ABA Credentialing Specialist | Medical & Payer Compliance
Children's Specialized ABA
Children’s Specialized ABA is seeking a detail-oriented Credentialing Specialist to support credentialing and re-credentialing for providers across our organization. You will manage processes, verify credentials, and coordinate with providers and payers to ensure timely, compliant documentation. Ideal candidates bring experience in medical insurance, billing, or credentialing, with strong organizational and communication skills. #J-18808-Ljbffr Children's Specialized ABA
- ...NY, PA, TX, VA, IL, MI, or MO** ABA Credentialing Specialist Position Summary Children’s Specialized... ...Health and ABA field, ensuring compliance with insurance payer requirements, state and federal... ...experience with authorizations, medical insurance, billing, claims...SuggestedWork at office
- ...management, billing and credentialing, strategic planning, compliance, and performance improvement... ...Credentialing Services Specialist plays a vital role in... ...credentialed and enrolled with payers, enabling efficient... ...) Paid family leave, medical leave, and maternity/paternity...MedicalWork at officeFlexible hours
- ...Description Position Summary The Credentialing Specialist is responsible for credentialing and... ...the credentialing process. # Compliance monitoring and alert HR of any undisclosed... ...Experience should include responsibility for medical and professional credentialing...MedicalFull timeImmediate startRemote workWork from homeMonday to Friday1 day per week
- Dean Dorton is seeking a Credentialing Services Specialist to ensure healthcare providers are accurately credentialed and enrolled with payers, enabling timely reimbursements and uninterrupted... ..., licensure tracking, and ongoing compliance across states and payer types,...SuggestedFlexible hours
$19.43 - $32.98 per hour
...Centene Corporation is hiring for a fully remote credentialing role, open to candidates nationwide in the United States. The position involves credentialing and re-credentialing activities per plan specs and NCQA standards, with extensive interaction with physicians, office...SuggestedHourly payWork at officeRemote workFlexible hours- NeighborHealth Center is seeking a Credentialing Specialist to manage credentialing and recredentialing for our providers and ensure enrollment with participating health plans. The role includes primary source verification, CAQH maintenance, and data integrity, with collaboration...
- Navitus Health Solutions is seeking a Coordinator I, Provider Credentials to support the credentialing process for pharmacy providers.... ...processing credentials, maintaining documentation, and ensuring compliance with URAC and Navitus policies. The position requires strong...Remote job
- ...seeks a strategic HEOR leader to drive evidence generation and payer engagement across pipeline and commercialized therapies. You will... ...insights. The role emphasizes cross‑functional collaboration with Medical Affairs, Market Access, and analytics, with up to 60% travel and...Medical
- ...recognized team of healthcare attorneys representing hospitals, health systems, academic medical centers, physician groups, and other healthcare providers on a broad range of regulatory, compliance, and transactional matters. The Raleigh healthcare team is a core component of...MedicalLocal area
$28 - $30 per hour
...Immediate need for a talented Compliance Specialist. This is a 06+months contract opportunity with long-term potential and is located in... ...benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending...MedicalContract workWork at officeLocal areaImmediate start- BD is a leading global medical technology company, advancing healthcare worldwide. We seek a Regulatory Affairs professional to develop regulatory strategies for Pharmacy Automation products and support CE marking across EU machinery regulations, while coordinating international...MedicalWorldwide
$47.7k - $83.48k
...Job Classification Title Emergency Medical Program Specialist (NS) Position Number 60053865 Grade... ...communities across North Carolina. The EMS Compliance Specialist serves within the... ...regulatory standards, and professional credentialing requirements to review, monitor, and...MedicalWork at officeNight shift€58.5k - €89.25k per year
...who give possibilities purpose BD is one of the largest global medical technology companies in the world. Advancing the world of... ...development and product lifecycle activities. Support CE marking and compliance with applicable EU machinery legislation, including the...MedicalHourly payWorldwideShift work$60k
...Sunstates Security is hiring a Licensing and Compliance Coordinator to be based at our... ...annual 10% Performance-based bonus, full medical, dental, vision, and life insurance coverage... ...collect required information, verify credentials, and ensure compliance with...MedicalWeekly payWork at officeLocal area- ...office.The HCO must have the ability to apply inspection and compliance procedures with consistency and to write detailed reports to document... ...limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and...MedicalWork at officeNight shift
