Credentialing & Payer Compliance Specialist
United Against Human Trafficking
Cenikor is seeking an Insurance Billing Specialist for our Corporate Office in Houston, TX. The role focuses on primary source verification of credentials, processing third-party payer documentation, and maintaining accurate provider data. You will support audits, ensure regulatory compliance, and maintain payer contracts while upholding Cenikor's mission-driven culture. Schedule is Monday–Friday, 8am–5pm. Experience with Medicaid/Medicare billing and credentialing is preferred. #J-18808-Ljbffr United Against Human Trafficking
- ...Foundation is seeking an Insurance Billing Specialist for its Corporate Office in Houston, TX. You will verify credentials, manage payer documentation, and coordinate with third-... ...to ensure timely billing and contract compliance. The role requires strong Microsoft Office...SuggestedContract workWork at office
$22.51 - $31.79 per hour
Overview The role verifies the credentials of physician and allied health professional applicants and re-applicants, and prepares candidates for review by the appropriate clinical Service Chief and Medical Staff Committees. Responsibilities Verify the credentials of physician...Suggested$22.51 - $31.79 per hour
A leading healthcare organization in Houston is seeking a Credentialing Specialist to verify physician and allied health professional credentials. This role involves managing applications, ensuring timely processing, and maintaining accurate records in the credentialing...SuggestedHourly pay- ...Gryphon Healthcare seeks a Credentialing Specialist – Medical Billing to manage credentialing workflows remotely. The role emphasizes verifying qualifications, maintaining compliance with payer enrollment, and keeping accurate records in a fast-paced environment. The...SuggestedRemote work
- ...Credentialing And Enrollment Specialist (Medallion Platform) The Credentialing and Enrollment Specialist is... ...credentialing, re-credentialing, and payer enrollment processes using the... ...delays or discrepancies. They ensure compliance with regulatory standards, payer requirements...SuggestedTemporary workWork at office
$23 - $25 per hour
...Credentialing & Provider Enrollment Specialist Supervisor: Business Office Director Texas Hearing Institute (THI) | Houston,... ...credentialing, enrollment, recredentialing, payer contracting support, and regulatory compliance. This position serves as the primary...Contract workWork at office- ...challenges. We are currently looking for an Sr Credentialing Specialist (Healthcare) Position: Senior... ...Primary Source Verification (PSV), regulatory compliance, provider onboarding, re-credentialing, and payer enrolment activities. Key Requirements...
- ...Job Description Job Description Credentialing and Enrollment Specialist (Medallion Platform)- Houston, TX 7... ..., re-credentialing, and payer enrollment processes using the Medallion... ...delays or discrepancies Ensure compliance with regulatory standards, payer requirements...Temporary workWork at office
- ...Position: Senior Credentialing Specialist Location: Houston, TX (5 days onsite) Duration: 12 Months Job... ...Primary Source Verification (PSV), regulatory compliance, provider onboarding, re-credentialing, and payer enrollment activities. Key Requirements:...
- Position: Credentialing Specialist - Medical Billing Location: Houston, TX Remote Status: Remote Job... ...verifying qualifications, maintaining compliance with regulatory requirements, and communicating... ...of healthcare credentialing and payer enrollment processes. Prepares and...Full timeWork at officeRemote work
- ...Community Healthcare is seeking a Medical Credentialing Specialist to maintain active provider status by... ...packages for commercial payers, Medicare and Medicaid. The role also... ...reports health information for standards compliance. You will handle provider enrollment,...
- Senior Psych Care is seeking a Credentialing and Enrollment Specialist (Medallion Platform) to join our Houston... ..., re-credentialing, and payer enrollment across commercial and government... ...packets, and collaborate with billing, compliance, and HR to maintain audit-ready...
- ...Description Description Job Title: Medical Credentialing Specialist Department: Compliance Reports to: Compliance Officer Summary:... ...packages as required by the organization, commercial payers, Medicare and Medicaid. This position will also be responsible...Full timeContract workLocal area
- ...is seeking a detail-oriented Physician Credentialing Specialist to manage initial credentialing, re-credentialing, privileging, and payer enrollment for physicians and advanced practice... ..., and audit-ready provider files in compliance with NCQA, CMS, The Joint Commission,...Hourly payTemporary workWork at office
- Texas Regional Physicians is seeking a detail-oriented Credentialing Specialist to manage initial credentialing, re-credentialing, privileging, and payer enrollment for physicians and advanced practice providers across TRP entities. This role ensures timely, accurate credentialing...
