Quality Audit Credentialing Specialist II — Remote
HCA Healthcare, Inc.
- Remote job
Parallon, a part of HCA Healthcare, seeks a Credentialing Processing Center Specialist II to safeguard patient well-being by ensuring verified credentials across hospitals and facilities. The role involves navigating complex regulatory guidelines and coordinating with a wide network of providers and stakeholders. The ideal candidate has 5+ years in healthcare credentialing, familiarity with Joint Commission/NCQA standards, and NAMSS certification preferred. #J-18808-Ljbffr HCA Healthcare, Inc.
- ...organization that invests in you as a Quality Audit Specialist II? At Parallon, you come first. HCA... ...Job Summary and Qualifications The Credentialing Processing Center Specialist II is responsible... ...NAMSS Certification preferred. Remote employees are required to live...Remote workQualityTemporary workWork experience placementFlexible hours
$24 - $26 per hour
...and create lasting hope! Credentialing Specialist II Job Type: Full-Time; Non... ...Need Work Location: Remote Salary/Hourly Wage: $24.... ...the Council for Affordable Quality Healthcare (CAQH). Licensing... ...for ease of access and auditing. Cross-Functional Collaboration...Remote workQualityHourly payFull timeTemporary workFor contractorsWork at officeMonday to FridayShift work- ...currently seeking a Credentialing & Enrollment Specialist IIto join our credentialing... ...growth and quality of our national provider... ...Specialist II : Provider Lifecycle... ...Compliance Execution Gather audit evidence as directed... ...sick leave Work remotely and whatever schedule...Remote workQualityTemporary work
- The Cigna Group is seeking an Audit Specialist II to facilitate audits within the audit program, reviewing claim submissions for accuracy and... ...include prioritizing tasks, completing payer and quality audits, training on recurring errors, and contributing to SOP...Remote jobQuality
$27 - $40 per hour
The Cigna Group is hiring an Audit Specialist II to facilitate audits within the approved program, review... ...skills. You will prioritize tasks, conduct quality audits, assist in SOP development, and support training. This remote-friendly role offers potential annual bonus...Remote jobQualityHourly pay$56.16k - $83.2k
...next steps. Our partner is looking for an Audit Specialist II - CarepathRx based in the United States... ...a key role in ensuring the accuracy, quality, and compliance of healthcare billing... ...opportunity to make a meaningful impact in a remote environment while supporting...Remote workQualityHourly payFull timeWork at office$27 - $40 per hour
The Audit Specialist II is responsible for facilitating processing of audits within the parameters of the audit program. The role involves reviewing... ..., Highmark and UPMC Health Plan Perform quarterly quality audit checks Complete quality audits on new employees until...Remote jobQualityHourly payWork at officeLocal areaWork from home- ...home infusion revenue cycle tasks from a remote or home-based setting in the United States... ...You will prioritize tasks, perform payer audits, and maintain knowledge of Medicare and payer guidelines while contributing to quality audits and SOP development. Strong communication...Remote workQualityWork from home
- ...in the United States is seeking a skilled Revenue Cycle Specialist to support home infusion billing processes. You will prioritize tasks, complete payer audits, maintain guidelines knowledge, and assist with quality audits and SOP development. The role emphasizes...Remote jobQualityWork at office
$50k - $60k
...than 55,000 employees worldwide. Our Insurance Premium Audit Group specializes in delivering high-quality premium audits across all exposure types, supported... ...of the EXL Premium Audit Team, you will benefit from: Remote work flexibility Target total earnings between $50K-$...Remote jobQualityHourly payWorldwide- Premera Blue Cross is seeking a Quality Auditor to conduct audits professionally, ethically, and objectively, applying applicable standards. You will plan, develop, and communicate audits within defined scopes and schedules, maintaining up-to-date knowledge of procedures...Remote jobQuality
- Brightside Health Inc. is seeking a Credentialing & Enrollment Specialist II to join our fully remote credentialing team. You will manage onboarding readiness, credentialing and enrollment applications, and provider records across a national network. Join a mission-driven...Remote jobFlexible hours
- ...Fully remote in any state except NY, CA, HI or AK This position... ...to technical specifications; auditing and review of electronic clinical... ...Understanding of NCQA HEDIS quality measures and related code value... ...codes applied, including CPT II, SNOMED, LOINC, ICD, HCPCS, and...Remote workQualityFull timeContract work
$63.29k - $104.43k
