Regional Credentialing & Enrollment Specialist
QualDerm Partners, LLC
QualDerm Partners is seeking a Credentialing Specialist to oversee provider credentialing, payer enrollment, and privileging across regions, ensuring timely on-boarding and compliance with NCQA, Joint Commission, URAC, CMS rules. Reporting to the Senior Director, Credentialing and Revenue Cycle, you will maintain data integrity in credentialing databases, collaborate with payers and health systems, train new staff, and support regional leadership. #J-18808-Ljbffr QualDerm Partners, LLC
$50k - $70k
A behavioral health company for seniors is searching for a Provider Enrollment & Credentialing Specialist responsible for ensuring all clinicians are fully vetted and able to deliver care. The role requires experience in provider credentialing, knowledge of Medicare guidelines...SuggestedRemote work- Curana Health is seeking an experienced credentialing and enrollment specialist to prepare and submit enrollment applications to Medicare, Medicaid, and other payers. You will manage provider data and attestation across internal systems, ensuring accuracy and timely updates...Suggested
- Bridgeview Eye Partners is seeking a detail-oriented Provider Enrollment Specialist to join our Credentialing team. In this role you’ll manage provider and facility enrollment with payers, ensuring accuracy and timely submissions to keep patient care uninterrupted. You’...Suggested
- Capital Health is seeking an Insurance Enrollment and Credentialing Coordinator to manage end-to-end credentialing and enrollment, aligning providers with payer requirements to safeguard revenue. The role emphasizes accuracy, data integrity, and cross-system coordination...SuggestedFull time
- ...primary care focused medical group serving the Asian community in New York City, is seeking a Credentialing Coordinator to support provider credentialing and payer enrollment workflows. In this role you will assemble credentialing documentation, reconcile payer rosters...Suggested
- Modena Health is seeking a Credentialing Specialist in the United States to prepare, submit, and manage provider credentialing and payer enrollment for commercial, Medicare, and Medicaid plans. You will coordinate initial credentialing, recredentialing, and ongoing provider...Full time
- Aspirion seeks a Credentialing Specialist to coordinate provider credentialing, recredentialing, enrollment, and data management across commercial and government plans. The role ensures regulatory and payer requirements are met and maintains active participation with payers...
$23 - $25 per hour
Geode Health is a rapidly growing national provider of outpatient mental health services, and is seeking a Provider Enrollment Associate to oversee credentialing, licensure, and payer enrollment tasks. The role focuses on timely enrollment actions and reducing timelines,...Hourly pay- ...Aspen Dental, part of The Aspen Group (TAG), is seeking a Provider Enrollment Specialist to join the Payor Strategy team remotely. You will manage enrollment and credentialing for Aspen Dental providers with insurance payers and dental plans. The role focuses on timely...Remote work
- ...City Department of Health and Mental Hygiene is seeking a Credentialing Specialist to verify qualifications of clinical providers and ensure... ...revenue stream by maintaining accurate provider data and timely enrollment with payers. Responsibilities include reviewing...Remote job
$36 - $40 per hour
...year, we will have the fifth-largest practice in the country. About the Role We're looking for a detail-oriented Credentialing and Enrollment Specialist to support payer enrollment for our providers, including radiologists, cardiologists, and optometrists. You'll keep...Hourly payContract workTemporary workLocal areaRemote work- Balance Health is seeking a Credentialing and Provider Enrollment Coordinator to manage provider credentialing processes fully remote. You will ensure providers are credentialed accurately and on time while supporting seamless operations and patient access. The ideal candidate...Remote job
- Cone Health Medical Group is hiring a Payor Enrollment Specialist to manage enrollment, credentialing, and re-credentialing of providers with government and managed care plans. This remote role supports the practitioner network, tracking documentation and data to ensure...Remote job
$27 - $34 per hour
Prepare, submit, and manage provider credentialing and payer enrollment applications for commercial, Medicare, Medicaid, and other health plans. Coordinate initial credentialing, recredentialing, and provider data maintenance processes for physicians and advanced practice...Remote jobHourly payFull time$44k - $54k
...healthcare recruiting firm is seeking a Remote Account Representative to manage provider enrollment for community clinics. This role requires experience with payer portals, credentialing, and prior work with nonprofit health providers. Candidates must be detail-oriented...Remote job- ...Remote General Summary As a Credentialing Specialist, you'll play a vital role in our medical... ...Ascension Southeast Michigan and Flint Region facilities, our growing network... ...~1 year of credentialing, provider enrollment, or background/verification specialist...Remote work
- Essen Health Care, the largest privately held multispecialty medical group operating across New York, is seeking a Credentialing Specialist to coordinate daily credentialing operations. You will support the Delegation team, manage confidential Medicaid applications, and...
