Credentialing Specialist
$21.01 - $31.51 per hourBanner Health
Estimated Pay Range $21.01 - $31.51 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Department Name BH Central Verification Office - Corp Work Shift Day Job Category Clinical Support Location & Schedule This Credentialing Specialist role is remote with a preference for candidates in Arizona and Colorado. The schedule is Monday – Friday, 8 hour days with some flexibility. Role Overview In this role you will be expected to evaluate requests, send credentialing applications, and analyze submitted applications for completeness. You will collaborate with other teams such as Physician Recruitment, Medical Staff Services, Practice Managers, etc., and support our nationally-recognized healthcare leader. Position Summary This position performs the department’s credentialing work as outlined in the policies and procedures, obtains all primary source information, and maintains records of highly confidential information protected by applicable state statutes. Core Functions Performs the appropriate credentialing processes in a timely and complete manner. Performs analysis and appropriate follow‑up, working with many individuals to acquire necessary materials and information. Performs relevant data entry into the database to ensure consistency and integrity of the data. Processes appropriate queries for expired licensure or any regulatory credentialing requirement and maintains documentation in the database. Manages own duties and functions independently, exercising high degree of independent judgment on complex and sensitive credentialing issues. Handles physician inquiries and problems within the scope of the job function and keeps supervisors apprised of all issues as they occur. Provides optimal customer service to meet organizational expectations. Minimum Qualifications
- A strong knowledge of business and/or healthcare, normally obtained through an associate’s degree.
- Three years of credentialing and/or process management and operations experience.
- Basic knowledge of medical terminology, medical staff organization, and extensive credentialing procedures.
- Experience interacting with physicians and allied health professionals, their office credentialing representatives, and hospital personnel.
- Excellent verbal and written communication skills, with strong judgment in human relations.
- Ability to meet deadlines in a multi‑functional task environment and maintain efficiency and timeliness in daily activities.
- Excellent organizational skills and operational knowledge of work processing, spreadsheets, data entry, fax machines, and related computer skills.
- ...Credentialing Specialist Healthcare Outcomes Performance Company (HOPCo) is a vertically integrated musculoskeletal outcomes management company. HOPCo manages physician practices, hospital service lines, population health and value-based care programs, and musculoskeletal...SuggestedWork at office
- ...Credentialing Specialist Job Purpose: As a Credentialing Specialist at Denova Collaborative Health, you will play a key role in supporting provider readiness, compliance, and operational success by ensuring providers, clinicians, facilities, and payer records are properly...SuggestedTemporary workWork at officeMonday to Friday
- ...HQ Travel Requirement: YES, nationwide to support onsite credentialing operations as mission needs require. Security Clearance Required... ...AWARDING OF GOVERNMENT CONTRACT******** Credentialing Specialists will provide credentialing service and support to operate IRS...SuggestedFull timeContract workTemporary workFor contractorsLocal areaRelocationShift workNight shiftWeekend work
- ...Responsibilities Ensures licensed independent practitioners, medical providers, therapeutic foster families, and site locations meet credentialing requirements as set forth by each contracted health plan, including AHCCCS, commercial and Medicare health plans....Suggested
- ...personally and professionally while making a meaningful impact in the lives of others. Position Summary The Credentialing & Enrollments Specialist is responsible for managing the credentialing, payer enrollment, and provider onboarding processes for the practice...SuggestedHourly payFull timeWork at officeRemote workMonday to Friday
$24.33 - $36.19 per hour
A leading healthcare organization in Phoenix, Arizona is seeking a mid-senior level Credentials Coordinator responsible for coordinating credentialing and enrollment processes. The ideal candidate has three years' experience in healthcare credentialing, strong software...Full time$22 per hour
Position: Provider Credentialing Specialist (ABA) Location: Phoenix, AZ Job Id: 526 # of Openings: 1 PROVIDER SERVICES and CREDENTIALING SPECIALIST On-site Phoenix, AZ PROVIDER SERVICES and CREDENTIALING SPECIALIST On-site Phoenix, AZ As a provider services team member...$20.32 per hour
A professional IT services provider in Phoenix, Arizona, is seeking candidates for a full-time position managing the enrollment process for PIV cards. This role involves scheduling appointments, collecting personal data, verifying documents, and ensuring data security. ...Hourly payFull time- Intermountain Centers is seeking a dedicated professional to manage the credentialing processes for healthcare providers in Phoenix, Arizona. The ideal candidate will have at least three years of experience in a healthcare environment handling provider enrollment and credentialing...
