated reports including... ...recognized behavioral healthcare provider with 18+ locations across the U.S. Growing...Full time
- ...an HR Coordinator in Deerfield Beach, FL. This role focuses on providing onboarding support to new employees, ensuring compliance with all... ...addressing queries from new hires, and performing audits on HR files. The ideal candidate will possess a Bachelor's degree in human...
- ...LOCUMS CREDENTIALING SPECIALIST Remote Hybrid On-Site Full-Time Palm Health Resources Join a team that values precision, collaboration... ...tenens credentialing for Physicians and Advanced Practice Providers. This role offers the opportunity to work alongside a...Full timeLocumRemote work
$22 per hour
...billing records and documentation from providers and insurers, confirm charges and balances... ..., and organize electronic case files with meticulous accuracy; throughout the... ...you as our Case Manager - Medical Records Specialist! Hard requirements (must‑haves): At least...Full timeWork at officeMonday to Friday- ...process. Bilingual (English/Spanish) Intake Specialist Full Time Boca Raton, FL, US 5 days ago... ...the client to the Firm's services and provide assistance after they agree to retain... ...regarding their claim. Process new client files for PI/First Party. Data entry of cases...Full timeWork at office
- Bilingual (English/Spanish) Reductions Specialist Full Time Boca Raton, FL, US POSITION SUMMARY... ...with Insurance companies, clients and providers on a daily basis. Create and distribute... ...and circulate reports as needed. File closure and send final payment to client...Full timeWork at office
- ...position is responsible for ensuring corporate compliance to the rules and regulations of Customs and other government agencies while providing guidance to achieve lowest landed cost for a complex and broad product line. Determine HTS (HS) codes for a wide variety of...H1bWork at officeRelocation package
- ...full-time clinical position that offers a unique opportunity to provide expert care to patients with a broad spectrum of neuromuscular... ...with a multidisciplinary team including rehabilitation specialists, neurosurgeons, and other subspecialists. \n Participate in...Full timeRelocation package
$500 per month
...scenes and keep our store moving at full speed? As the In Stock Specialist, you will serve as the store's point person for in-stock... ...Accommodation: Consistent with applicable laws, The Fresh Market will provide reasonable accommodations for qualified applicants and team...Flexible hoursAfternoon shift- ...collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and...Full timeWork experience placementWork at officeMonday to Friday
$17.5 - $20 per hour
...Inventory Management Specialist Participate in the inventory management process by managing the purchase order process and receiving... ...log. Process invoice matching exceptions in the system. Provide back-up support to inventory control specialist. Monitor and...Hourly payFull timeTemporary workPart timeFlexible hours$44.8k
...compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan,...Minimum wageFull timeContract workTemporary workWork experience placement- ...24 License. Must possess strong professional communication skills; with the ability to develop positive working relationships and provide excellent customer support for both our national and international clients. Must be team oriented and work well under pressure, capable...Full timeWork at office
- ...Job Title Registration/Charge Entry Specialist Job Description Summary/Objective... ...resources are coordinated (room, nurse, provider). Authenticate insurance eligibility... ...Healthcare Access Associate (CHAA) credential. Advanced hands-on experience navigating...Hourly payFull timePart timeWork at officeRemote workHome officeMonday to FridayWeekend work
- ...Job Description Summary ModMed is hiring two Demand Generation Specialists to join our full-funnel marketing engine, with each role... ...path for you. One specialist will support our Key Segment (1–3 providers), delivering campaigns focused on immediate ROI, time-savings,...Work at officeImmediate startRemote workFlexible hours
- ...The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional customers in a safe... ...email to ****@*****.*** or call (***) ***-**** option, and provide your requested accommodation, and position details. #J-18808-Ljbffr...Local areaImmediate startFlexible hours
- ...The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional customers in a safe... ...email to ****@*****.*** or call (***) ***-**** option, and provide your requested accommodation, and position details. #J-18808-Ljbffr...Local areaImmediate startFlexible hours
- ...Overview The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional customers in... ...email to: ****@*****.*** or call (***) ***-**** option , and provide your requested accommodation, and position details. Seniority...Full timeLocal areaImmediate startFlexible hours
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