Credentialing & Billing Specialist — Payer Compliance
Cenikor Foundation
Cenikor 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-party payers to ensure timely billing and contract compliance. The role requires strong Microsoft Office and data-entry skills, attention to detail, and the ability to handle confidential information in a team environment. Join Cenikor's mission-driven culture and growth opportunities. #J-18808-Ljbffr Cenikor Foundation
- ...Health Services, Inc. in Memphis, TN seeks a Credentialing Specialist to own provider credentialing, privileging, and payer enrollment. You will verify qualifications, maintain... ...NHSC program needs. You will manage HRSA compliance, FTCA deeming, and OSV readiness, serving as...Suggested
- ...Credentialing Specialist A leading medical center in Brooklyn is looking for a detail... ...so the organization can bill insurances without disruption.... ...timely enrollment with insurance payers to maintain billing eligibility Compliance & Accountability Monitor...Suggested
- ...or an alternative application process. CREDENTIALING SPECIALIST RFT Memphis, TN, US 18 days ago... ...provider credentialing, privileging, and payer enrollment across our organization. In... .... You'll play a critical part in HRSA compliance, FTCA deeming, and site visit readiness...SuggestedWork at office
$48.15k - $64.92k
...Reporting to the Senior Director, Credentialing and Revenue Cycle, the Credentialing Specialist is responsible for overseeing... ..., re-credentialing, payer enrollment and privileging processes... ...partners for assigned region. Assure compliance with all health plan...SuggestedFull timeTemporary workImmediate startRemote work- ...procedures and nationally recognized specialists, all within a connected,... ...the area, responsible for credentialing and recredentialing... ...applications, following up with payers, and updating and maintaining... ...delegated providers, ensuring compliance with regulatory bodies (...SuggestedLocal areaFlexible hours
- ...are currently seeking a Credentialing & Enrollment Specialist IIto join our credentialing... ...and government payers Follow up on submitted enrollment... ...triage Assist with provider billing activation coordination... ...roster-related billing issues Compliance Execution Gather audit...Temporary workRemote work
- ## Senior Credentialing SpecialistApplylocations: Oklahoma, United Statestime type: Full timeposted on: Posted Todayjob requisition id: R0... ...responsibilities include, but not limited to:*** Accurately complete payer enrollment and facility appointment applications for providers...
- ..., LLC. in Middletown, PA is seeking a Credentialing Specialist to manage the full credentialing and enrollment... ..., Medicaid, managed care and private payers, while maintaining payer data and... ...requires 3-5 years of experience in billing, managed care or healthcare, and...
- ...enrollment and provider credentialing? We are seeking a... ...motivated Credentialing Specialist to join our growing... ...commercial insurance payers. Your work will directly... ...of experience in a Billing, Managed Care or... ...confidentiality and compliance standards Ability to...
- Innovaccer Inc. is seeking a Provider Services Specialist to manage enrollment tasks and follow-up on credentialing holds and denials within a multi‑specialty... ...client base. You will escalate and track payer, provider, or billing platform issues, work with CAQH and payor...
- ...patient-centered care. Overview Sage is looking for a Delegated Credentialing Specialist (Remote) to join our team! The Delegated Credentialing... ...and be able to prioritize all work tasks. Insurance/Payer Application submission experience Designated workspace with...Work at officeRemote work
- ...company transforming mental healthcare nationwide. We seek a Credentialing & Enrollment Specialist II to manage complex credentialing and enrollment... ...credentials, maintain CAQH/PECOS profiles, and support payer enrollment across commercial and government payers while...Remote job
- ...We believe strong operational and compliance practices are essential to ensuring... ...We are seeking a detail-oriented Billing Compliance & Audit Specialist to support the accuracy, quality,... ...documentation aligns with both individual payer requirements and internal billing...