$55.22k - $96.64k
...Division Health Service Regulation Job Classification Title Facility Compliance Consultant I (NS) Position Number 60054187 Grade NC15 About Us... ...Division The Division of Health Service Regulation oversees medical, mental health and adult care facilities, emergency medical...MedicalLocal areaWork from homeNight shift- ...Administration (FDA) licensure and registration (biologics (BLA), medical device), Health Canada licensing, Clinical Laboratory... ...management urgent and time-sensitive matters that impact regulatory compliance. Maintain files contemporaneously for transparency and...MedicalFull timeWork at office
$57.98k - $61k
OSH Safety Compliance Officer I, Eastern NC (Evergreen)# State of North Carolina Careers## OSH Safety Compliance Officer I, Eastern NC... ...known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices...MedicalPermanent employmentFull timeTemporary workWork at officeLocal areaRelocation- ...operations, clinical optimization, regulatory compliance, and technological advancement. By... ...clinical outcomes. As a Health Industry - Payer Utilization Management Consulting... ...competitive suite of benefits including medical, dental, vision, life, and long-term disability...MedicalLive inWork at officeLocal areaWorldwide
- .../ General Description : The Contract Compliance Coordinator is responsible for managing... ...compensation with bonus potential ~ Medical, Dental & Vision plans ~100% company... ...Textura). Keep portal information, credentials, and required documentation current and...MedicalContract workTemporary workFor contractorsWorldwide
- ...Job Title: Payroll Tax Compliance Specialist Location: Raleigh, NC 27609 (hybrid) Duration: 12 Months Pay Rate: $64/hr on W2 Work Arrangement... .../Equity, HR, and external tax providers BENEFITS: Medical | Dental | Vision | 401(k) EEOC Compliance: We are an...MedicalContract workLocal area
- ...employee retention. We support the pharmaceutical, biotech, and medical device industries with our proven scientific approach to... ...control checks to documents and regulatory submissions to ensure compliance with ICH and MMS and clientstandards. Gains understanding of the...MedicalRemote jobLocal area
$80k - $90k
...administrative demands, or unstable ABA environments?At Opal Autism... ...clinical quality and compliance leadership focused on ethical... ...with quality care and evolving payer requirementsConduct ongoing treatment... ...collaboration consistent with medical necessity, treatment intensity...MedicalFull timeFlexible hours- Veradigm is seeking a skilled ProFee medical coder to abstract E/M visits and office-based... ...services with accuracy and regulatory compliance. You will perform daily QA on coded services... ...to uphold AMA CPT, ICD-10, CMS, and payer guidelines. The role requires CPC certification...MedicalWork at office
- ...investment teams provide a full complement of fixed income, active equity, and multi-asset solutions. Job Statement The Compliance Officer will support key elements of the firm's compliance program, including Code of Ethics, compliance risk assessments, policies...
$33.37 - $47.97 per hour
...across North Carolina. Summary The HCS Compliance Analyst III will be assigned to support... ...reimbursement, health system operations, medical staff standards, coding, billing, and documentation... ...Requirements Relevant professional credential(s) or coding certification (e.g., CPC,...MedicalHourly payFull time$60k - $70k
...seeking a motivated and detail-oriented Full Time - Grant Compliance & Monitoring Specialist to join our team. In this role, you will play a critical... ...origin, ancestry, age, physical or mental disability, medical condition, genetic information, pregnancy (including childbirth...MedicalFull timeWork at officeWork from home- ...excellence, consistency, and scalable systems that support growth without sacrificing quality. Description As the Corporate Compliance Specialist, you will play a critical role in ensuring that 10 Federal Self Storage adheres to all relevant federal, state, and local...Temporary workWork at officeLocal area
$85 - $115 per hour
...Rewarding Career With Kennedy ABA At Kennedy ABA, we... ...coordination Credentialing and provider enrollment... ...of client progress Compliance with applicable professional, state, and payer requirements Continuous... ...with electronic medical records and clinical documentation...MedicalHourly payFull timePart timeLocal areaRemote workFlexible hours$154.6k - $198.6k
...SpecialistThe Oncology Account Specialist will engage HCPs who treat... ...all Regeneron policies and in compliance with all policies and procedures... ...delivery, influencers and payer systems.Proactively identifies... ..., insurance benefits (e.g. medical, dental, vision, life and disability...MedicalLocal area
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