- ...an exceptional individual to manage the credentialing activities of a busy physician practice... ...Surgery Center. As the Credentialing Specialist, you will maintain accurate provider records... ...continued participation with insurance payers as well as the uninterrupted hospital...Flexible hours
$37.4k - $93.6k
...Technologies, an IQVIA business, enables payers, providers, employers, and service... ...Summary As a Client Services Representative, Credentialing at Cedar Gate Technologies, an IQVIA... ...NAMSS Certified Provider Credentialing Specialist (CPCS) certification preferred or working...Full timeContract workPart timeWork at officeImmediate startRemote workWorldwide- ...One Federal Solution is seeking Credentialing Specialists to support a large federal identity credentialing program. The Credentialing Specialist... ..., and customer support activities while ensuring compliance with established credentialing policies and security procedures...Permanent employmentFor contractorsWork experience placementWork at office
- ...Credentialing Specialists Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing... ...required online credentialing training and maintain compliance with PIV-II SmartID credential requirements. Knowledge...Temporary workFor contractorsLocal areaShift workNight shiftWeekend work
- ...over 156,000 hours volunteering in our communities. As a Credentialing Specialist II with Parallon you can be a part of an organization that... ...review of Data Integrity Reviews, Specialist Reviews, and Compliance Reviews, that supports precise accurate identification of...Temporary workWork experience placementRemote workFlexible hours
- ...A leading health care system in Houston is seeking a System Credentialing Coordinator responsible for coordinating credentialing and re-credentialing of physicians and providers. Key responsibilities include implementing procedures, processing applications, and serving...Full time
- HCA Healthcare, through Parallon, seeks a Credentialing Processing Center Specialist II to safeguard patient well-being by ensuring verified practitioner credentials across hospitals and facilities. You will collaborate with 350+ facilities and stakeholders, review complex...Remote job
- A leading government services provider in Houston is seeking a Credentialing Specialist to provide credentialing services for IRS operations. Responsibilities include managing credentialing appointments and issuing identification cards. Candidates should have a high school...Full time
$18.29 per hour
...Resets. Answering phone calls/email inquiries related to PIV credentials and access control matters. Coordinate and conduct the... ...of new applicants, contractors, and federal employee files. Compliance and Training: Stay current with relevant policies, regulations...Full timeFor contractorsLocal areaImmediate startFlexible hours- ...PIV card activations and enrollments. The role involves collecting biometric data, verifying identity, and ensuring documentation compliance while maintaining data security and privacy. Applicants should have a high school diploma or GED, strong Excel skills, and...Full timeWork at office
- ...Chain Management Market: Corporate Home Office Employment Type: Full Time Position OverviewWe are adding an experienced Trade Compliance Specialist to our team to support projects around North America for all of our markets. In this role, you will perform a variety of...Full timeHome officeWeekend work
- ...self‑starters who thrive in fast‑moving, collaborative, and innovative environments.Job Purpose/Summary:The HSE Air Permit Compliance Specialist is responsible for maintaining air permit compliance for assigned facilities by evaluating regulatory requirements, preparing...Full timeFor contractorsWork at officeLocal area
- The Compliance Specialist reports to the Director Legal, Compliance, Privacy & Security (“Director”) and has a key role in supporting the Director in implementing the seven elements of an effective compliance and helping promote the Company's vision, mission, and culture...Contract work
- ...CIPT are required5+ years of professional experience in ethics, compliance, risk, legal, and/or governance in a large, multinational... ...and your family.WHAT YOU'LL DOAs an Ethics & Compliance (E&C) Specialist for Privacy compliance, you will implement specific aspects of...Apprenticeship
- ...an impact that is felt by all. Who are we looking for? GHD has an outstanding opportunity for an experienced Senior Federal Compliance Specialist to join our growing organization. If you are interested in taking your career to the next level, and making a big impact, then...For contractorsLocal area3 days per week
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