- US Anesthesia Partners seeks a Payer Compliance Specialist I - RCM to analyze allowed amounts on claims, review postings, and request corrections to secure full allowances per contract. The role involves identifying payer issues affecting receivables and communicating with...Remote jobContract work
$16.49 - $26.39 per hour
Overview The Payer Compliance Specialist I - RCM plays a key role within USAP as it is responsible for analyzing allowed amounts received on USAP... .... Basic knowledge of managed care programs and healthcare billing requirements necessary. Analytical abilities to identify...Remote jobHourly payContract workWork at office- CompuNet Clinical Laboratories, LLC is seeking a Billing Specialist to perform daily account processing in the... ...relationships with patients, clients, and payers. The position is full-time day shift, requiring attention to compliance, quality data entry, and efficient handling...Full timeDay shift
$55k - $65k
...Certification through AAPC required. Credentials will be verified prior to... ...You’ll Do As a Medical Billing & Coding Specialist, you’ll serve in a hybrid... ...claims submission, compliance, and payment. You’ll collaborate... ..., partner success, and payer reps to ensure claims...Temporary work- ...healthcare quality and safety, is seeking an experienced Credentialing Specialist to join our Central Verification Organization in Springfield... ...Assist with regulatory audits, accreditation reviews, and compliance activities, including preparation for surveys and audits....Hourly payFull timeTemporary workMonday to Friday
$93.8k - $106k
...Reporting to the Manager of Billing Compliance, the Billing Compliance Curriculum Development Specialist is responsible for designing, implementing, and maintaining a comprehensive... ..., NCCI, and other applicable regulatory and payer sources into training content, communication...Work at officeRemote work- ...Johnson Health Center is seeking a Credentialing Specialist to join the administrative team. You will verify and organize all aspects of credentialing... ..., maintain provider and staff files, and ensure compliance with state and federal requirements. Responsibilities include...
- ...Credentialing Specialist A medical billing company in Brooklyn is looking for a Credentialing Oversight Specialist to manage quality control for a high-volume provider enrollment process, handling around 50 to 60 new enrollment requests daily. The hands-on execution...Immediate start
$27.6 - $29.4 per hour
...Credentialing Office Specialist Salary Range $27.60 - $29.40 Hourly Position Type Full Time Category Field Company Overview Founded in... ...completion of security services. Supervise and ensure compliance with Port Authority and federal rules and regulations regarding...Hourly payFull timeContract workPart timeFor contractorsWork at officeImmediate startFlexible hoursShift work- POWTEC Solutions, LLC in Boston, MA is seeking a Credentialing Specialist/Registrar to support a federally funded DOL contract across multiple... ...flexible part-time hours, is on-site, and focuses on compliance with credentialing standards in a mission-driven government...Contract workPart timeFor contractorsFlexible hours
- ...health outcomes and satisfaction. Our compliance-focused infrastructure, proprietary... ...collaboratively with the Provider Team, Call Center Specialists and other Nations Hearing employees.... ...concerns or complaints related to the credentialing process. Effectively manage follow up...Flexible hours
- CarePoint Health Management Associates is looking for a skilled credentialing professional in Hoboken, NJ. The role involves credentialing and recredentialing healthcare practitioners, ensuring compliance with regulations, and managing application processes. The ideal...
- Credentialing Specialist- ARMC- Days (full time) At Adena Health, professional roles shape the systems, strategy, and operational excellence... ...verify and assess the credentials of providers to ensure compliance with industry standards and regulatory requirements. This...Full timeRemote workWork from homeDay shift
- ...applicants and re-applicants. Escalating concerns, according to policy and procedure, to the chain of command. Performing related credentialing functions, including ensuring all documents are maintained according to policy and procedure. Maintaining confidential...Work at office
- Sage Dental Management seeks a Delegated Credentialing Specialist (Remote) to organize, maintain and verify delegated credentialing for General and Specialty Dentists, ensuring compliance with NCQA guidelines and regulatory policies. The role requires attention to detail...Remote job
- Our Healthcare client, based in Ohio, is transitioning their credentialing system from Cactus to MDStaff and is looking to hire an analyst... ...provider lifecycle management. Awareness of regulatory and compliance standards (e.g., HIPAA, PHI handling). Technical and...Remote jobFull time
- Adena Health System is seeking a Credentialing Specialist for ARMC on the Day shift in Chillicothe, OH. The role focuses on verifying credentials to ensure compliance with industry standards and regulatory requirements, including reviewing applications and checking education...Remote jobDay shift
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