Credentialing Specialist - Enrollments & Compliance
$20.31 - $29.53 per hourHighmark Health
A major health services provider in the United States is looking for a credentialing specialist to manage provider applications and communications. The role requires at least 3-5 years of related experience and involves processing applications, maintaining databases, and ensuring compliance with credentialing standards. Ideal candidates will have a high school diploma or GED, strong communication skills, and proficiency in Microsoft Office. This role offers a salary range of $20.31 - $29.53 per hour. #J-18808-Ljbffr Highmark Health
- ...OCHIN is a national remote employer seeking a seasoned Enrollment Specialist to manage payor enrollment and credentialing for providers within the OCHIN Collaborative and contracted partners. The role emphasizes processing credentialing applications, validating licenses...SuggestedRemote work
$50k - $70k
...wellness journey. Position Summary The Provider Enrollment & Credentialing Specialist is a vital role that ensures our clinicians are fully vetted... ...verify education, training, and work history to ensure compliance with NCQA and CMS standards. Update and maintain...SuggestedRemote work- Rula is a remote-first company dedicated to making mental health care more accessible by streamlining credentialing and enrollment for Providers. This role focuses on timely, accurate credentialing and enrollment, collaborating across teams to support new payer launches...SuggestedRemote job
- Brightside Health is a fully remote, mission-driven team transforming mental healthcare across the United States. The Credentialing & Enrollment Specialist II will manage the provider lifecycle end-to-end, handling onboarding, credentialing, enrollment, and ongoing...SuggestedRemote job
$44k - $54k
...healthcare recruiting firm is seeking a Remote Account Representative to manage provider enrollment for community clinics. This role requires experience with payer portals, credentialing, and prior work with nonprofit health providers. Candidates must be detail-oriented...SuggestedRemote job- Brooklyn-based healthcare organization is seeking a detail-oriented Provider Credentialing Specialist to manage credentialing, recredentialing, and payer enrollment, ensuring compliance and timely onboarding for providers. You will verify licenses, DEA, certifications,...
- Capital Health is seeking an Insurance Enrollment and Credentialing Coordinator to manage end-to-end credentialing and enrollment, aligning providers with payer requirements to safeguard revenue. The role emphasizes accuracy, data integrity, and cross-system coordination...Full time
- The Provider Enrollment Specialist at Infinx will coordinate participation in health insurance networks as a medical provider, monitoring... ...compliant with government and commercial payors. You will review credentialing and recredentialing data for accuracy against licensing...Remote job
$50k - $70k
A behavioral health company for seniors is searching for a Provider Enrollment & Credentialing Specialist responsible for ensuring all clinicians are fully vetted and able to deliver care. The role requires experience in provider credentialing, knowledge of Medicare guidelines...Remote job- Overview Responsible for timely and accurate submission all initial hospital credentialing and payor plan enrollment for incoming providers. Responsible for timely and accurate submission all hospital recredentialing and insurance plan reenrollment for existing providers...
- Rula Health is seeking a Credentialing & Enrollment Associate to enhance the accessibility of mental health care. This remote position requires you to ensure timely credentialing for providers and work closely with teams on new payer implementations. Qualified candidates...Remote job
- LifeMD in New York, NY is seeking a Credentialing Specialist to support medical licensing, credentialing processes, and payer contracts. You... ...skills. You will work in a fast-paced, collaborative environment with a focus on compliance and accuracy. #J-18808-Ljbffr LifeMD
$21.5 - $27 per hour
Credentialing Specialist HealthCare Support is actively seeking a Credentialing Specialist to fill an opening in Bronx, New York.Daily Responsibilities... ...solve credentialing/re-credentialing delays & issues with enrollment in a timely manner. Maintain necessary logs, lists,...Work at officeLocal areaImmediate startMonday to Friday$75k - $85k
...JOB PURPOSE: The Provider Credentialing Specialist is responsible for managing provider credentialing, payer enrollment, and network participation activities for TeamCare Medical... ..., billing, and operational systems. Compliance & Reporting Monitor upcoming...$70k - $100k
...Credentialing Specialist | Brooklyn, NY • $70,000-$100,000 About the Role A leading medical center... ...Responsibilities Credentialing & Enrollment Manage the end-to-end... ...payers to maintain billing eligibility Compliance & Accountability Monitor credentialing...$65k - $75k
...Credentialing and Licensing Specialist New York, NY Job Summary: The Credentialing and Licensing Associate is responsible for managing the... ...Conflicts of Interest), peer references, privileges, payer enrollment, primary source verification, and CAQH/FCVS profiles....Full timeLocal area- ...Duties and Responsibilities Manage the credentialing and recredentialing process for... ...outstanding items. Assist with provider enrollment, payer participation, and demographic updates... ...as requested. Maintain compliance with HIPAA, payer requirements, organizational...
