Credentialing Specialist
Louisiana Orthopaedic Specialists
Description We are seeking a detail-oriented Credentialing Specialist to join our healthcare team, focusing on orthopaedic provider credentialing. This remote position plays a crucial role in maintaining the highest standards of patient care and regulatory compliance by managing the credentialing process for our orthopaedic healthcare providers. The Virtual Credentialing Specialist will ensure the accurate verification and maintenance of healthcare provider credentials through: Managing the comprehensive credentialing lifecycle for providers, including initial applications, reappointments, and ongoing monitoring of compliance requirements Conducting thorough primary source verification of medical education, training, licensure, and board certifications Maintaining detailed digital records and updating credentialing databases with precision and timeliness Coordinating with insurance payers for provider enrollment and network participation Proactively tracking and managing credential renewal deadlines to ensure continuous compliance Investigating and resolving credentialing discrepancies through appropriate channels Generating regular status reports and compliance updates for leadership review Requirements Required Qualifications Minimum of 2 years' experience in healthcare credentialing Demonstrated proficiency in electronic credentialing management systems Strong understanding of healthcare regulations and accreditation standards Excellent organizational skills with exceptional attention to detail Preferred Qualifications NAMSS Certification (CPCS or CPMSM) Experience with Louisiana State Board of Medical Examiners (LSBME), Louisiana Board of Nursing and Pharmacy Demonstrated proficiency with Louisiana Medicaid and MCO credentialing requirements Familiarity with the Council for Affordable Quality Healthcare (CAQH) Experience with Louisiana hospital privileging systems Understanding of Louisiana Workers' Compensation Medical Treatment Guidelines for orthopaedic care Familiarity with the Louisiana Uniform Credentialing Program This job in onsite. #J-18808-Ljbffr
- ...Credentialing Specialist Full Time - Exempt Columbus, OH AndHealth is a healthcare technology company created to radically improve access and outcomes to specialty care. We are driven by the goal of making world-class specialty care accessible and affordable to all. We...SuggestedFull timeTemporary workWork at office
AndHealth
Brooklyn, NY4 days ago - ...paced environment and enjoys navigating the complexities of insurance enrollment and provider credentialing? We are seeking a highly organized and motivated Credentialing Specialist to join our growing team in Middletown, PA. In this critical role, you will be responsible...Suggested
ZMark Health, LLC.
Brooklyn, NY2 days ago - ...The Center for Disability Services, Inc. is seeking a Credentialing Specialist to join our Center Health Care Team in Albany, NY. You will manage credentialing and re-credentialing, verify licenses and certifications, and submit applications to payers and regulators....Suggested
Center for Disability Services, Inc.
Brooklyn, NY19 hours ago - ...FronteraCare in Denver, CO seeks a Payer Operations & Credentialing Coordinator to support Medicaid and commercial insurance verification, credentialing, and payer enrollment. The role ensures timely care access for children and families by maintaining accurate payer data...Suggested3 days per week
FronteraCare
Brooklyn, NY5 days ago - ...AndHealth LLC in Columbus, OH is seeking a dedicated Credentialing Specialist to manage payer enrollment and credentialing processes for licensed healthcare professionals. You will collaborate with internal teams and external partners to ensure compliance, accuracy, and...Suggested
AndHealth LLC
Brooklyn, NY1 day ago - ...The Credentialing Specialist (CS) supports our pediatric practice clients by managing the enrollment of new providers with payors. In this role, you will serve as a vital internal resource for our billing team, addressing all credentialing-related matters to ensure seamless...Temporary workWork at officeLocal areaRemote work
PedsOne
Brooklyn, NY4 days ago $25.57 - $36.8 per hour
...exceptional individual to join our growing team as a Medical Credentialing Coordinator to support all locations. The team member’s primary... .../or healthcare contracting Certified Provider Credentialing Specialist (CPCS) preferred Why MultiCare? Rooted in the local community...Contract workLocal areaImmediate startShift workMultiCare Health System, Inc.
Brooklyn, NY1 day ago$23 - $25 per hour
...LHCSA Credentialing & Office Operations Specialist (Queens, NY / In-Office) FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver...Work at officeFREEDOM CARE , LLC
Corona, NY2 days ago- ...Rockclifforalsurgery is seeking a Medical Staff Specialist to manage provider credentialing, licensing, privileging, and onboarding across the organization. The role collaborates with Payor Relations, Compliance, providers, and practice leadership to ensure records are...
