Provider Credentialing & Enrollment Specialist
Florida Orthopaedic Institute
Florida Orthopaedic Institute is seeking a Provider Enrollment & Credentialing Coordinator to manage provider enrollment, credentialing, and compliance processes. The role requires expertise in maintaining accurate provider data and ensuring timely submissions for credentialing and recredentialing. Ideal candidates will have a background in healthcare administration, experience with credentialing software, and strong organizational skills. This position supports practitioners' compliance with NCQA and CMS standards. #J-18808-Ljbffr Florida Orthopaedic Institute
- BayCare seeks a Credentialing and Provider Enrollment Specialist to support remote credentialing for physicians and providers while residing in Florida. This full-time role ensures alignment with NCQA, CMS, AHCA and state/federal guidelines. You will verify primary sources...SuggestedRemote jobFull time
- A staffing firm is seeking a Provider Enrollment Representative responsible for the integrity of Medicare provider files. Applicants should have customer service experience and data entry skills. The role requires reviewing applications and ensuring compliance with regulations...SuggestedFull timeRemote work
$38.26k - $43.79k
Agency for Persons with Disabilities in Florida is hiring a PROVIDER ENROLLMENT COORDINATOR to join the team. This is not a Telework position and the incumbent will report to an APD office in the area it serves. The role handles Medicaid Waiver provider application packets...SuggestedWork at officeRemote work- Prepare and submit provider enrollment and credentialing applications to Florida Medicaid and Managed Care Organizations Monitor and track application statuses through final approval Organize and maintain credentialing files, payer contracts, and official documentation...SuggestedContract work
$18 - $25 per hour
...seeking an experienced and detail-oriented Credentialing Specialist to join our team in our Kendall... ...and have extensive experience managing provider credentialing, we'd love to hear from... ...knowledge of provider credentialing, enrollment, healthcare insurance plans, and...SuggestedHourly payContract workWork at office- Jobtailor in the United States is seeking a skilled Billing and Credentialing Specialist to prepare and submit provider enrollment and credentialing applications, focusing on Florida Medicaid and Managed Care Organizations. The role requires meticulous file management...
- ...environment. POSITION SUMMARY The Medical Staff Coordinator/Credentialing Specialist plays a critical role in ensuring the integrity, accuracy,... ...standards, and serving as a key liaison between providers, leadership, and regulatory bodies. RESPONSIBILITIES & DUTIES...Work at officeLocal areaFlexible hours
- A leading staffing agency based in New York is seeking a Compliance Specialist. In this full-time remote role, you will manage the onboarding and credentialing process for healthcare providers, ensuring documentation is accurate and timelines are met. You will communicate...Full timeRemote work
- AdventHealth is seeking a Credentialing Specialist to assist with delegated credentialing audits, database queries, and document generation. You... ...and staff, ensuring regulatory compliance and accurate provider records. Responsibilities include coordinating reviews, handling...Remote job
- ...Medical Services is seeking an experienced and detail-oriented Credentialing Specialist to join our Kendall office. The Credentialing Specialist will manage credentialing and recredentialing for providers, ensuring compliance with federal, state, payer, and accreditation...Work at office
- A staffing firm is seeking a Medical Application Enrollment Representative in the Town of Florida, NY. This full-time position involves processing provider applications and ensuring compliance with regulations. Ideal candidates will have at least a high school diploma...Remote jobFull timeWork at officeFlexible hours
- ...Global Site Identification & Feasibility Specialist to support sponsor-dedicated trials... ...assist with feasibility assessments, and provide data-driven insights to influence study... ...CRO partners, and stakeholders to drive enrollment forecasting and site selection for global...Remote job
- Upwork seeks an Enrollment Representative for their remote call/contact center team. The role entails providing exceptional customer service to families navigating enrollment processes for schools. Responsibilities include guiding customers on enrollment policies, assisting...Remote job
$24 per hour
