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
- ...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...SuggestedRemote work
$50k - $70k
...company in the United States is looking for a Provider Enrollment & Credentialing Specialist to ensure clinicians are fully vetted and licensed. This... ..., tracking enrollment applications, and maintaining compliance with healthcare standards. The ideal candidate will have...SuggestedRemote work- ...Balance Health is seeking a Credentialing and Provider Enrollment Coordinator to manage provider credentialing processes fully remote. You will ensure providers are credentialed accurately and on time while supporting seamless operations and patient access. The ideal candidate...SuggestedRemote work
$50k - $70k
...health and wellness journey. Position Summary The Provider Enrollment & Credentialing Specialist is a vital role that ensures our clinicians are fully... ...verify education, training, and work history to ensure compliance with NCQA and CMS standards Update and maintain...SuggestedRemote work$31.25 - $35 per hour
...Imagen Technologies, Inc. is seeking a Credentialing and Enrollment Specialist to manage payer enrollment processes for radiologists and other specialists. The candidate will ensure documentation accuracy and timely applications. The ideal candidate has 3+ years in payer...SuggestedHourly payRemote work$50k - $55k
TapestryHealth is looking for a Credentialing Specialist to oversee credentialing, licensing, and payer enrollment for healthcare providers. This full-time TEMP to PERM role... ...records, manage processes, and ensure compliance with all regulations. The ideal candidate has...Remote jobPermanent employmentFull timeTemporary work- Essen Medical Associates in New York is seeking a Credentialing Specialist to manage administrative functions within the Credentialing Department... ...communication skills. The position supports provider enrollment and application processing, ensuring data accuracy and timely...
$50k - $55k
TapestryHealth is seeking a part-time Credentialing Specialist responsible for managing credentialing, licensing, and payer enrollment processes for healthcare providers. This role demands meticulous attention to detail and effective collaboration with internal teams,...Part timeFlexible hours$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$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...Remote job- Altais Health Solutions is seeking a credentialing specialist to manage payer enrollment and maintain compliance with various healthcare standards. The role requires strong organizational skills and proficiency with credentialing processes, particularly for Medicare and...
- ...Essen Health Care is seeking a Credentialing Specialist to coordinate day-to-day credentialing operations across our multi-location network. You will manage confidential Medicaid applications, ETIN maintenance, and onboarding data, while ensuring timely processing and...
$22 - $27 per hour
...Expressable, Inc. is looking for a Credentialing Specialist to maintain provider files and support credentialing requirements in a fully remote... ...providers to gather accurate information and ensuring compliance with payer processes. The ideal candidate should have a high...Hourly payRemote work- ...the health of our community. Job Summary Position Title: Credentialing Specialist Job Summary: The Credentialing Specialist is responsible to... ...completion of confidential Medicaid applications for provider enrollment, group affiliations, and ETIN enrollment/ maintenance....
- ...analyze, and coordinate all aspects of the credentialing and re-credentialing processes for... ...applications for completeness, accuracy, and compliance with federal, state, local and Managed... ...impact the ability to credential and enroll practitioners; discovers and conveys...Local areaRemote work
$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...- ...Credentialing Assistant The Credentialing Assistant provides administrative and operational... ...to the Credentialing and Provider Enrollment team for Resolv Hospital clients. This... ...coordinating enrollment processes, and ensuring compliance with HIPAA regulations. The ideal...Remote work
- ...applicants will not be considered. We are seeking a highly organized, detail‑oriented, and execution‑focused Credentialing Specialist who will own provider enrollment, credentialing workflows, and payer setup for dermatology practices nationwide. This is a critical role...Work at officeRemote work
- ...Annual Performance Bonus Job Position Credentialing Specialist Essential Functions Complete primary... ...Maintain working knowledge and ensure compliance with all payer requirements for... ...to credentialing and provider payer enrollment Participates in Health Plan meetings,...Flexible hours
- ...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
- ...Credentialing Specialist Heartbeat Health is the leading virtual-first cardiovascular care company... ...end provider credentialing and payer enrollment across government and commercial payers... ...to streamline enrollment, maintain compliance, and support timely reimbursement. Responsibilities...Remote work
- ...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 work
$56k - $63k
...Overview BerryDunn is seeking a Credentialing Specialist to join our Healthcare Compliance and Credentialing Practice Area. Under the supervision of the Credentialing... ...letters, primary source verification activities, enrollment, re-enrollment, CAQH maintenance and accurately...Work at officeRemote work- Sagility Member Enrollment LLC is seeking a Credentialing Specialist to work from home in the United States. You will verify provider credentials, track applications... ...independently or in a team. Confidentiality and compliance with NCQA, CMS, and state standards are essential....Remote jobWork from home
- Vital Care Infusion Services, LLC seeks a full-time remote Credentialing Support Specialist to assist the Credentialing Team. Responsibilities include supporting enrollment and recredentialing applications and maintaining organized records. The ideal candidate will have...Remote jobFull time
$35 per hour
...About the Position The Contracting and Credentialing Specialist is responsible for managing the... ...oversees the complete process of provider enrollment, application, credentialing, through... ...activities, ensuring accuracy, timelines and compliance requirements. Monitor credentialing...Hourly payContract workPart timeFor contractorsWork experience placementWork at officeRemote work10 hours per weekFlexible hours$70k - $82.5k
...and administrative processes which support units within Global Enrollment Management and Student Success (GEMSS) and across the... ...impacts throughout NYU. As part of the Enrollment Management Compliance department, communicate and coordinate effectively and professionally...Work experience placementWork at office- ...EXCEPT Central Office Shift Time: 9:00 AM-5:00 PM Duties: The Credentialing Specialist is responsible for facilitating all aspects of provider... ...and data integrity. Responsible for interpretation and compliance with the appropriate accrediting and regulatory agencies,...Work at officeShift work
- ...Assist with credentialing and maintenance of medical staff credentials files to ensure compliance with state, federal, and accrediting agency regulations. Responsibilities... ...Qualifications CPCS (Certified Provider Credentialing Specialist certification) or CPMSM (Certified...Rotating shift
- ...Duties: The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment... ...and data integrity. Responsible for interpretation and compliance with the appropriate accrediting and regulatory agencies,...
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