Provider Credentialing Specialist
Highmark Health
Highmark Health seeks a Credentialing Specialist to process provider applications and re-applications, maintain the provider database, and communicate credentialing status to providers by phone and mail. The role includes credentialing, re-credentialing, and related verification activities for group practices as applicable. Responsibilities include training credentialing staff, generating monthly reports, supporting audits, and ensuring compliance with HIPAA and privacy policies. #J-18808-Ljbffr
$46.75k - $63.25k
...Provider Credentialing Specialist Job ID Number RQ228290 Category Project/Program Management Employment Type Full Time Business Unit GDIT Responsibilities for this Position Location: Any Location / Remote Full Part/Time: Full time Job Req: RQ228290 Type of Requisition:...SuggestedHourly payFull timeTemporary workPart timeImmediate startRemote workWork from homeWorldwideFlexible hours- ...St. Luke's University Health Network is seeking a Provider Enrollment Specialist to submit initial and renewal enrollment applications to third... ...licenses, board certifications, and memberships, along with credentialing updates and fee processing. Responsibilities include...Suggested
- West Virginia University Health System in Bridgeport, WV seeks a credentialing specialist to manage economic credentialing and enrollment for providers and facilities, ensuring active status with payers and governmental plans. You will collaborate with leadership to maintain...Suggested
- ...Credentialing Specialist A leading medical center in Brooklyn is looking for a detail-oriented Credentialing Specialist to own the credentialing... ...start to finish. In this role, you'll ensure that all providers are properly credentialed so the organization can bill...Suggested
- ...HQ Travel Requirement: YES, nationwide to support onsite credentialing operations as mission needs require. Security Clearance Required... ...CONTRACT Duties & Responsibilities Credentialing Specialists will provide credentialing service and support to operate IRS credentialing...SuggestedFull timeContract workTemporary workFor contractorsLocal areaRelocationShift workNight shiftWeekend work
- ...Role & responsibilities Track and follow up with providers for timely return of all required credentialing documents and applications Assist in synchronization of data among multiple systems Maintain credentialing database and ensure up-to-date tracking of application...Work experience placementMonday to FridayShift workNight shift
$19.76 - $26.85 per hour
...Credentialing Specialist Requisition ID: req37990 Working Title: Credentialing Specialist Position Grade: 10 Within the UNM Health SystemCentralized... ...practicing within the UNM Health Systemclinical entities. Provides integral support to healthcare operations by enabling...Hourly payFull timeWork at officeRemote work- ...Arrangement: Hybrid - 3 Days in Office, 2 Days Remote Golden Steps ABA is seeking an organized and detail-oriented Credentialing Specialist to manage provider credentialing and payer enrollment across our growing, multi-state organization. This role helps ensure our...Work at officeRemote work
- ...patient-centered care. Overview Sage is looking for a Delegated Credentialing Specialist (Remote) to join our team! The Delegated Credentialing... ...procedures. Responsibilities Adhere to NCQA guidelines. Audit Provider Licensure Files to NCQA guidelines. Pull Monthly Delegated...Work at officeRemote work
- ...supervision of the MSO Manager of the area, responsible for credentialing and recredentialing practitioners as well as enrollment with... ...Professional staff, Other Health Professional staff, and delegated providers, ensuring compliance with regulatory bodies (Joint Commission...Flexible hours
- ...for an accommodation or an alternative application process. CREDENTIALING SPECIALIST RFT Memphis, TN, US 18 days ago Requisition ID: 1818 About... ...Services Since 1995, Christ Community Health Services (CCHS) has provided high-quality healthcare to the underserved in the context...Work at office
$21 - $24 per hour
...Credentialing Specialist Apply Now! Back to search Location: Forest Hills, NY Department: Credentialing Posted: 9/9/2026 Location... ...running smoothly? Does partnering with healthcare providers and supporting a compliance process energize you? Want to...Hourly payFull timeTemporary workWork at officeLocal areaMonday to FridayShift work- ...Description We are seeking a detail-oriented Credentialing Specialist to join our healthcare team, focusing on orthopaedic provider credentialing. This remote position plays a crucial role in maintaining the highest standards of patient care and regulatory compliance...Remote work
- ...-paced environment and enjoys navigating the complexities of insurance enrollment and provider credentialing? We are seeking a highly organized and motivated Credentialing Specialist to join our growing team in Middletown, PA. In this critical role, you will be responsible...