Rockcliff Oral Surgery
Brooklyn, NY1 day ago - # Provider File Specialist IOurhrconnect · Columbia, SCTailor My ResumeStart free. No credit card.### About the roleResponsible for establishing and maintaining certification and/or preparation, review and/or maintenance of healthcare provider files in support of provider...Full timeWork at officeMonday to FridayShift work
QuickCruit
Brooklyn, NY19 hours ago - ...Role: Work collaboratively with the Provider Team, Call Center Specialists and other Nations Hearing employees. The person in this role... ...Provider questions, concerns or complaints related to the credentialing process. Effectively manage follow up calls and email. Maintain...Flexible hours
NationsBenefits, LLC
Brooklyn, NY2 days ago - ...access to state-of-the-art procedures and nationally recognized specialists, all within a connected, local network designed to put care... ...supervision of the MSO Manager of the area, responsible for credentialing and recredentialing practitioners as well as enrollment with...Local areaFlexible hours
CarePoint Health System
Hoboken, NJ3 days ago - ...Overview COME BUILD YOUR CAREER WITH VIBRA HEALTHCARE! We are seeking a Credentialing Specialist to join our team! Responsibilities The Medical Staff Credentialing Specialist is responsible for the verification of healthcare practitioner information for a number of assigned...Remote work
Vibra Healthcare
Brooklyn, NY1 day ago - ## Credentialing SpecialistApply: Albany, NY: Full time: Posted Yesterday: JR103500### **Where people get better at life!**Join us in our... ...available elsewhere.*We are searching for a **Credentialing Specialist** to join our Center Health Care Team!This role supports healthcare...Full time
Center for Disability Services, Inc.
Brooklyn, NY20 hours ago - ...POWTEC Solutions, LLC in Boston, MA is seeking a Credentialing Specialist/Registrar to support a federally funded DOL contract across multiple cities. The Registrar performs identity-proofing and enrollment activities to issue secure PIV credentials for federal employees...Contract workPart timeFor contractorsFlexible hours
POWTEC SOLUTIONS, LLC
Brooklyn, NY3 days ago - ...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 work
Sage Dental
Brooklyn, NY3 days ago - ...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
Baystate Health
Brooklyn, NY3 days ago - ...Organization (DSO) committed to innovation, excellence, and patient-centered care. Overview Sage is looking for a Delegated Credentialing Specialist (Remote) to join our team! The Delegated Credentialing Specialist is responsible for organizing, maintaining, and...Work at officeRemote work
Sage Dental
Brooklyn, NY3 days ago $18.6 - $21 per hour
...Position This role will work closely with theClinic Outreach and Credentialing Administratorwith the aim of credentialing of new providers... ..., Registrations, and/or Licenses: Credentialing Specialist (CPCS) Certification or equivalent experience Skills, Proficiencies...Monday to FridayShift workOklahoma State University
Brooklyn, NY5 days ago- ...application due to a disability, contact this employer to ask for an accommodation or an alternative application process. CREDENTIALING SPECIALIST RFT Memphis, TN, US 18 days ago Requisition ID: 1818 About Christ Community Health Services Since 1995, Christ Community Health...Work at office
Christ Community Health Services, Inc.
Brooklyn, NY3 days ago - ...Credentialing Specialist A leading medical center in Brooklyn is looking for a detail-oriented Credentialing Specialist to own the credentialing process from start to finish. In this role, you'll ensure that all providers are properly credentialed so the organization...
BHIRED
Brooklyn, NY5 days ago $20.16 - $24.29 per hour
...providers deliver care to patients. You’ll work with experienced credentialing professionals who value teamwork, open communication,... ...organization, and make a measurable impact. The Credentialing Specialist is responsible for all functions associated with credentialing...Hourly payFull timeWork at officeRemote workATI Health
Brooklyn, NY1 day ago- West Virginia University Health System in Bridgeport, WV seeks a credentialing specialist to manage economic credentialing and enrollment for providers and facilities, ensuring active status with payers and governmental plans. You will collaborate with leadership to maintain...
- Christ Community Health Services, Inc. in Memphis, TN seeks a Credentialing Specialist to own provider credentialing, privileging, and payer enrollment. You will verify qualifications, maintain audit-ready files, and ensure timely Medicare, Medicaid, and commercial enrollment...
- 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 candidate...
- Essen Health Care is seeking a Credentialing Coordinator to manage day-to-day credentialing activities for clinical providers, including primary care and specialists. The role requires an assertive, proactive individual who ensures timely and compliant credentialing outcomes...
- ## Senior Credentialing SpecialistApplylocations: Oklahoma, United Statestime type: Full timeposted on: Posted Todayjob requisition id: R0044962**Daily tasks and responsibilities include, but not limited to:*** Accurately complete payer enrollment and facility appointment...
MediSolution
Brooklyn, NY4 days ago $48.15k - $64.92k
...rewarding work environment for our providers and employees. Purpose: Reporting to the Senior Director, Credentialing and Revenue Cycle, the Credentialing Specialist is responsible for overseeing all aspects of the credentialing, re-credentialing, payer enrollment and privileging...Full timeTemporary workImmediate startRemote workQualderm
Brooklyn, NY1 day ago- Allegheny Health Network is seeking a Credentialing Coordinator to oversee the coordination and execution of credentialing and privileging activities for medical staff and allied health professionals. The role includes managing verification processes, maintaining documentation...Work at office
- Our Healthcare client, based in Ohio, is transitioning their credentialing system from Cactus to MDStaff and is looking to hire an analyst that will be able to assist with this transition and then be hired full time to help manage the new platform. Qualifications: Credentialing...Remote jobFull time
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