Credentialing Specialist
$17 - $18 per hourWinmax Systems
Credentialing Specialist Location: Alpharetta, GA or Camp Hill, PA (onsite ,candidate must be local) Though the role is remote, there is a potential opportunity to go onsite at a future time Contract:12+ Month Shift: 8:00am-4:45pm EST (could start as late as 9am if needed) Job Description:
Job Requirements:
Pay Transparency: "The expected pay range for this position is $17.00-$18.00 per hour. Final compensation will be determined based on experience, skills, and qualifications. Non-exempt employees are eligible for overtime. Full-time employees are eligible to select from different benefits packages. Packages may include medical, 401(k) without employer match. Paid Sick leave is provided based on state or local laws."
- Screens provider credentialing and re-credentialing packets for missing information; requests missing information from provider; resolves discrepancies between information supplied and findings of other sources (State Dental or etc.);
- Creates and updates provider information in the credentialing system to ensure that credentials are completed within a timely manner and at a high level of accuracy.
- Receives provider inquiries via phone and correspondence. Researches and verifies detailed information on provider participation status. Perform verification of all applicable credentials.
- Contact providers for missing and expired information.
- Processing mail; incoming and outgoing.
- Performs miscellaneous duties as assigned.
Job Requirements:
- A high school diploma or GED is preferred, but candidates with proven experience will not be excluded from consideration.
- A minimum of 2 years related experience.
- Knowledge of client products, policies and terms of provider participation in various networks is expected at conclusion of training and any applicable probationary period.
- Ability to maintain confidentiality of providers information.
- Demonstrated understanding of basic corporate structures and how to accurately translate information provided on contracts, credentialing attestations and other sources to maintain provider records.
- Math skills to compile and validate statistical computations, reconcile discrepancies, and insure the validity and accuracy of results.
- Knowledge and application of English grammar including composition, editing and proofreading skills.
- Basic organizational/time management and project management skills and multi-tasking abilities.
- Detail oriented with analytical and problem solving skills. Knowledge of health care industry issues preferred.
- Ability to accurately enter relevant information into the credentialing system and other ancillary data repositories as needed.
- Must be able to understand fairly complex written and oral instructions.
- Ability to clearly present written information and findings. Ability to communicate concepts.
- Ability to interact well with co-workers and outside contacts.
- PC literacy; MSOffice skills (competency in Word, advanced skill in Excel, Access and other database applications).
- Regularly required to work standard office equipment (personal computer, photocopy machine, fax machine, etc.).
- Ability to work on a computer up to 7 hours a day.
- Regularly required to sit for long periods of time, and occasionally stand and walk.
- Regularly required to use hands to operate computer and other office equipment.
- Close vision required for computer usage. Occasionally required to stoop, kneel, climb and lift up to 25 pounds.
- Resource will be working off of their own personal equipment. (no MacBook/no Chromebook)
- Resource must be local to the Alpharetta, GA or Camp Hill, PA office. Though the role is remote, the is a potential opportunity to go onsite at a future time.
- High attention to detail working in a production environment
- Strong data entry skills
- Must have experience working in the healthcare/dental/insurance industry
- Resource MUST have two monitors to be successful in this position
Pay Transparency: "The expected pay range for this position is $17.00-$18.00 per hour. Final compensation will be determined based on experience, skills, and qualifications. Non-exempt employees are eligible for overtime. Full-time employees are eligible to select from different benefits packages. Packages may include medical, 401(k) without employer match. Paid Sick leave is provided based on state or local laws."
