Healthcare Credentialing & Compliance Specialist
CommonSpirit Health
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 background checks, generate reports, and support audits in a fast-paced healthcare admin environment. Effective communication and data accuracy are essential as you coordinate with clinics, hospitals, and medical staff offices to #J-18808-Ljbffr
$19.76 - $26.85 per hour
...Credentialing Specialist Requisition ID: req37990 Working Title: Credentialing Specialist Position... ...entities. Provides integral support to healthcare operations by enabling timely... ...clinical areas are required to be in compliance with the University's influenza vaccination...SuggestedHourly payFull timeWork at officeRemote work- ...an alternative application process. CREDENTIALING SPECIALIST RFT Memphis, TN, US 18 days ago Requisition... ...(CCHS) has provided high-quality healthcare to the underserved in the context of... ...You'll play a critical part in HRSA compliance, FTCA deeming, and site visit readiness...SuggestedWork at office
$48.15k - $64.92k
...is to educate communities and healthcare professionals about the importance... ...to the Senior Director, Credentialing and Revenue Cycle, the Credentialing Specialist is responsible for overseeing all... ...partners for assigned region. Assure compliance with all health plan...SuggestedFull timeTemporary workImmediate startRemote work- ...Health is a newly unified healthcare network serving Hudson County... ...and nationally recognized specialists, all within a connected, local... ...the area, responsible for credentialing and recredentialing... ...delegated providers, ensuring compliance with regulatory bodies (Joint...SuggestedLocal areaFlexible hours
- ...Are you a detail-oriented healthcare professional who thrives in... ...insurance enrollment and provider credentialing? We are seeking a highly... ...motivated Credentialing Specialist to join our growing team in... ...respect for confidentiality and compliance standards Ability to...Suggested
- ...Credentialing Specialist Full Time - Exempt Columbus, OH AndHealth is a healthcare technology company created to radically improve access and outcomes to specialty care.... ...internal teams and external partners to ensure compliance and uphold the highest standards of quality...Full timeTemporary workWork at office
- ...companies in America and a Healthcare Fintech provider of supplemental... ...and satisfaction. Our compliance-focused infrastructure, proprietary... ...Provider Team, Call Center Specialists and other Nations Hearing... ...complaints related to the credentialing process. Effectively manage...Flexible hours
- Our Healthcare client, based in Ohio, is transitioning their credentialing system from Cactus to MDStaff and is looking to hire an analyst that will be able to assist... ...management. Awareness of regulatory and compliance standards (e.g., HIPAA, PHI handling). Technical...Remote jobFull time
- ...in Columbus, OH is seeking a dedicated Credentialing Specialist to manage payer enrollment and credentialing processes for licensed healthcare professionals. You will collaborate... ...teams and external partners to ensure compliance, accuracy, and high-quality patient care...
$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 home care industry... ...responsible for supporting both caregiver compliance and the day-to-day administrative...Work at office$25 - $27 per hour
...Nephrology is seeking an experienced Medical Credentialing Specialist. The ideal candidate will have... ...credentialing in a multi-provider healthcare environment and possess strong proficiency... ...role in ensuring providers maintain compliance with all credentialing, privileging,...Hourly payMonday to Friday- ...Christ Community Health Services, Inc. in Memphis, TN seeks a Credentialing Specialist to own provider credentialing, privileging, and payer... ...while supporting NHSC program needs. You will manage HRSA compliance, FTCA deeming, and OSV readiness, serving as a liaison across...
- ...Credentialing Specialist A leading medical center in Brooklyn is looking for a detail-oriented Credentialing Specialist to own the credentialing... ...insurance payers to maintain billing eligibility Compliance & Accountability Monitor credentialing status and...
- ...Requirement: YES, nationwide to support onsite credentialing operations as mission needs require.... ...& Responsibilities Credentialing Specialists will provide credentialing service and... ...credentialing training and maintain compliance with PIV-II SmartID credential requirements...Full timeContract workTemporary workFor contractorsLocal areaRelocationShift workNight shiftWeekend work
- ...providers for timely return of all required credentialing documents and applications Assist in... ...specific rules and bylaws to maintain compliance Display in depth knowledge of and... ...candidate profile Strong knowledge of the US healthcare landscape Basic medical billing and...Work experience placementMonday to FridayShift workNight shift
- ...Golden Steps ABA is seeking an organized and detail-oriented Credentialing Specialist to manage provider credentialing and payer enrollment... ...unnecessary delays. The ideal candidate has experience with healthcare credentialing, Medicaid and commercial payer enrollment, CAQH...Work at officeRemote work
- ...patient-centered care. Overview Sage is looking for a Delegated Credentialing Specialist (Remote) to join our team! The Delegated Credentialing... ...School Diploma required. Minimum 2-3 years’ experience in Healthcare Credentialing, Dental preferred. Excellent verbal and...Work at officeRemote work
- ## Senior Credentialing SpecialistApplylocations: Oklahoma, United Statestime type: Full timeposted on: Posted Todayjob requisition id:... ...years of college completed.* Minimum 3 years of experience in healthcare administration, credentialing, and provider enrollment (governmental...
$21 - $24 per hour
...Credentialing Specialist Apply Now! Back to search Location: Forest Hills, NY Department: Credentialing Posted... ...running smoothly? Does partnering with healthcare providers and supporting a compliance process energize you? Want to work for a company...Hourly payFull timeTemporary workWork at officeLocal areaMonday to FridayShift work- ...Highmark Health seeks a Credentialing Specialist to process provider applications and re-applications, maintain the provider database, and communicate... ..., generating monthly reports, supporting audits, and ensuring compliance with HIPAA and privacy policies. #J-18808-Ljbffr...
$46.75k - $63.25k
...Efficiency Job Qualifications: Skills: Credentialing, Healthcare Reporting, Medical Staff... ...PERSONAL IMPACT As a Provider Credentialing Specialist, the work you'll do at GDIT will be impactful... ...that directly support regulatory compliance, provider onboarding, and program readiness...Hourly payFull timeTemporary workPart timeImmediate startRemote workWork from homeWorldwideFlexible hours- ...Description We are seeking a detail-oriented Credentialing Specialist to join our healthcare team, focusing on orthopaedic provider credentialing. This... ...the highest standards of patient care and regulatory compliance by managing the credentialing process for our orthopaedic...Remote work
- ...The Credentialing Specialist (CS) supports our pediatric practice clients by managing the enrollment of new providers... ...Experience: At least 4 years of combined experience in healthcare administration, including billing, compliance, or credentialing. A minimum of 2 years must be...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... ....In this role, you’ll be the gatekeeper for ensuring our healthcare partners meet regulatory requirements and industry best...Hourly payFull timeLocal areaRemote workFlexible hours
- ...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... ...CHI Health System. By ensuring strict compliance with regulatory bodies such as The Joint...Work from home
$25.57 - $36.8 per hour
...to join our growing team as a Medical Credentialing Coordinator to support all locations. The... ...materials and maintain an up-to-date healthcare provider credential database. Requirements... ...Certified Provider Credentialing Specialist (CPCS) preferred Why MultiCare? Rooted...Contract workLocal areaImmediate startShift work- ...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...
- ...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 communicating...
- ## Credentialing SpecialistApply: Albany, NY: Full time: Posted Yesterday... ...for a **Credentialing Specialist** to join our Center Health... ...Care Team!This role supports healthcare providers by managing... ...management systems.* Ensure compliance with NCQA, Joint Commission...Full time
- 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...
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