Payer Credentialing Specialist
Virtual Vocations Inc
To support a growing operations team, the full-time Payer Credentialing Specialist will manage end-to-end credentialing processes for providers, coordinate payer enrollment applications, and maintain compliance with regulatory standards in a remote environment. Key responsibilities Manage credentialing and recredentialing processes for new and existing providers, including verification of qualifications Coordinate payer enrollment applications and updates to ensure timely processing and provider participation Maintain accurate credentialing files and collaborate with various stakeholders to resolve credentialing-related issues Required qualifications Minimum of 1 year of experience in provider credentialing and payer enrollment, preferably in a healthcare organization Strong ownership mindset with a self-directed approach to work High level of accuracy and attention to detail in tracking applications and documentation Reliable follow-through on commitments and proactive communication regarding timelines Excellent time management skills to handle multiple credentialing tasks simultaneously
- Integrated Services for Behavioral Health (ISBH) is seeking a Credentialing Specialist in the Southeast region of Ohio to support provider... ...credentialing with potential work with Medicare and private payers; a high school diploma is required, and 1 year of Medicaid...Suggested
- Brooklyn-based healthcare organization is seeking a detail-oriented Provider Credentialing Specialist to manage credentialing, recredentialing, and payer enrollment, ensuring compliance and timely onboarding for providers. You will verify licenses, DEA, certifications,...Suggested
- ...fast and expanding access to evidence-based obesity care nationwide. To achieve our ambitious goals, we're looking for a Payer Credentialing Specialist to join our Operations team. This role will support all things credentialing at knownwell, and play a critical role in...SuggestedLocal areaRemote workWork from home
- Position: Credentialing & Payer Enrollment Specialist - Buckhead Location: Atlanta, GA Job Id: 6086 # of Openings: 1 We are a thriving Outpatient Pain Management Practice who seeks qualified, dynamic Healthcare Professionals like you! No weekends, 8 Major Holidays off,...Suggested
- Direct Jobs is seeking a Credentialing Assistant to support the day-to-day operations of payer enrollment at CHRISTUS St. Vincent. You will assist with credentialing and re-credentialing, maintain timelines, and communicate with providers and departments. Responsibilities...Suggested
- Integrated Services for Behavioral Health (ISBH) is seeking a Credentialing Specialist to manage provider credentialing and related billing... ...role emphasizes Medicaid, with potential Medicare or private payer work, and involves maintaining portals like CAQH, PECOS, and...
- Covenant Health is looking for a Credentialing Specialist to manage Payer Enrollment and Hospital credentialing tasks in Knoxville, TN. This full-time position involves acting as a liaison, processing applications, and maintaining credentialing databases with confidentiality...Full time
- Foothills Neurology Company seeks a Credentialing Specialist to manage provider credentialing, payer enrollment, and re-credentialing. This role ensures physicians, NPs, and PAs are enrolled with contracted plans to maintain uninterrupted reimbursement and compliance....
- ...Credentialing Specialist We are seeking an experienced Credentialing Specialist to support high-volume provider credentialing, facility enrollment... ..., ambulatory surgery center (ASC) credentialing, and payer enrollment activities. The ideal candidate will be highly organized...Remote work
- 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 at...Remote job
- Healthcare Outcomes Performance Company is seeking a Credentialing Specialist to manage hospital and payer applications, verify licensure, and maintain practitioner credentialing files. You will coordinate with physicians, licensing agencies, and payors, track CME credits...
- 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...Contract workWork at office
- Cabinet Peaks Medical Center is in search of a Credentialing Specialist in Libby, MT to coordinate provider credentialing and enrollment processes. This full-time role involves managing applications and ensuring compliance with multiple regulatory standards while maintaining...Full timeWork at office
$22.51 - $31.79 per hour
Overview The role verifies the credentials of physician and allied health professional applicants and re-applicants, and prepares candidates for review by the appropriate clinical Service Chief and Medical Staff Committees. Responsibilities Verify the credentials of physician...$22.51 - $31.79 per hour
A leading healthcare organization in Houston is seeking a Credentialing Specialist to verify physician and allied health professional credentials. This role involves managing applications, ensuring timely processing, and maintaining accurate records in the credentialing...Hourly pay- Feitong Buke, located in Norcross, Georgia, is seeking a professional responsible for managing credentialing applications and maintaining documentation for all services and facilities. The role involves reviewing paperwork, providing project management support, and educating...Contract work
- ...and based in Carrollton, TX, is actively hiring a Delegated Credentialing Specialist!The Credentialing Department is responsible for verifying... ...lifecycle for providers participating with delegated dental payer networks. This role ensures providers are credentialed in accordance...Temporary work
$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... ...Medicaid, though it may work with Medicare and/or private payers. The pay range for this position is $23.85 - $28.02 per...Hourly payTemporary workWork at officeLocal area$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... ...Medicare (PECOS), Medicare Advantage plans, and other payers. Maintain provider data: Ensure CAQH profiles are complete...Full timeWork at officeRemote workFlexible hours- ...Credentialing Specialist Heartbeat Health is the leading virtual-first cardiovascular care company in the country, providing patients with... ...role is responsible for end-to-end provider credentialing and payer enrollment across government and commercial payers,...Remote work
- ...Responsible for ensuring all Providers and Facilities are credentialed. Qualifications and Requirements: 1. Educational Requirements... ...Duties and Responsibilities: 1. Prepare and submit Provider Payer Enrollment; All Payer Revalidation Annually and Medicare Revalidation...Work at office
- ...Services Department, the full-time remote Credentialing Administrator will coordinate... ...experience in medical staff credentialing or payer enrollment functions Knowledge of Joint... ...CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred upon hire Experience...Full timeRemote work
$23.56 - $37.69 per hour
...talent to our growing team. Position Overview: The Credentialing Specialist performs all aspects of the credentialing, privileging,... ...maintaining CAQH profiles, NPPES registrations, provider data with payers and managing plan enrollment status in credentialing system...Full timeFor contractorsWork at officeRemote workWork from homeHome office$21.49 - $30.09 per hour
...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, accreditation standards...Full timeWork at officeAfternoon shift- ...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 critical role that requires...Work at officeRemote work
- ...Monday - Friday - 8:00 am to 5:00 pmVerifies and authenticates the credentials of healthcare professionals to ensure compliance with... ...effectively with medical staff, providers, licensing boards, payers, and external agencies.Preferred QualificationsExperience with...Full timeWork experience placementMonday to Friday
- ...Credentialing Specialist Rural Psychiatry Associates is seeking a Credentialing & Enrollment Specialist to join our growing team! If you are... ...staff are properly credentialed and enrolled with insurance payers. Your expertise will help maintain compliance with...Temporary workWork at office
- ...Credentialing Specialist A leading medical center in Brooklyn is looking for a detail-oriented Credentialing Specialist to own the credentialing... ...all providers Ensure timely enrollment with insurance payers to maintain billing eligibility Compliance &...
$52.12k - $57.46k
...have firsthand industry experience in Credentialing solutions and demonstrate deep familiarity... .../enrollment applications to payers and follow up until in ‑ network status... ...CPCS (Certified Provider Credentialing Specialist) certification from NAMSS is highly preferred...Full timeImmediate startFlexible hours- ...Description Job Overview We are seeking a Provider Credentialing Specialist to join our team in supporting core credentialing and recredentialing... ...environment. Preferred Skills & Credentials: Payer-Side Experience: Prior experience processing credentialing...Contract workLocal areaRemote workMonday to FridayFlexible hours
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