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Credentialing Specialist in United States vacancy
- ...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...SuggestedRemote work
knownwell
United States4 days ago $23.85 - $28.02 per hour
...We are seeking a Credentialing Specialist! Southeast, OH Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes...SuggestedHourly payTemporary workWork at officeLocal areaIntegrated Services of Appalachian Ohio
Hillsboro, OH1 day ago- ...Credentialing Specialist Credentialing Specialist is responsible for coordinating and managing all aspects of provider credentialing, recredentialing, privileging, and payer enrollment activities to ensure compliance with organizational policies, regulatory requirements...SuggestedFull timeWork at officeAfternoon shift
Cabinet Peaks Medical Center
Libby, MT2 days ago - ...Credentialing Specialist The Credentialing Specialist coordinates credentialing, appointment, reappointment, and privileging processes for practitioners at Down East Community Hospital (DECH) and Calais Community Hospital (CCH). Responsibilities include maintaining...SuggestedWork at office
Down East Community Hospital
Calais, ME4 days ago - ...Credentialing Specialists Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through the USAccess system, and use credentialing...SuggestedTemporary workFor contractorsLocal areaShift workNight shiftWeekend work
Armada
Jacksonville, FL20 hours ago $30k - $40k
...HSPD-12: Government Badging & Credentialing Specialist New Orleans, LA, Andover, MA, Boston, MA, Baltimore, MD, Lanham-Seabrook, MD, Detroit, MI, Kansas City, MO Electrosoft Services, LLC is an award-winning company that provides comprehensive technology-based solutions...For contractorsLocal areaElectrosoft
Baltimore, MD3 days ago$46.75k - $63.25k
...Job Family: Process and Operational Efficiency Skills: Credentialing,Healthcare Reporting,Medical Staff Credentialing... ...MEANINGFUL WORK AND PERSONAL IMPACT As a Provider Credentialing Specialist, the work you'll do at GDIT will be impactful to the mission...Hourly payTemporary workImmediate startWork from homeWorldwideFlexible hoursGeneral Dynamics Information Technology
Fairfax, VA1 day ago- ...Credentialing Specialists Credentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through the USAccess system, and use credentialing...Temporary workFor contractorsLocal areaShift workNight shiftWeekend work
Armada
Houston, TX3 days ago - ...Credentialing Specialist (Dental / Healthcare) Location: Remote Type: Full-Time Schedule: Must have overlap with U.S. business hours Compensation: Depending on experience and location About the Company We are a growing healthcare services organization focused...Full timeRemote work
Somewhere
United States20 hours ago - ...A leading staffing agency is seeking a Remote Credentialing Specialist. In this role, you will ensure timely and accurate credentialing file completions, adhere to internal SLAs, and complete primary source verifications. The ideal candidate has at least 2 years of provider...Remote work
Insight Global
United States4 days ago - ...EHR Billing Credentialing Analyst HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by providing comprehensive, integrated, compassionate care that includes primary medical care, mental health services, and substance use disorder treatment...Local areaTrial periodMonday to FridayShift work
HealthRIGHT 360
Los Angeles, CA2 days ago - ...Credentialing Specialist We are seeking an experienced Credentialing Specialist to support our client in Evansville, IN or Toledo, OH! Job Title: Credentialing Specialist (Dental Network) Contract Job Type: 13-Week Contract | Onsite Schedule: Day Shift 5x8s 8:00 AM...Permanent employmentContract workTemporary workCasual workWeekend workDay shift
BizTek People
Evansville, IN20 hours ago - ...Credentialing Specialist Summit Spine and Joint Centers (SSJC) is on track to become the largest comprehensive spine and joint care provider in the state of Georgia and other surrounding areas while providing clinical, surgical, and imaging services to our patients. We...Full timeWork at office
Summit Spine & Joint Centers
Lawrenceville, GA1 day ago - ...International applicants will not be considered. We are seeking a highly organized, detail-oriented, and execution-focused Credentialing Specialist who will own provider enrollment, credentialing workflows, and payer setup for dermatology practices nationwide. This is a...Work at officeRemote work
Clarity RCM
United States2 days ago $40k - $50k
...Facility Credentialing Specialist (Remote) The Facility Credentialing Specialist is responsible for coordinating and managing the credentialing and privileging process for healthcare providers across skilled nursing facilities (SNFs), assisted living facilities (ALFs...Work at officeRemote workMonday to FridayCentral Florida Inpatient Medicine
United States1 day ago$40k - $55k
...Credentialing Specialist Sailor Health is on a mission to solve the mental health crisis among older adults. In the United States, older adults have the highest suicide rates of any age group yet receive the least mental health care. By 2030, over 65 million seniors...Full timeWork at officeRemote workFlexible hoursSailor Health
United States4 days ago- ...A national credentialing service provider is seeking a Credentialing Specialist to manage IRS credentialing operations nationwide. Key responsibilities include managing appointments, issuing ID cards, and maintaining credential logs. Candidates should have a high school...
