Strategic Credentialing Specialist CAQH & Payers
Pssc,-LL
Pssc,-LL in New York is inviting applications for an experienced credentialing specialist to support the credentialing and re-credentialing of medical providers and organizations. Candidates should be adept in utilizing the CAQH credentialing system and capable of maintaining confidentiality while adapting to changing circumstances. The role involves communication with insurance companies to ensure efficient credentialing processes, managing credentialing applications, and providing updates on credentialing statuses as necessary. #J-18808-Ljbffr
- ...nationwide. To achieve our ambitious goals, we're looking for a Payer Credentialing Specialist to join our Operations team. This role will support all... ...group or healthcare organization. Strong knowledge of CAQH, NPPES, PECOS, and insurance payer enrollment processes. Familiarity...SuggestedLocal areaRemote workWork from home
$75k
...Senior Provider Enrollment & Credentialing Specialist Location: Remote Schedule:... ...workflows, credentialing files, payer applications, revalidations,... ...when needed, and bring a strategic approach to problem-solving.... ...government payers, payer portals, CAQH, PECOS/NPPES, and other...SuggestedFull timeRemote workFlexible hours$60k - $70k
...Credentialing Specialist job at LifeMD. New York, NY. About us LifeMD is a leading... ..., credentialing, and payer contracts to maximize provider... ...insurance credentialing and the CAQH Provider System Maintain credentialing... ...Creative problem solver, strategic thinker and team player who...SuggestedTemporary 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
- ...A leading healthcare organization in New York is seeking a Credentialing Specialist to complete primary source verification and maintain compliance with payer requirements. The ideal candidate has at least 4 years of credentialing experience in a healthcare setting and...Suggested
- Trilogy Health Services seeks a Payer Services Credentialing Coordinator to join their Home Office Team in Louisville, Kentucky. In this role, you'll manage credentialing applications, maintain essential documentation, and ensure compliance with healthcare standards. A...Weekly payHome office
- ...Performance Bonus Job Position: Credentialing Specialist Essential Functions Complete primary... ...source verification for delegated payer contracts Prepare audited credentialing... ...as needed, each assigned providers CAQH profile within the 90-day timeframe...Flexible hours
- ...experienced, highly organized, and detail-oriented Provider Credentialing Specialist to join our growing team at Ezra Medical Center.... ...strong knowledge of credentialing processes, payer enrollment requirements, CAQH management, and regulatory compliance while maintaining...Full time
$70k - $90k
.... We are looking for a detail‑oriented Credentialing Specialist to own the end‑to‑end execution of our... ...providers across delegated and non‑delegated payer arrangements. Primary Source... ...maintained in accordance with NCQA standards. CAQH & System Maintenance: Serve as the...Work from homeHome officeFlexible hoursShift work- ...Credentialing Specialist - Payer Enrollment & Health Plan Experience Full-Time Contract • Remote (United States) • US Citizenship Required POSITION... ...Prepare, complete, and submit enrollment applications via CAQH ProView, PECOS, NPPES, and payer-specific platforms, managing...Full timeContract workRemote work
$50k - $60k
...Payor Enrollment, Licensing & Credentialing and is responsible for... ...The Licensing & Credentialing Specialist will ensure efficient working... ...insurance credentialing and the CAQH Provider System Obtain and... ...Creative problem solver, strategic thinker and team player who...Temporary workWork at officeFlexible hours$60k
...Title: Credentialing Specialist - Part Time Location: Varick St (Manhattan)/ Hybrid (3 days/week) Salary... ...and PRI facilities with third party payers. Maintains a working knowledge of... ...setting. Must be proficient with PECOS, CAQH, NPPES as well as the credentialing and...Part timeWork at office3 days per week$30 - $32 per hour
...City's Largest Dermatology Practice The Credentialing Specialist Lead serves as the senior subject... ...This position ensures compliance with payer and regulatory requirements while supporting... ...experience preferred. Strong knowledge of CAQH, NPPES, Medicaid, Medicare, and...Hourly pay- ...Job Description: The Medical Credentialing Specialist supports Foothills Neurology’s Billing and Finance... ...all aspects of provider credentialing, payer enrollment, contracts, and... ...certifications, malpractice insurance, and CAQH profiles. Manage expirations, renewals,...Work at office
- ...Summary We are seeking an experienced Home Care Credentialing & Provider Enrollment Specialist to manage provider credentialing and payer enrollment activities. This role ensures... .... Key Responsibilities Maintain and update CAQH ProView profiles for all providers....
