Credentialing Specialist
Virtual Vocations Inc
To support an urgent care/primary care setting, the part-time Tennessee Licensed Credentialing Specialist will manage provider credentialing processes, including obtaining and verifying credentials, ensuring compliance with billing requirements, and maintaining relationships with payors, all while working remotely. Key responsibilities: Enroll providers with necessary payors and manage contracting and revalidation processes Collect and confirm provider information for reports to accrediting and licensing agencies Coordinate with billing to address credentialing issues and maintain updated provider profiles Required qualifications: Associate Degree preferred 2+ years of credentialing experience required Experience in a medical office with claims, billing, and insurance is an asset Certified Professional Biller or Certified Professional Coder preferred Knowledge of healthcare insurance rules and RHC credentialing guidelines
$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 for Credentialing Specialist:Coordinate provider credentialing process to increase efficiency and ensure that credentialing...SuggestedWork at officeLocal areaImmediate startMonday to Friday- ...its-kind Dental Partnership Organization (DPO) founded in 2007 and based in Carrollton, TX, is actively hiring a Delegated Credentialing Specialist!The Credentialing Department is responsible for verifying the qualifications of dental providers and ensuring they are...SuggestedTemporary work
$23.85 - $28.02 per hour
...We are seeking a Credentialing Specialist! Southeast, OH Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes...SuggestedHourly payTemporary workWork at officeLocal area- ...UW Medicine is seeking a Program Operations Specialist in Credentialing to oversee credentialing and privileging operations within its Office of Medical Staff Affairs. The role emphasizes independence, leadership, and strong knowledge of credentialing regulations to support...SuggestedWork at officeRemote work
- ...A healthcare technology company is seeking a Payer Credentialing Specialist to support its Operations team. This fully remote role involves managing credentialing processes for healthcare providers and ensuring compliance with standards. The ideal candidate will have...SuggestedRemote work
- ...To support a growing operations team, the full-time Payer Credentialing Specialist will manage end-to-end credentialing processes for providers, coordinate payer enrollment applications, and maintain compliance with regulatory standards in a remote environment. Key responsibilities...Full timeRemote work
- ...Credentialing Specialist Heartbeat Health is the leading virtual-first cardiovascular care company in the country, providing patients with convenient, high-quality heart care through a combination of telemedicine, diagnostics, and virtual care programs. By leveraging...Remote work
- ...Supporting the medical licensing and credentialing processes, the full-time remote Credentialing Specialist will manage provider credentialing with insurance payors, maintain credentialing matrices, and facilitate onboarding and offboarding of providers. Key responsibilities...Full timeRemote work
- Job Posting Texas Comptroller of Public Accounts is seeking candidates for various positions. Below is a detailed job posting for one of the available roles: Job Title The specific job title is not provided in the raw HTML. Please refer to the job description for ...Work at office
- ...company dedicated to delivering personalized eye care with outstanding patient outcomes. JOB SUMMARY: The Payor Credentialing Specialist, will be responsible for ensuring our healthcare providers are accurately credentialed and compliant with payor requirements...Work at office
- ...Credentialing Specialist - CVO - 167500 At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands...Full timeRemote workMonday to FridayShift work
$40k - $55k
...Credentialing Specialist Sailor Health is on a mission to solve the mental health crisis among older adults. In the United States, older adults have the highest suicide rates of any age group yet receive the least mental health care. By 2030, over 65 million seniors...Full timeWork at officeRemote workFlexible hours- ...Credentialing SpecialistCredentialing Specialist is responsible for coordinating and managing all aspects of provider credentialing, recredentialing, privileging, and payer enrollment activities to ensure compliance with organizational policies, regulatory requirements...Full timeWork at officeAfternoon shift
- ...Provider Credentialing SpecialistWe are seeking a Provider Credentialing Specialist to become a part of our team working in the urgent care/primary care setting. Your main focus will be providing high-quality, efficient provider credentialing. You will obtain licensure...Work at officeLocal area