...Job The Internal Auditor II - Compliance is... ...execution of assigned audits. The successful candidate... ...Anti-Money Laundering Specialist (CAMS) Working knowledge... ...three (3) days a week with remote flexibility two (2) days... ...FNBO believes that the quality of our employee...Remote workQualityTemporary work2 days per week3 days per week- ...Allevio is seeking a detail‑oriented Credentialing Specialist to verify healthcare providers' credentials... ...Salt Lake City, UT preferred, open to remote for the right candidate. This full‑time, non‑exempt role supports audits and quality improvement within credentialing teams...Remote workQualityFull time
$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... ...managers, and providers. The role supports reporting, quality, and education verification processes in a fast-paced environment...Remote workQualityHourly payWork at officeFlexible hours- ...Guardian is seeking a Credentialing Support Associate III to support the provider credentialing and recredentialing process... ...information, resolve discrepancies, and support high-quality network operations. This remote role reports to the Credentialing leadership team....Remote workQualityWork at office
- ...Guardian Life is seeking a Credentialing Support Associate III to manage provider data and support credentialing and recredentialing. You... ...providers and internal teams to resolve discrepancies, maintain high-quality records, and support efficient network operations. A detail-...Remote workQuality
- Trillium Health Resources in North Carolina is seeking a Quality Management Specialist II - IDD to ensure that HCBS services in Residential, Day Support, and Supported Employment meet HCBS requirements during the member’s plan year, and to supervise Innovations Waiver...Remote jobQuality
- ...DescriptionProSidian Seeks a Assurance & Audit Specialist | Compliance / Risk /... ...No Overtime Pay Basis Remote (within USA - W/ On-... ...: Senior Consultant II) to provide Compliance... ...support, deliverable quality checks, and controls... ..., enhancing your credentials.ProSidian Employee &...Remote workQualityFull timeContract workTemporary workFor contractorsWork at officeFlexible hours
$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... ...credentialing support staff, ensuring quality, accuracy, and timely processing of credentialing...Remote workQualityFull timeWork from home- ...set the highest standards of quality, timeliness, and client... ...radiology. Job Summary The Credentialing Specialist primarily serves as the... ...and participating in regular audits of the credentialing... ...and working effectively in a remote environment with minimal supervision...Remote workQuality
- ...Department: Credentialing Reports To: Credentialing Manager Location... ...City, UT preferred (open to remote for the right candidate)... ...detail-oriented Credentialing Specialist to join our team. The... ...timely manner Participate in audits and quality improvement initiatives related...Remote workQualityFull timeWork at office
- Brightli seeks a Managed Care Credentialing Representative II to support providers from onboarding through credentialing. You will partner with providers to navigate applications, enrollment, and regulatory requirements, ensuring accurate files and timely progress. This...Remote job
$17 - $28.46 per hour
...Credentialing SpecialistWe're building a world of health around every... ...accountable and prioritize safety and quality in everything we do. Join us... ...least once per month. Fully remote consideration is available... ...SummaryThe Credentialing Specialist ensures clinicians...Remote workQualityOngoing contractWork experience placementWork at officeLocal area- ...Visit CooperHealth.org to learn more. Short Description The Credentialing Specialist is responsible for the entire initial credentialing and... ...allied health professional applicants to ensure the highest quality patient care at Cooper University Health Care. The position...Remote workQuality
- Trillium Health Resources is conducting a search for a Quality Management Specialist II - IDD. This role focuses on ensuring HCBS services meet state... ...relevant licensing, and experience in MH/DD/SA settings. Remote NC-based work is available with travel as needed. #J-188...Remote jobQuality
$50k - $70k
...by a deep-seated commitment to making quality, affordable emotional support services... ...Summary The Provider Enrollment & Credentialing Specialist is a vital role that ensures our clinicians... ...and location). Environment: Remote Premium Medical, Dental, and Vision...Remote workQuality- ...Remote General Summary As a Credentialing Specialist, you'll play a vital role in our medical staff services team, ensuring that healthcare practitioners meet... ...Participate actively in system integration and quality improvement initiatives Pursue professional development...Remote workQuality
- ...Brand Partner of Upstream Rehabilitation, seeks a Credentialing Specialist to support initial credentialing and recredentialing... ...focused on accuracy, regulatory compliance, and high-quality provider networks. This remote Arizona role requires residence in the United...Remote workQuality
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