Remote Credentialing Specialist - Medicare Advantage
American Health Partners
Franklin, TN
- Remote job
American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc., seeks a Credentialing Specialist working primarily from home. You will ensure contracted providers meet qualifications, support reporting to agencies, and collaborate across departments to maintain data integrity. Responsibilities include loading provider demographics, data validation, and assisting with credentialing committee communications. #J-18808-Ljbffr American Health Partners
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Credentialing Specialist - Medicare Advantage in Franklin, TN vacancy
- ...Credentialing SpecialistRemote Employee Location - Fife... ...oriented Credentialing Specialist to support the... ...team. Work Environment: Remote position.May require... ...Proficiency in Medicaid and Medicare... ...payer processes is an advantage.Attributes:?Proactive...Remote workWork at office
Continuent
Fife, WA2 days ago - ...Health Plans Franklin, TN 37067, USA Remote Provider Network Full-Time... ...with nursing home operators, these Medicare Advantage plans manage medical risk by improving... ...Program JOB SUMMARY: The Credentialing Specialist ensures all contracted providers meet...Remote workFull timeTemporary workWork at officeLocal areaFlexible hours
American Health Plans Inc.
Franklin, TN2 days ago $24 - $27 per hour
...What You Will Do: Processes individual provider initial credentialing applications, and biennial recredentialing applications.... ...Familiarity with PECOS, NPI, CAQH, OIG exclusion list and Med Advantage required. Insurance background with coding and billing required...Remote workHourly payBehavioral Health Network
United States2 days ago$40k - $55k
...quickly and have partnered with Medicare to offer affordable and... ...About the Role Location: Remote - US or Canada based only Title: Credentialing Specialist Salary Range: $40,000 - $5... ...manage credentialing with Medicare Advantage health plans, maintain accurate...Remote workFull timeWork at officeFlexible hoursSailor Health
Canada, KY2 days ago- H2 Health is seeking a Credentialing Specialist for a full-time remote role to coordinate provider credentialing, enrollment, and recredentialing with Medicare, Medicaid, and commercial payers. You will support clinicians and internal teams while maintaining accurate credentialing...Remote jobFull time
- H2 Health is seeking a Credentialing Specialist for a full-time remote role. You will coordinate provider credentialing, enrollments, and recredentialing across Medicare, Medicaid, and commercial plans, ensuring accuracy and up-to-date credentials for therapy providers...Remote jobFull time
- ...Partners in Overland Park, KS seeks a Credentialing Specialist to manage timely credentialing, contracting... ...and re-credentialing with Commercial, Medicare, and Medicaid networks across multiple... ...and efficient enrollment processes to support quality #J-18808-Ljbffr Remote JobsRemote workFull time
- ...skilled professional to manage provider credentialing and payor enrollment, ensuring timely enrollment and renewals across Medicaid, Medicare, and private plans. You will work closely... ...systems are required, with remote work flexibility and a focus on expanding...Remote job
- Provisional Recruiting + Staffing is seeking a Medical Credentialing Specialist to manage credentialing, recredentialing, and payer enrollment... ...client organizations. You will ensure active participation with Medicare, Medicaid, and commercial payers while maintaining...Remote job
- ...TitleResponsibilitiesPrepare and submit accurate claims to Medicare, Medicaid, and other insurance carriers.... ...needs. Some flexibility in remote or hybrid work arrangements may be... ...Professional Biller (CPB), Certified Coding Specialist (CCS), or equivalent preferred.About Med...Remote work
Med-Care Providers
Las Vegas, NV3 days ago - ...A leading credentialing service provider is seeking a remote Credential Specialist to handle day-to-day provider credentialing, licensing, and payor enrollment. Key responsibilities include processing applications, conducting research on licensure requirements, and communicating...Remote work
Talentmatics
New York, NY1 day ago $54.67k - $66k
...and purpose. The role The Senior Credentialing Specialist plays a critical role in overseeing... ...otherwise specified, this position is remote (work from home). Candidates must reside... ...licensure, and internal enrollment with Medicare, Medicaid, Managed Care, and...Remote workFull timeWork from homeBetter Life Partners
Boston, MA4 days ago- ...Facility Credentialing SpecialistHot JobFully Remote • Work from Home - Richardson, TX 75082Salary Range $21.00 - $25.00 Hourly Position Type Full Time... ...balance.POSITION SUMMARY:The Facility Credentialing Specialist is responsible for managing initial and reappointment...Remote workHourly payFull timeWork at officeWork from homeShift work
National Partners In Healthcare
Richardson, TX4 days ago - ...BerryDunn is seeking a Credentialing Specialist for our Healthcare Compliance and Credentialing Practice Area. This remote role involves credentialing/re-credentialing providers, PSV, CAQH maintenance, and database updates, collaborating with the leadership team and billing...Remote work
BerryDunn — Assurance, Tax and Consulting
New York, NY2 days ago - ...BerryDunn is seeking a Credentialing Specialist to join our Healthcare Compliance and Credentialing Practice Area. Under the supervision of the... ...our credentialing database. This position is planned to be remote, with travel expectations less than 10% per year. #J-18808-...Remote work
