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
- Credentialing Specialist Butterfly Effects - Headquarters in Deerfield... ...re-credentialing of providers and maintains provider credentialing files. If you are ready to... ...according to contractual CAQH and payor standards.... ...manages providers CAQH ProView profiles to ensure data...SuggestedFull timeWork at office
- ...Location: Boca Raton, FL 33487 Position: Credentialing Specialist Company: Senior Care Solutions... ...Medicare, state, and agency standards before providing patient care. Position Summary The... ...accurate employee credential and compliance files. Communicate regularly with new hires...SuggestedFull timeWork at office
- ...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...SuggestedContract work
$21.24 - $26.97 per hour
...Credentialing Specialist The Credentialing Specialist 2 supports the credentialing and/or recredentialing processes for applicants and members... ..., thereby ensuring that only qualified practitioners provide care within BHSF. In collaboration with each Medical Staff...SuggestedWork at office- Senior Care Solutions is seeking an Onboarding & Credentialing Specialist in Boca Raton, FL to support our Human Resources team. You will manage... ...HR, and Clinical Leadership to schedule training and maintain credential files. #J-18808-Ljbffr Senior Care Solutions Group
- Baptist Health Medical Group in Boca Raton is seeking a Credentialing Specialist to support credentialing and recredentialing for the Medical Staff... ...and regulatory standards to ensure qualified practitioners provide care. The Credentialing Specialist 2 will verify...
- ...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
- Robertson, Anschutz, Schneid, Crane & Partners, PLLC seeks an organized E-Filing & Compliance Specialist to support our Florida foreclosure practice. The role ensures court filings follow Florida rules, are accurate and timely, with attention to detail in a fast-paced...
$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$30 per hour
...to support the customer product claims. Maintain regulatory files for each ingredient (TDS, SDS, Cof A, ingredient breakdown, Impurities... ...UK and Canada. Join Yoh's extensive talent community that will provide you with access to Yoh's vast network of opportunities and gain...Contract work- Senior Care Solutions, a Medicare-certified home health agency serving South Florida, seeks an Onboarding & Credentialing Specialist in Boca Raton. The role ensures clinicians complete onboarding requirements and maintain Medicare, state, and agency compliance before patient...
- Sage Dental Management is seeking a Delegated Credentialing Specialist (Remote) to join our team. You will organize, maintain, and verify delegated credentialing for General and Specialty Dentists, ensuring NCQA compliance. The role requires sharp attention to detail,...Remote job
- ...requirements.Manage all SEC reporting. Prepare, review, coordinate, and file required SEC reports related to outstanding public... ...our recruiting events, please notify us at least 72 hours prior so that we may provide assistance. #J-18808-Ljbffr JM Family EnterprisesContract workWork at officeLocal area
- ...Patient Contact Center. Works closely with the management team to provide support to ensure departmental service levels are achieved.... ...InContact, Salesforce and voiceshot.com. Manages voice shot sound files, scheduling and distribution for all areas as needed. Communicates...Work experience placementWork at officeFlexible hoursShift work
- ...Specialist, Admissions & Registration Under limited supervision, the purpose of the job... ...for managing, expediting and maintaining files, records and other documents, and ensuring... ...Petition for Residency documents. Provides quality customer service to students in...Work at office
- ...Leasing Specialist Are you someone who loves the thrill of closing a sale, while offering... ...to each guest, closing leases while providing best-in-class customer service to current... ...such as reporting, maintaining leasing files, updating resident databases, and processing...Work at officeLocal area
$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- ...Acquisition Manager Senior Compensation Specialist COMPANY DESCRIPTION: Titan America LLC,... ...Partners, Talent Acquisition, and Finance to provide compensation guidance, market data... ...etc. Support SEC reporting and compliance filings. Lead administration for the company’s equity...Full timeRemote work
- ...Time Office Assistant at the City of Boca Raton's Pension Office provides administrative and clerical support to ensure daily operations... ...will answer inquiries, prepare reports, maintain confidential files, and help with filing systems and inventories; strong organizational...Part timeWork at office
- Authorizations Specialist Butterfly Effects - Headquarters in Deerfield Beach... ...Butterfly Effects is seeking a Credentialing Specialist to join our corporate... ...and re-credentialing of providers and maintains provider credentialing files. If you are ready to join a bright...Full timeWork at office
- ...damages. POSITION SUMMARY The Reduction Specialist will verify and organize medical bills... ...Communicate 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
- ...reliable and hardworking Safety Compliance Specialist to join our family. As a Team Partner... ...with UniFirst First Aid + Safety we provide a variety of shifts. Our standard is a... ...instructor in CPR/AED/First Aid and BLS. Credentialing as required by state law for course to...Hourly payWork at officeImmediate startShift work2 days per week
- ...Regulatory Inquiries, Exams & Responses Customer Complaints, Incidents & 4530 Reporting Arbitration, Disputes & Disclosure Filings Licensing, Registration & Onboarding Controls Compliance Training & Continuing Education (CE) Regulator & Internal Stakeholder...
$24.16 per hour
...Knowledge of code compliance policies and regulations Skill in Microsoft Office products (Word, Outlook, and Excel) Skill in providing good customer service Ability to read and understand building codes Ability to read maps and plans Ability to multi-task...Hourly payFull timeTemporary workWork experience placementLive inWork at officeMonday to ThursdayShift workRotating shift- ...Summary: The Compliance Specialist supports enterprise-wide compliance initiatives by monitoring adherence to company policies, regulatory... ...and remediation efforts. Compliance Advisory & Training Provide guidance to business stakeholders regarding compliance requirements...
- ...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
$55k - $70k
...health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $55,000 - $70,000 a year -... ...the direct liaison between facility clinical teams, insurance providers, and the billing department, ensuring seamless communication,...Full timeWork at officeRemote work- ...Analyst. This position will help manage compliance operations. This company has an amazing reputation and is rapidly growing. They also provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any...
$175k - $200k
...Spanish) 2 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. This range is provided by Ascendo Resources. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay...Full timeWork at office
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