- ...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...
- ...in New York. Job Overview Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers... ...the credentialing process and all internet resources (such as CAQH, NPPES, PECOS, NPDB, etc.). Ability to organize and prioritize...Full timeWork at office
- ...deserves great benefits. Responsibilities Credentialing Specialist Job Description: Competitive Pay.... ...the required governmental and commercial payer credentialing applications. Maintain internal... ...are available. Update and maintain CAQH accounts. Complete revalidation...Contract work
$56.32k - $75.26k
...Professional development and growth opportunities. Employee Referral Program. Job Summary The Credentialing Specialist is responsible for supporting the full lifecycle of payer enrollment and credentialing activities across Medicare, Medicaid, commercial, and pharmacy...Full timeTemporary workWork at officeLocal areaFlexible hours$56k - $70k
...CREDENTIALING AND PAYOR ENROLLMENT SPECIALIST page is loaded## CREDENTIALING AND PAYOR ENROLLMENT SPECIALISTlocations: 3307 Bainbridge Avenuetime type: Full... ..., DEA, board certifications etc)• Maintain and update CAQH/ ADA Attestations for all eligible providers• Manage...Work at officeShift work$27 - $38 per hour
...Summary We are seeking a detail-oriented and highly organized Credentialing Specialist to join our Brooklyn office. This role is essential in... ...required credentialing standards across multiple states and payer systems. You will manage a high volume of provider credentials...Hourly payFull timeWork at office- ...Credentialing Specialist A leading medical center in Brooklyn is looking for a detail-oriented Credentialing Specialist to own the credentialing... ...all providers Ensure timely enrollment with insurance payers to maintain billing eligibility Compliance &...
- ...Medical office seeking an experienced credentialing specialists to aid in credentialing and re-credentialing of medical providers and organizations... ...will include: Familiarity with credentialing system (CAQH) Communicate with insurance companies to assure provider credentialing...Work at office
$50k - $70k
...wellness journey. Position Summary The Provider Enrollment & Credentialing Specialist is a vital role that ensures our clinicians are fully vetted... ...e.g., Humana). Maintain and update provider profiles in the CAQH ProView database, ensuring timely re‑attestations every 120...Remote work- ...Evaluate, analyze, and coordinate all aspects of the credentialing and re-credentialing processes for practitioners practicing within the... ...liaisons, leadership, Credentialing Committee Members, insurance payers, and others as needed to provide timely responses upon request...Local areaRemote work
$80k - $90k
...you a dynamic, smart, and solutions-driven professional with a passion for communicating complex scientific ideas? Do you combine strategic thinking with an action-oriented mindset? Do you contribute to project delivery and cross-functional collaboration to move work forward...Full timeWork at officeLocal areaImmediate startRemote workShift work- ...Overview Principal Medical Writer job at ICON Strategic Solutions. Remote. ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join...Remote workFlexible hours
- TeamHEALTH is seeking a Provider Enrollment Coordinator located in the United States. The role involves managing the provider enrollment applications and ensuring timely document submissions to authorized signers. Candidates should have at least one year of experience ...Work at office
$65k - $72k
...Credentialing & Medicaid Specialist – Specialty Pharmacy $65,000–$72,000 (flexible based on experience) Fully Remote (Working EST hours) Summary... ...a Credentialing & Medicaid Specialist to support ongoing payer participation and enrollment activities. This role plays...Contract workRemote workFlexible hours- ...Rula Health is seeking a Credentialing & Enrollment Associate to enhance the accessibility of mental health care. This remote position requires... ...for providers and work closely with teams on new payer implementations. Qualified candidates will have at least 2 years...Remote work
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