- Citizant in New York, NY seeks an Enrollment Specialist to manage PIV card enrollment, appointments, and related user inquiries. You will collect... ...data and verify identities while ensuring accuracy and compliance with security protocols. The role emphasizes data privacy,...
- ...Annual Performance Bonus Job Position Credentialing Specialist Essential Functions Complete... ...Maintain working knowledge and ensure compliance with all payer requirements for documentation... ...to credentialing and provider payer enrollment Participates in Health Plan meetings...Flexible hours
- ...technology company is seeking a Payer Credentialing Specialist to support its Operations team. This... ...for healthcare providers and ensuring compliance with standards. The ideal candidate... ...with a strong understanding of payer enrollment processes and regulatory requirements...Remote job
$70k - $90k
...healthcare organization is seeking a highly organized and detail-oriented Provider Credentialing Specialist to manage credentialing, recredentialing, and payer enrollment. This role ensures compliance with regulatory and insurance requirements while supporting timely provider...Work at office- ...individuals with Autism Spectrum Disorder. Our credentialing team ensures that every provider we... ...standards of qualification and compliance. Position Overview We are seeking a Credentialing Specialist to support provider enrollment, credentialing, renewals, and compliance...
- ...seeking a highly organized and detail-oriented Credentialing Specialist to join our growing team. This role is... ...provider credentialing, recredentialing, and enrollment processes Track renewals, expirations, and compliance documentation Maintain accurate provider records...
$60k - $70k
Credentialing Specialist job at LifeMD. New York, NY. About us LifeMD is a leading digital healthcare... ...reports to the Director of Payor Enrollment, Licensing & Credentialing and is responsible... ...of healthcare regulations and compliance requirements Proficiency and ability...Temporary work- ...nationwide telehealth organization seeking a Credentialing Specialist to support our growing provider... ...end provider credentialing and payer enrollment across government and commercial... ...teams to streamline enrollment, maintain compliance, and support timely reimbursement....Remote work
- CareTalk Health is hiring a Licensing & Credentialing Specialist to manage end-to-end credentialing, licensing, and payer enrollment for a nationwide remote model. You will ensure regulatory compliance, maintain CAQH/NPPES/PECOS data, and coordinate with providers for timely...Remote job
- ...making a real difference in the health of our community. Credentialing Specialist Job Summary The Credentialing Specialist coordinates and assists... ...of confidential Medicaid applications for provider enrollment, group affiliations, and ETIN enrollment/ maintenance. Follow...
- knownwell is seeking a Payor Credentialing Specialist for a fully remote role in the United States. You will manage credentialing and enrollment for providers, maintain files, and collaborate with health plans to ensure timely, compliant onboarding of clinicians. The ideal...Remote job
- ...ambitious goals, we're looking for a Payer Credentialing Specialist to join our Operations team. This... ...and work history. Coordinate payer enrollment applications and updates to ensure... ...date credentialing files and records in compliance with internal standards and...Local areaRemote workWork from home
$24 - $25 per hour
...play a key role in ensuring providers are credentialed accurately and efficiently. If you're... ...Research and resolve credentialing and enrollment issues Maintain confidential provider... ...experience) Certified Provider Credentialing Specialist (CPCS) is a plus Job Details Location...Permanent employmentTemporary workWork experience placementWork at officeMonday to Friday
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