$20.32 per hour
...Verification (PIV) Card Activations, Enrollments, Certificate Updates, and PIN Resets. Answering phone calls/email inquiries related to PIV credentials and access control matters. Coordinate and conduct the enrollment process for PIV cards, including verifying the identity of...Full timeFor contractorsLocal areaImmediate startFlexible hours- A leading healthcare organization is seeking a Credentialing Specialist to evaluate credentialing requests and ensure the completeness of applications. The ideal candidate will have knowledge of business and healthcare, with at least three years of relevant experience....Remote jobFull time
- Community Partners Integrated Health is seeking a Credentialing Specialist in Phoenix, AZ and Tucson, AZ. The primary responsibility is to manage the credentialing processes with various health plans, ensuring compliance with state and federal regulations. The ideal candidate...
- A healthcare outcomes performance company is seeking a Credentialing Specialist to manage healthcare provider applications and related documentation. Candidates should have at least 3-4 years of experience, strong organizational skills, and the ability to communicate effectively...
- The CORE Institute in Phoenix is seeking a Credentialing Assistant responsible for reviewing payer credentialing statuses and maintaining provider profiles. The ideal candidate has 3-4 years of experience in healthcare and effective communication skills to work with physicians...
- A government contracting firm is seeking a Credentialing Specialist in Phoenix, AZ to manage credential issuance, perform IRS credentialing functions, and coordinate with personnel. Candidates must have a high school diploma and be willing to travel nationwide to support...Full timeRelocation
- Americas Rehab Campuses is seeking a Credentialing Specialist in Phoenix, AZ, responsible for managing provider credentialing, enrollment, and regulatory compliance. The ideal candidate should possess at least 2 years of experience in credentialing within the behavioral...Remote job
$22 per hour
A nonprofit organization in Phoenix is seeking a Provider Credentialing Specialist (ABA). This role involves managing provider credentialing, processing insurance authorizations, and ensuring compliance with documentation standards. Candidates should have a high school...$20.05 - $22.05 per hour
...services, integrated care services, prevention programs, respite services and therapeutic foster care. As a Contracts & Credentialing Specialist , you will be responsible for negotiations, contract development, contract management, compliance monitoring and...Full timeContract workTemporary workRemote workMonday to Friday$41k - $44k
...ensure the accurate maintenance of Provider data across multiple systems. This role includes resolving discrepancies, verifying credentialing information, and collaborating with teams. The ideal candidate will have a High School Diploma and 2 years of healthcare experience...Remote job- Devereux, located in Phoenix, Arizona, is seeking a Contracts & Credentialing Specialist responsible for negotiating and managing contracts within a remote work environment. This position requires participation in compliance monitoring and managing documentation in electronic...Remote jobFull time
- Devereux Advanced Behavioral Health is seeking a Contracts & Credentialing Specialist in Phoenix, Arizona. This full-time role involves negotiating, developing, and managing contracts, ensuring compliance, and credentialing providers and facilities. The position offers...Remote jobFull time
- FOOTHILLS NEUROLOGY, P.C. is seeking a Medical Credentialing Specialist to support its Billing and Finance Department. The role involves managing provider credentialing, payer enrollment, and ensuring compliance with insurance contracts. A successful candidate must be...Work at office
- ...succeed, a strong focus on quality with a passion for success – join us today! UCT is looking for a talented Trade Compliance Specialist II to join us in Chandler, AZ! The Trade Compliance Specialist II is responsible for ensuring Ultra Clean Technology’s import...Work experience placement
- MMS is looking for a skilled Medical Writer to join their team in Phoenix, Arizona. In this role, you will critically evaluate medical literature and produce high-quality regulatory documents, including clinical protocols and study reports. The ideal candidate will have...
- A leading biopharmaceutical solutions organization is seeking a Sr Medical Writer for remote-based opportunities. The role involves leading medical writing deliverables and coordinating activities across departments. Candidates should possess a degree in life sciences, ...Remote jobFlexible hours
$68.07k - $97.24k
...Make decisions in consultation with the Section Editor that affect larger groups and more junior team members. Serve as content specialist within specific content domain(s), facilitate topic enhancement and development, perform systematic literature surveillance, and...Full timeLocal areaRemote workWorldwideFlexible hours- Sr Medical Writer Publications - Sponsor Dedicated - Remote Based Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes...Remote jobContract workFlexible hours
- About MMS MMS is an innovative, data‑focused CRO that supports the pharmaceutical, biotech, and medical device industries with a proven, scientific approach to complex trial data and regulatory submission challenges. With a global footprint across four continents, MMS maintains...Remote jobWorldwide
$21 - $24 per hour
...Description Job Description Description: Lead Compliance Specialist Genesis | Compliance Department $21.00 – $24.00/hr |... ...CRCP, ACA International certification, or equivalent compliance credential. • Experience responding to CFPB examinations or regulatory...Hourly payFull timeWork at officeLocal areaMonday to Friday- Syneos Health/ inVentiv Health Commercial LLC is seeking an experienced medical writer with strong regulatory knowledge and client interaction skills. In this role, you will manage medical writing activities related to clinical studies and ensure compliance with regulatory...
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