Armada
Doraville, GA20 hours ago - ...Provider Credentialing Specialist Our client, a health insurance company, is looking for a Provider Credentialing Specialist for their Detroit, MI / Hybrid location. Responsibilities: Responsible for the processing of practitioner and organization/facility provider...Work experience placementWork at office
ICONMA
Detroit, MI4 days ago $46.75k - $63.25k
...listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Provider Credentialing Specialist based in United States. This remote role supports critical healthcare operations within a mission-driven federal health...Full timeTemporary workRemote workFlexible hoursJobgether
United States3 days ago$19 per hour
...Credentialing Specialist Remote Hi, we're Oscar. We're hiring a Credentialing Specialist to join our Provider Credentialing team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members...Hourly payFull timeWork at officeRemote workOscar Health
United States1 day ago- ...Position Summary: Responsible for ensuring all Providers and Facilities are credentialed. Qualifications and Requirements: 1. Educational Requirements: Bachelor's degree or equivalent experience Must be able to read, write, speak and understand English...Work at office
Horizon Retail Construction
Stanley, ND1 day ago - A healthcare staffing firm is seeking a Placement Support Specialist to assist providers with credentialing for locum placements. This remote position involves obtaining credentialing packets from hospitals and ensuring timely submission of documents. Ideal candidates will...LocumRemote workFlexible hours
Cura Search
United States4 days ago - ...while making a measurable difference for providers and patients alike. About the Role Impact you will make The Credentialing Specialist is responsible for coordinating and maintaining all aspects of provider credentialing, recredentialing, enrollment, and...Remote jobHourly payPermanent employmentWork at office
Aspirion
Las Vegas, NV1 day ago - ...Ardent Services, LLC is seeking a detail-oriented credentialing professional for managing high-volume provider credentialing processes. This role requires evaluating applications and executing primary source verifications while ensuring timely and accurate credentialing...Remote work
ardent services, llc
United States1 day ago $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 since 2016. We support our patients by ensuring they have the power to choose a caregiver...Work at officeFREEDOM CARE , LLC
Corona, NY2 days ago- ...Credentialing Specialist - CVO At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians...Full timeRemote workMonday to FridayShift work
BayCare
United States4 days ago - ...Provider Credentialing Specialist The Provider Credentialing Specialist is responsible for managing provider credentialing, payer enrollment, and network participation activities for TeamCare Medical providers and practice locations. This role serves as the primary...
C2Q Health Solutions
Bronx, NY3 days ago - ...Work collaboratively with the Provider Team, Call Center Specialists and other Nations Hearing employees. The person in this role... ...fielding Provider questions, concerns or complaints related to the credentialing process. Effectively manage follow up calls and email....Flexible hours
NationsBenefits, LLC
Plantation, FL3 days ago - ...Orlando Health Credentialing Specialist Location: Bayfront Hospital, St. Petersburg, FL Schedule: Monday-Thursday: 8am-4:30pm Friday: 8am-4pm Role is on site with hybrid potential after training Orlando Health, a trusted and respected healthcare organization...
Florida Medical Clinic
Saint Petersburg, FL20 hours ago - ...One Federal Solution is seeking Credentialing Specialists to support a large federal identity credentialing program. The Credentialing Specialist will perform credential enrollment, issuance, activation, inventory management, and customer support activities while ensuring...Permanent employmentFor contractorsWork experience placementWork at office
One Federal Solution
Los Angeles, CA20 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Credentialing Specialist. Be the first to apply!