- ...health of our community. Job Summary Position Title: Credentialing Specialist Job Summary: The Credentialing Specialist is... ...completion of confidential Medicaid applications for provider enrollment, group affiliations, and ETIN enrollment/ maintenance. •...
- ...approach to Fortune 500 companies within North America and EMEA region contingent labor programs. IMCS Group excels in providing... ...can provide support to our clients. Description The Credentialing Specialist is responsible for facilitating all aspects of provider...
$70k - $100k
...Credentialing Specialist | Brooklyn, NY • $70,000-$100,000 About the Role A leading medical center in Brooklyn is looking for a detail-oriented... ...bottom line. Key Responsibilities Credentialing & Enrollment Manage the end-to-end credentialing process for...$30.22 per hour
...JCCA is seeking a detail-oriented and highly organized Credentialing Specialist to join our Human Resources team. In this role, you will play... ...clinical practitioners are appropriately credentialed and enrolled so they can provide high-quality services to the children,...Hourly pay- ...To achieve our ambitious goals, we're looking for a Payer Credentialing Specialist to join our Operations team. This role will support all things... ...board certifications, and work history. Coordinate payer enrollment applications and updates to ensure timely processing and...Local areaRemote workWork from home
- ...A healthcare technology company is seeking a Payer Credentialing Specialist to support its Operations team. This fully remote role involves... ...provider credentialing, with a strong understanding of payer enrollment processes and regulatory requirements. Benefits include...Remote work
- ...responsibilities include, but not limited to: Accurately complete payer enrollment and facility appointment applications for providers. Provides... ...current information in the provider records which includes credentialing software database and in provider electronic folders....
- ...(LBAPS) is seeking a highly organized and detail-oriented Credentialing Specialist to join our growing team. This role is essential in ensuring... ...: Manage provider credentialing, recredentialing, and enrollment processes Track renewals, expirations, and compliance documentation...
$52.6k - $79k
Job Title: Credentialing Specialist Location: SBC Corporation Department Name: Medical Staff Req #: 0000260700 Status: Salaried Shift: Day... ...medical staff appointment, clinical privileging, payor enrollment, and network participation activities across the health system...Temporary workWork experience placementLocal areaFlexible hoursShift work- ...Dependent Care Account Annual Performance Bonus Job Position Credentialing Specialist Essential Functions Complete primary source verification... ...any issues pertaining to credentialing and provider payer enrollment Participates in Health Plan meetings, as needed. Perform...Flexible hours
- ...of services, including insurance contracting and credentialing. Role Description The Credentialing Specialist is a full-time remote role responsible for all aspects... ...This role also supports Medicare and other payer enrollment activities, responds to participant inquiries,...Full timeWork at officeRemote work
- ...Jewish Child Care Association (JCCA) seeks a Credentialing Specialist to join our Human Resources team in New York. You will coordinate credentialing and enrollment for clinical practitioners, ensuring onboarding and compliance with licensing and regulatory requirements...
- Allevio is seeking a detail‑oriented Credentialing Specialist to verify healthcare providers' credentials, maintain records, and ensure regulatory... ...with DEA, state licensing, and malpractice insurance enrollment/renewals is preferred. Location: Salt Lake City, UT preferred...Full timeRemote work
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