Client Credentialing Specialist Job Description About Us Welcome to MedPro Healthcare Staffing, an award-winning agency based in sunny South... ...Management. What You’ll Do Review and submit healthcare providers professional and personal credentials including licenses,...Hourly payTemporary work- ...experience in social services. This role requires excellent communication and organizational skills, as well as the ability to work collaboratively. Interested candidates must submit a resume and cover letter to the provided email. #J-18808-Ljbffr Big Bend Region, Inc.Temporary workLocal area
$24 per hour
A dynamic healthcare staffing agency is seeking a Client Credentialing Specialist to ensure effective onboarding of healthcare providers. The role includes reviewing credentials, maintaining client communications, and collaborating with internal teams. Ideal candidates...Hourly pay- BayCare Health System is seeking a Credentialing Specialist - CVO for a full-time remote position requiring Florida residency. You will manage data intake from primary sources, establish electronic credential files, and ensure timely, accurate credentialing for practitioners...Remote jobFull time
- ...families. Why Join Us? Make a Difference: Join a team dedicated to protecting families and children through financial services, providing peace of mind and security to those who need it most. Work from Home: Enjoy the convenience and flexibility of working remotely,...Remote workWork from home
- ...seeking dedicated individuals to work from home and make a positive impact on families' lives. The role emphasizes integrity and provides opportunities for personal growth. Ideal candidates should possess strong communication skills and a genuine desire to help others...Remote jobWork from home
$16.4 - $31.97 per hour
JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the...Hourly payContract workWork experience placementWork at office- 3M HEALTHCARE is seeking a detailed-oriented enrollment systems specialist to collaborate with stakeholders on implementing and updating enrollment management technology projects. You will review specifications, support system updates, and assist with service desk tickets...Remote job
$22.99 - $34.49 per hour
Job Description Summary The Program Specialist, Provider Education & Engagement supports the planning, coordination, and execution of provider education and engagement initiatives that advance Millennium's value-based care strategy. Assigned to one or more regions, this...- Doctors HealthCare Plans, Inc. is seeking a Provider Relations Representative in New York to manage provider orientations, site visits, and communications within the provider network. The role emphasizes CMS/AHCA guideline adherence, high-quality service, and bilingual...
- ...Dental Care in New York, Town of Florida, seeks a full-time Dental Insurance Coordinator to manage dental insurance billing and provider credentialing. You will follow up on claims, post payments, and resolve denials in a fast-paced in-person environment. The ideal...Full time
- Jobtailor is seeking a Credentialing Specialist to oversee credentialing and re-credentialing across Medicaid and Medicare programs. This role ensures compliance with regulatory standards and maintains accurate license tracking for pharmacy sites. The ideal candidate possesses...
- House of Hearts ABA is seeking a seasoned ABA Therapy Medical Billing & Credentialing Specialist to join our full-time team. You will handle in-network and out-of-network claims, obtain verification of benefits, and manage prior authorizations for ABA services. You will...Remote jobFull time
$16 - $17 per hour
...more exclusive features. This range is provided by Insight Global. Your actual pay will... ...is looking to add a Compliance Specialist resource to their Compliance Team. This... ...validation documents such as proof of enrollment in school and other sensitive information...Contract workRemote work- ...to apply for the Compliance Specialist role at HWL Corporate Recruiting... ...the client, ensuring all credentialing and onboarding requirements... ...accurately and on time so providers can start their assignments... ...background checks, drug screens, enrollment documents, etc.). Review...Full timeLocumWork at officeRemote work
$56.2k - $101k
.... Position Purpose: The Community Relations Specialist is responsible for leading activities to achieve membership/enrollment goals through various means including, but not... ..., sales visibility and business, broker, provider, market, lead generation, vendor outreach and...Full timePart timeWork at officeRemote workFlexible hours- ...governance forums, including Steering Committees and OCIO leadership. Provide insights that enable leadership to evaluate risk exposure... ...Partner Discounts and more. Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain...Hourly pay
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