- ...The Credentialing Specialist (CS) supports our pediatric practice clients by managing the enrollment of new providers with payors. In this role, you will serve as a vital internal resource for our billing team, addressing all credentialing-related matters to ensure seamless...Temporary workWork at officeLocal areaRemote work
- ## Credentialing Specialist IIApply: Remote, USA: Full time: Posted 6 Days Ago: JR1390# **Join us for an exciting career with the leading provider of supplemental benefits!**O**ur Promise**Through skill-building, leadership development and philanthropic opportunities, we...Hourly payFull timeLocal areaRemote workFlexible hours
- ...Job Summary and Responsibilities As our Credentialing Specialist, you will play a pivotal role in maintaining the accuracy and integrity of our healthcare provider data. You will be responsible for coordinating the end-to-end credentialing and re-credentialing process...Work from home
- ...Credentialing Specialist Full Time - Exempt Columbus, OH AndHealth is a healthcare technology company created to radically improve access and... ...payer enrollment and credentialing applications and packets. Provide comprehensive support for credentialing activities, including...Full timeTemporary workWork at office
$25.57 - $36.8 per hour
...to join our growing team as a Medical Credentialing Coordinator to support all locations. The... ...and maintain an up-to-date healthcare provider credential database. Requirements Can-do... ...Certified Provider Credentialing Specialist (CPCS) preferred Why MultiCare? Rooted...Contract workLocal areaImmediate startShift work- ...companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards,... ...with the Provider Team, Call Center Specialists and other Nations Hearing employees.... ...concerns or complaints related to the credentialing process. Effectively manage follow up calls...Flexible hours
- ...Christ Community Health Services, Inc. in Memphis, TN seeks a Credentialing Specialist to own provider credentialing, privileging, and payer enrollment. You will verify qualifications, maintain audit-ready files, and ensure timely Medicare, Medicaid, and commercial enrollment...
- ...CommonSpirit Health is seeking a Credentialing Specialist in Omaha, NE to manage the full lifecycle of provider credentialing and re-credentialing. You will ensure compliance with The Joint Commission, NCQA, URAC, and CMS, perform primary source verifications, conduct...
- ## Senior Credentialing SpecialistApplylocations: Oklahoma, United Statestime type: Full timeposted on: Posted Todayjob requisition id:... ...complete payer enrollment and facility appointment applications for providers.* Provides support and assistance for new practice setup as...
$48.15k - $64.92k
...annual skin exams and dermatologic care. We strive to provide the latest proven, proactive and comprehensive... ...employees. Purpose: Reporting to the Senior Director, Credentialing and Revenue Cycle, the Credentialing Specialist is responsible for overseeing all aspects of the...Full timeTemporary workImmediate startRemote work- ## Credentialing SpecialistApply: Albany, NY: Full time: Posted Yesterday: JR103500### **Where... ...been one of upstate New York’s largest providers of programs and services for... ...We are searching for a **Credentialing Specialist** to join our Center Health Care Team!This...Full time
$23 - $25 per hour
LHCSA Credentialing & Office Operations Specialist (Queens, NY / In-Office)FreedomCare is a healthcare company that has been dedicated to revolutionizing... ...the LHCSA office runs smoothly, remains organized, and provides a professional environment for caregivers, candidates,...Work at office- Our Healthcare client, based in Ohio, is transitioning their credentialing system from Cactus to MDStaff and is looking to hire an analyst... ...expertise The analyst must have a solid background in provider credentialing processes. This includes: Familiarity with legacy...Remote jobFull time
$25 - $27 per hour
...Description Carolina Nephrology is seeking an experienced Medical Credentialing Specialist. The ideal candidate will have extensive experience managing provider credentialing in a multi-provider healthcare environment and possess strong proficiency with Qgenda or similar...Hourly payMonday to Friday- ...CarePoint Health Management Associates is looking for a skilled credentialing professional in Hoboken, NJ. The role involves credentialing and recredentialing healthcare practitioners, ensuring compliance with regulations, and managing application processes. The ideal...
- ...Provider Enrollment Specialist page is loaded## Provider Enrollment Specialistlocations: Allentown, PA - 1110 American Parkwaytime type: Full... ...Provider Enrollment Specialist ensures that initial and re-credentialing applications for St. Luke's University Health Network (...Work at office
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