- ...To support managed care operations, the full-time Credentialing Specialist Florida will conduct internal file audits, manage credentialing databases, and ensure compliance with regulatory standards while working fully remote. Key responsibilities Assist with managed...Full timeWork at officeRemote work
$23.56 - $37.69 per hour
...demand for our innovative tools and services by welcoming new talent to our growing team. Position Overview: The Credentialing Specialist performs all aspects of the credentialing, privileging, and payor enrollment processes for providers under the OCHIN Collaborative...Full timeFor contractorsWork at officeRemote workWork from homeHome office- ...the Medical Staff Services Department, the full-time remote Credentialing Administrator will coordinate practitioner credentialing, privileging... ...Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred upon hire Experience with criteria-based...Full timeRemote work
- ...Location: Gainesville, FL ð FTE: Full-Time (1.0 FTE) Schedule: Monday - Friday - 8:00 am to 5:00 pmVerifies and authenticates the credentials of healthcare professionals to ensure compliance with regulatory standards. Coordinates with medical staff and external agencies...Full timeWork experience placementMonday to Friday
- ...Credentialing SpecialistResponsible for ensuring all Providers and Facilities are credentialed.Qualifications and Requirements:Educational Requirements: Bachelor's degree or equivalent experience Must be able to read, write, speak and understand EnglishExperience Requirements...Work at office
- ...To support credentialing operations, the full-time remote Credentialing Program Operations Specialist will oversee personnel activities, manage credentialing processes, and ensure compliance with regulatory standards within the Office of Medical Staff Affairs. Key Responsibilities...Full timeContract workWork at officeRemote work
- A leading staffing agency is seeking a Remote Credentialing Specialist. In this role, you will ensure timely and accurate credentialing file completions, adhere to internal SLAs, and complete primary source verifications. The ideal candidate has at least 2 years of provider...Remote work
- ...To support credentialing processes, the full-time temporary California Licensed Credentialing Specialist will manage primary source verifications, evaluate applications, and serve as a key contact for practitioner status inquiries while working remotely. Key responsibilities...Full timeTemporary workRemote work
- ...Credentialing Specialist II This is an experienced position that performs all provider credentialing verifications and credentialing support tasks. Additionally, this position is responsible for the execution of contracting documents for individual and group providers...Contract workRemote work
- ...Delegated Credentialing SpecialistSage Dental Management is a leading, rapidly growing Dental Service Organization (DSO) committed to innovation, excellence, and patient-centered care.ResponsibilitiesAdhere to NCQA guidelines.Audit Provider Licensure Files to NCQA guidelines...Work at office
- ...Job Title Coordinates the initial credentialing, privileging, and annual/bi-annual reappointment of the medical staff and allied health professional to ensure that only qualified practitioners provide care in the hospital and ambulatory care settings in accordance NBHD...
- ...Credentialing Specialist Exam Number: Y0927F Type of Recruitment: We encourage applications from anyone! When to Apply: The application filing period will begin on May 29, 2026, at 8:00 a.m., (PT) - Continuous. We will continue accepting applications until the position...Full timePart timeWork experience placementWork at officeShift workNight shiftAfternoon shift
- ...Credentialing SpecialistsCredentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through the USAccess system, and use credentialing...Temporary workFor contractorsLocal areaShift workNight shiftWeekend work
- ...Credentialing Specialist Trident Technologies and Consulting - Global, LLC (d.b.a. T2C-Global) is a Small Business Administration Certified Woman Owned Small Business specializing in providing innovative global defense services and solutions. T2C-Global is currently...Contract workLocal area
- ...Credentialing SpecialistThe Credentialing Specialist is responsible for credentialing and recredentialing all billable providers, specialties, and facilities. Obtain access to the different MCO, Medicaid, and Medicare portals for credentialing. The purpose is to credential...Work at office
- ...JOB TITLE: Credentialing Specialist FLSA STATUS (Exempt/Non-Exempt): Non-Exempt SUPERVISION RECEIVED: Reports to Credentialing Manager SUPERVISION EXERCISED: None GENERAL STATEMENT OF DUTIES Responsible for performing day-to-day credentialing, recredentialing, licensing...Work at office
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