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
$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- ...Credentialing SpecialistA leading medical center in Brooklyn is looking... ...detail-oriented Credentialing Specialist to own the credentialing process... ...so the organization can bill insurances without disruption... ...timely enrollment with insurance payers to maintain billing...Suggested
- ...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
- ## 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...Suggested
- MediSolution is seeking a Senior Credentialing Specialist in Oklahoma to manage payer enrollment and provider credentialing processes. You will support new... ...commercial payers. The role emphasizes accuracy, HIPAA compliance, and collaboration with provider relations. At...Suggested
- QualDerm Partners is seeking a Credentialing Specialist to oversee credentialing, re-credentialing, payer enrollment and privileging for providers across a broad regional... ...leaders to ensure timely onboarding and compliance with health plan requirements. The role emphasizes...
- ...seeking an experienced Provider Credentialing Specialist to support U.S.-based... ...through re-credentialing and payer follow-up, and who take... ...also provide light support to billing and accounts receivable functions... ...CAQH, Sanctions & Compliance Create and maintain CAQH profiles...Full timeContract workWork at officeRemote workHome office
- ...serving U.S. healthcare practices. We seek a Credentialing Specialist to manage end-to-end provider enrollment, CAQH maintenance, and payer communications for remote clients. The... ...workflows, with potential light billing support as needed. A strong communicator...Remote jobFull time
- About Us: Verifiable is a provider credentialing and network monitoring platform, delivery industry-leading AI, API and Software solutions to help healthcare organizations optimize operations at enterprise scale. We are a top Salesforce partner, winning the 2024 Salesforce...Immediate startRemote workShift work
- 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
- Electrosoft in Kentucky is seeking a Government Badging & Credentialing Specialist to manage the HSPD-12 enrollment process for PIV cards, including... ...biometric and personal data, maintain records, ensure compliance with security policies, and deliver professional customer...
- 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...
$18.23 per hour
...Resets. Answering phone calls/email inquiries related to PIV credentials and access control matters. Coordinate and conduct the enrollment... ...of new applicants, contractors, and federal employee files. Compliance and Training Stay current with relevant policies, regulations...Full timeFor contractorsLocal areaImmediate startFlexible hours$30k - $40k
HSPD-12: Government Badging & Credentialing Specialist Duty and Responsibilities: Enrollment Process Management: Schedule appointments and... ...of new applicant, contractor, and federal employee files. Compliance and Training: Stay up to date with relevant policies,...For contractorsLocal area- ...Job Description Should be able to credential our specialists to different Health Insurances as Fidelis... ...insurances. Part-time medical billing to include A medical biller, or insurance... ...reimbursement from insurance companies and other payers. Duties you may want to include...Part timeWork at office
$23 - $25 per hour
...LHCSA Credentialing & Office Operations Specialist (Queens, NY / In-Office) FreedomCare is a healthcare company that has been dedicated to revolutionizing... ...responsible for supporting both caregiver compliance and the day-to-day administrative operations of a LHCSA...Work at office- Cardinal Health, Inc. is seeking a Coordinator for Managed Care Credentialing to oversee active credentialing/enrollment with contracted payors for all groups and providers. The role ensures licensure is updated and active for all groups. The candidate will document credentialing...
- ...Job Title Medical Coding Specialist Job Description Review... ...the Faculty Practice Group Compliance Manager and Administrator to... ...requirements regarding coding and billing documentation. Review and... ...course with CPC / CCS-P credentials. At least six months...TraineeshipLocal area
- Greenberg Traurig, LLP in Miami is seeking a skilled Legal Billing Specialist to manage the full life cycle of invoice preparation, ensuring accuracy and client compliance in a fast-paced environment. You will liaise with attorneys, clients, and administrative staff to...
- Jobtailor in the United States seeks a billing professional to ensure accurate reimbursement, comply with CPT and ICD-10 guidelines, and serve as a coding resource for providers and staff. You will handle multiple work queues including Charge Review, Claim Edit, and Follow...
- INTEGRIS Health is seeking a Medical Staff Specialist at our Corporate Office in Oklahoma City, OK. The role serves as a... ...professionals, legal counsel and administration to manage credentialing, regulatory compliance and Joint Commission standards. You will develop and...Work at office
- ...Healthcare Billing and Referral Coordinator The HealthCare Billing... ...support and administrative compliance, ensuring members access... ...the integrity of billing and credentialing frameworks. What You'll... ...insurance affiliation. Support payer contracting activities by...Full timeApprenticeshipWork at officeMonday to Friday3 days per week
- ...Integrated Services for Behavioral Health is hiring a Billing Specialist in Kentucky. This role focuses on Medicaid billing, ensuring accurate... .... This position is vital for handling client billing and revenue cycle operations across multiple payers. #J-18808-Ljbffr...
$65k - $72k
...Overview As Hey Jane expands to partner with more payers, we are seeking a highly organized and detail-oriented Billing Specialist with specific expertise in Medicaid. You are... ...complex billing issues and maintaining compliance, you will ensure that the intricacies of...Remote work- ...Harbor is seeking a Billing Specialist to join our Toledo team! This position is responsible for timely, effective and efficient revenue cycle... .../Primary Duties: Receives incoming questions from clients, payers and/or clinicians regarding client accounts; initiates data submission...Full timeWork at office
$100k - $140k
...ABA Billing SpecialistWe are a well-established and rapidly expanding... ...environment where precision, compliance, and revenue integrity are... ...seeking a senior-level ABA Billing Specialist to join our team full-time in... ...reimbursement when no direct payer contract exists.This...Full timeContract workWork at officeRemote work1 day per week- ...Join Our Team as a Medicaid Billing Specialist! Behind every successful Medicaid claim is someone... ...time while following federal, state, and payer guidelines. Verify billing information,... ...claims when needed. Maintain compliance with New Mexico Medicaid regulations, HIPAA...Work from home
- ...full-time role supports financial operations, processes invoices, maintains records, and assists with audits to ensure accuracy and compliance. You will reconcile accounts, prepare reports, and collaborate across departments to support budget management and asset tracking...Full time
- ...implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist...Contract workRemote workFlexible hours
- System Support in Kentucky is seeking a Senior Account Representative (DME) responsible for billing services to the appropriate payer and validating receipt of electronic and hard copy claims. The role also involves reviewing accounts receivable and monitoring payment trends...
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