Credentialing Specialist
Virtual Vocations Inc
To support the Medical Staff Services Department, the full-time remote Credentialing Administrator will coordinate practitioner credentialing, privileging, and primary source verifications while ensuring compliance with accreditation standards and regulatory requirements. Key responsibilities Coordinates departmental activities to maintain quality in credentialing and privileging processes Assists with the NCQA Accreditation application and survey process, ensuring compliance with regulatory agencies Develops and implements tools for data management and process improvement within the credentialing framework Required qualifications Associate's degree in business or healthcare-related field and 3 years of experience in medical staff credentialing or payer enrollment functions Knowledge of Joint Commission, CMS, and NCQA regulations related to medical staff services preferred Proficiency in MS Office applications (Word, Excel, PowerPoint) required Certified Medical Professional Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred upon hire Experience with criteria-based clinical privileging processes preferred
- ...committed to innovation, excellence, and patient-centered care.\n \n Overview \n \n \nSage is looking for a Delegated Credentialing Specialist (Remote) to join our team! The Delegated Credentialing Specialist is responsible for organizing, maintaining, and...SuggestedWork at officeRemote work
- We are looking for a Credentialing Specialist to support provider and clinic staff credentialing operations for a Contract position based in Fresno, California. This role is responsible for coordinating the full credentialing lifecycle, helping ensure practitioners and...SuggestedContract work
- ...its-kind Dental Partnership Organization (DPO) founded in 2007 and based in Carrollton, TX, is actively hiring a Delegated Credentialing Specialist!The Credentialing Department is responsible for verifying the qualifications of dental providers and ensuring they are...SuggestedTemporary work
- We are looking for a Credentialing Specialist to support a health pharm/biotech organization in Somerset, New Jersey. This Long-term Contract position is ideal for someone who is highly organized, service-minded, and comfortable handling detailed administrative work with...SuggestedLong term contract
- ...UW Medicine is seeking a Program Operations Specialist in Credentialing to oversee credentialing and privileging operations within its Office of Medical Staff Affairs. The role emphasizes independence, leadership, and strong knowledge of credentialing regulations to support...SuggestedWork at officeRemote work
- ...Meds is seeking a detail-oriented Credentialing Specialist for a fully remote role in the United States. You will support credentialing and state licensing for our Medical Team, including Nurse Practitioners and Registered Nurses, reporting to the Credentialing Manager...Remote 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-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes...Hourly payTemporary workWork at officeLocal area- ...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...Remote work
- ...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...Full timeRemote work
- ...Credentialing Specialist - CVO At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians...Full timeRemote workMonday to FridayShift work
$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- ...To support the efficient operation of medical licensing and credentialing processes, the full-time remote Credentialing Specialist will manage the credentialing of providers with insurance payors and hospitals, maintain credentialing matrices, and facilitate onboarding...Full timeRemote work
- ...To support credentialing operations, the full-time temporary California Licensed Credentialing Specialist will manage primary source verifications, evaluate applications, and serve as a key contact for external queries regarding practitioner status while working remotely...Full timeTemporary workRemote work
- ...Credentialing Specialist Heartbeat Health is the leading virtual-first cardiovascular care company in the country, providing patients with convenient, high-quality heart care through a combination of telemedicine, diagnostics, and virtual care programs. By leveraging...Remote work
$40k - $55k
...psychotherapy to hundreds of patients. ☆ About the Role Location: Remote - US or Canada based only Title: Credentialing Specialist Salary Range: $40,000 - $55,000 We're hiring a full-time remote Credentialing Specialist to lead and support all...Full timeWork at officeRemote workFlexible hours- ...Credentialing Specialist The Credentialing Specialist coordinates credentialing, appointment, reappointment, and privileging processes for practitioners at Down East Community Hospital (DECH) and Calais Community Hospital (CCH). Responsibilities include maintaining...Work at office
- ...International applicants will not be 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...Work at officeRemote work
- ...One Federal Solution is seeking Credentialing Specialists to support a large federal identity credentialing program. The Credentialing Specialist will perform credential enrollment, issuance, activation, inventory management, and customer support activities while ensuring...Permanent employmentFor contractorsWork experience placementWork at office
- ...CrewBloom is expanding its HR team to recruit Licensed Behavior Analysts and manage the LBA lifecycle, including licensure, credentialing, and Medicaid enrollment. The recruiter partners with BCBAs pursuing LBA licensure and coordinates with clinical leadership to ensure...
- ...Position Summary: Responsible for ensuring all Providers and Facilities are credentialed. Qualifications and Requirements: 1. Educational Requirements: Bachelor's degree or equivalent experience Must be able to read, write, speak and understand English...Work at office
- A leading staffing agency is seeking a Remote Credentialing Specialist. In this role, you will ensure timely and accurate credentialing file completions, adhere to internal SLAs, and complete primary source verifications. The ideal candidate has at least 2 years of provider...Remote work
- ...Credentialing Specialist II This is an experienced position that performs all provider credentialing verifications and credentialing support tasks. Additionally, this position is responsible for the execution of contracting documents for individual and group providers...Contract workRemote work
- ...To support credentialing operations, the full-time remote Credentialing Program Operations Specialist will oversee personnel activities, manage credentialing processes, and ensure compliance with regulatory standards within the Office of Medical Staff Affairs. Key Responsibilities...Full timeContract workWork at officeRemote work
- ...Location: Gainesville, FL ð FTE: Full-Time (1.0 FTE) Schedule: Monday - Friday - 8:00 am to 5:00 pmVerifies and authenticates the credentials of healthcare professionals to ensure compliance with regulatory standards. Coordinates with medical staff and external agencies...Full timeWork experience placementMonday to Friday
- ...Credentialing SpecialistsCredentialing Specialists will provide credentialing service and support to operate IRS credentialing sites utilizing the GSA scheduling tool to manage credentialing appointments, run reports through the USAccess system, and use credentialing...Temporary workFor contractorsLocal areaShift workNight shiftWeekend work
- ...PATH (People Assisting The Homeless) (Old) is seeking a Credentialing Specialist in Riverside, CA. This is a full-time, non-exempt position focused on establishing, monitoring, and maintaining provider credentialing with employer groups, managed care organizations, insurance...Full time
- ...information. Learn More Baystate Health, a nationally recognized leader in healthcare quality and safety, is seeking an experienced Credentialing Specialist to join our Central Verification Organization in Springfield, MA. RESPONSIBILITIES: The Credentialing Specialist manages...Hourly payFull timeTemporary workMonday to Friday
- ...Credentialing Specialist Healthcare Outcomes Performance Company (HOPCo) is a vertically integrated musculoskeletal outcomes management company. HOPCo manages physician practices, hospital service lines, population health and value-based care programs, and musculoskeletal...Work at office
$29 per hour
...Credentialing SpecialistThe Credentialing Specialist is responsible for the entire initial credentialing and privileging process and reappointment process for all new medical staff and allied health professional applicants to ensure the highest quality patient care at...- ...career here for you. Join us in making a real difference in the health of our community. Job Summary Position Title: Credentialing Specialist Job Summary: The Credentialing Specialist is responsible to coordinate and assist with the day-to-day administrative...
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