BerryDunn
New York, NY2 days ago $20.02 - $24.22 per hour
...Baptist Health South Florida is seeking a Credentialing Specialist I to assist with the credentialing and recredentialing processes for medical staff. This remote, full-time role focuses on ensuring that qualified practitioners provide care within the organization....Remote workHourly payFull timeBaptist Health South Florida
United States1 day ago- ...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...Remote work
knownwell
United States1 day ago - ...Centene Corporation seeks a Credentialing Specialist to perform credentialing and re-credentialing activities in accordance with plan specifications and NCQA standards in a fully remote role. You will communicate with physicians and providers to secure information, gather...Remote work
Centene Corporation
Carson City, NV5 days ago - ...immediate-access behavioral health crisis care, delivering physician-led, data-driven credentialing and enrollment support to providers and facilities across multiple states. This remote role supports end-to-end credentialing, PSV, and payer enrollment while ensuring...Remote workImmediate start
Connections Health Solutions
Montgomery, AL5 days ago - ...Guardian Life is seeking a Credentialing Support Associate III to support provider credentialing and recredentialing efforts. The role involves... ...compliance across NCQA/CMS standards. The position offers remote work with a regional Newport Beach, CA office, with a salary...Remote workWork at office
Guardian Life
United States1 day ago - ...Oregon Health & Science University is seeking a Credentialing Coordinator to manage practitioner credentialing, reappointment, and privileging... ...in a fast-paced environment. The position offers full-time remote work with regular collaboration with physicians, APPs, and...Remote workFull time
Oregon Health & Science University
Portland, OR2 days ago - ...Connections Health Solutions is seeking a Credentialing Coordinator for remote work across multiple states. The role manages provider onboarding, data entry, and communications to ensure 100% credentialing readiness. You will oversee PSV checks, licensure research,...Remote work
Connections Health Solutions
El Paso, TX2 days ago - ...Job Description # Performs the credentialing and privileging process in accordance with... ...Quality Assurance (NCQA), the Centers for Medicare and Medicaid Services, as well as state... ...models. We will be strategically advantaged by coordinating access to a comprehensive...Full timeWork at officeLocal areaFlexible hoursShift work
Advocate Health Care
Laurinburg, NC2 days ago - ...Allevio is seeking a detail‑oriented Credentialing Specialist to verify healthcare providers' credentials, maintain records, and ensure regulatory... .... Location: Salt Lake City, UT preferred, open to remote for the right candidate. This full‑time, non‑exempt role supports...Remote workFull time
Remote Jobs
United States3 days ago - ...Sentact is a national provider of credentialing services for the healthcare industry. We are... ...Credentialing Verification Organization (CVO) Specialist to deliver PSV services for physicians... ...decisions. The role offers remote work flexibility with paid time off, holidays...Remote workFlexible hours
Sentact
United States3 days ago - ...Workit Health is seeking a Credentialing Specialist to maintain provider credentialing and renewals across multiple clinic locations. This hybrid role supports in-office collaboration with remote work, three days on-site and two days remote each week. You will manage...Remote workWork at office2 days per week
Workit Health
Albany, NY3 days ago - ...leading provider of immediate-access behavioral health crisis care, offering physician-led, data-driven credentialing for providers and facilities. This fully remote position supports end-to-end credentialing, payer enrollment, and multi-state operations across CHS. You...Remote workImmediate start
Connections Health Solutions
United States4 days ago - ...Henry Ford Health is seeking a Credentialing Specialist to manage credentialing and recredentialing for medical staff and allied health professionals. Under general supervision, you will verify qualifications, maintain data integrity, and ensure compliance with applicable...Remote work
Henry Ford Health
United States2 days ago - ...Armor Health is seeking a Credentialing Specialist to join our training and education team of clinical information system experts. The role focuses... ..., renewals, audits, and documentation management, in a remote-friendly healthcare environment. Qualified candidates have...Remote work
Armor Health
Doral, FL5 days ago - ...A healthcare organization is looking for a Credentialing Specialist responsible for managing the credentialing process and liaising with applicants. This role involves evaluating compliance, ensuring timely application processing, and maintaining accuracy in the credentialing...Remote work
Vision Radiology PLLC
Dallas, TX1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Credentialing Specialist - Medicare Advantage. Be the first to apply!
Related searches
- software engineer internship remote Franklin, TN
- remote banking Franklin, TN
- remote tasks Franklin, TN
- implementation project manager remote Franklin, TN
- marketing intern remote Franklin, TN
- utilization review remote Franklin, TN
- remote medical billing part time Franklin, TN
- clinical data coordinator remote Franklin, TN
- remote web developer part time Franklin, TN
- software engineer remote Franklin, TN