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 Highmark Health
$46.75k - $63.25k
...Efficiency Job Qualifications: Skills: Credentialing, Healthcare Reporting, Medical Staff Credentialing... ...and Human Services (HHS). The Program provides no-cost medical monitoring and... ...IMPACT As a Provider Credentialing Specialist, the work you'll do at GDIT will be impactful...SuggestedHourly payFull timeTemporary workPart timeImmediate startRemote workWork from homeWorldwideFlexible hours$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...SuggestedHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayShift work- ...art procedures and nationally recognized specialists, all within a connected, local network... ...Manager of the area, responsible for credentialing and recredentialing practitioners as well... ...Professional staff, and delegated providers, ensuring compliance with regulatory bodies...SuggestedLocal areaFlexible hours
- ...-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...Suggested
- ...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...SuggestedFlexible hours
- ...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...
- ...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
- ...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- ...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
$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- ...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
- ...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
- ...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...Full 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
- ...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
$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- ## 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...
- 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...
- Description Job Summary: The Credentialing & Enrollment Specialist is responsible for managing end-to-end processes of verifying healthcare provider qualifications and securing network participation with insurance payers. This team member will facilitate internal and external...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$23 - $25 per hour
...LHCSA Credentialing & Office Operations Specialist (Queens, NY / In-Office) FreedomCare is a healthcare company that has been dedicated to revolutionizing... ...LHCSA office runs smoothly, remains organized, and provides a professional environment for caregivers, candidates,...Work at office- 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 candidate...
$25 - $30 per hour
...Credentialing Specialist JOB-10047630 Anticipated Start Date October 12, 2026 Location NY Type of Employment Contract Hire Employer Info Our client provides top-ranked care, dozens of inpatient and outpatient specialties, and mental...Hourly payFull timeContract workTemporary workWork at officeShift work$20 - $24 per hour
Provider Enrollment Specialist Are you interested in harnessing technology and AI to transform healthcare? At XiFin , we believe a healthier, more... ...ensuring healthcare providers are properly enrolled and credentialed with government and commercial payers to facilitate...Hourly payWork experience placementWork at office- We have a Provider Enrollment Specialist career opportunity for an experienced professional to join our team at Pediatrix Medical Group. Talented... ...Business Office. Documents assignments in the Credentialing/Provider Enrollment tracking system per the department’s...Work at officeRemote work
- ...H. Miller Company is hiring a Community Concierge & Marketing Specialist in Meridian, Idaho, to build and maintain referral relationships... ...across locations. The role focuses on outreach to healthcare providers and attorneys, coordinating marketing activities, and ensuring...Part time
- This position functions in a complex payer credentialing environment with changing health care rules, regulations and laws under the leadership... ...timely, efficient and accurate economic credentialing and provider enrollment of eligible West Virginia United Health System,...Contract workWork at officeLocal areaShift work
- POWTEC Solutions, LLC in Boston, MA is seeking a Credentialing Specialist/Registrar to support a federally funded DOL contract across multiple cities. The Registrar performs identity-proofing and enrollment activities to issue secure PIV credentials for federal employees...Contract workPart timeFor contractorsFlexible hours
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