Healthcare Credentialing Specialist - CMS/PECOS Focus
Endeavor Health
Endeavor Health in Chicago, IL is seeking a Credentialing Specialist to join the Central Verification Office. The role handles applications and enrollment for providers seeking hospital staff, government plans, IPA/PHO or CIN participation, with reappointments every three years and CMS revalidation. You will process initial and reappointment applications using credentialing software, review data for red flags, enroll providers in Medicare/Medicaid, and coordinate with network management to #J-18808-Ljbffr Endeavor Health
$24.86 - $37.29 per hour
...Highlights:Position: Credentialing SpecialistLocation: Chicago... ...(CVO) Credentials Specialist processes applications... ...and revalidation for CMS. Builds and maintains... ...community.Knowledge of PECOS enrollment for MedicareKnowledge... ...is a fully integrated healthcare delivery system...CmsHourly payFull timePart timeFor contractorsWork at officeMonday to Friday- ...patient‑first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the... ...appropriate ICD-10-CM codes to outpatient visit types.Primary focus of this Coder level will be on physician order documentation for...Cms
$55k - $70k
...Description IWS Family Health is looking for a Human Resources and Credentialing Specialist to join our growing team. This newly created position... ...play an important role in supporting our employees and healthcare providers from recruitment and onboarding through...SuggestedWork at office- OSF HealthCare seeks a Case Manager I to collaborate with patients, families, physicians, and a multidisciplinary team to develop and execute... ...a comprehensive plan from admission to discharge. The CM I focuses on efficient patient flow, safe transitions, and timely...Cms
- ...GE HealthCare is seeking an Executive to lead US market access, HEOR and patient services for... ...role requires deep expertise in Medicare/CMS, payer strategy, and field reimbursement,... ...Relocation assistance is not indicated, with a focus on strategic leadership and external...CmsRelocation package
- Endeavor Health is seeking a Credentialing Specialist in Chicago, IL for a full-time role. The position involves processing applications, verifying data, and maintaining provider profiles for hospital and payer enrollments. The role requires credentialing experience, CPCS...Full time
- ...Hiring: Medical Coding Specialist We are looking for... ...Specialist to join our healthcare operations team. If... ...with CPT, HCPCS, and CMS coding guidelines is... ...administrative operations and focus on patient care.... ...Assistant Services Credentialing Back-Office Support...CmsRemote work
- ...with coders, clinicians, and compliance teams, prepare clear audit reports, and deliver education that improves coding quality. Join a mission-driven, inclusive culture with strong benefits, growth opportunities, and a focus on innovation, learning, and work-life balance.CmsFull timeRemote work
- IWS Family Health in Chicago seeks a Human Resources and Credentialing Specialist to support recruitment, onboarding, credentialing, and ongoing compliance for staff and providers, aligning with regulatory standards and our values. Based at our Logan Square headquarters...
- ...Barton Malow is seeking a project manager to join our growing healthcare construction market across the Greater Charlotte region. Open... ...decades of national experience, we deliver innovative, patient‑focused facilities ranging from community hospitals and academic medical...CmsFull timeContract workFor contractorsWork at officeLocal areaRelocation
- Medical Billing Specialist job application. Apply for MedBillersPro’s... ...Snapshot A hands-on billing role focused on claim accuracy, AR... ...hands‑on experience managing healthcare claims, processing payments,... ...Skills Experience handling both CMS‑1500 professional and UB‑04 institutional...Cms
$74k - $135k
...Accountable, Committed, Relationship-Focused, Super-Responsive, and being... ...ll MakeContribute to complex healthcare consulting engagements... ...coding, auditing, billing, or HIM credentials preferred, such as CCS, CIC,... ..., payor policies, CMS requirements, HIPAA, the False...CmsFull timeContract workLocal areaFlexible hours- .... This recognition is a testament to our focus on excellence, intensity and pace and ability... ...speed and precision.The Director, TAS // Healthcare & Life Sciences at Portage Point... ...Tableau, Alteryx and healthcare data sources (CMS, HCRIS, etc.) preferredProven ability to...CmsInterim roleWork at officeRelocation
- ...for managing mission-critical healthcare equipment. Trusted by over 5,... ...is a hands-on, patient-care-focused role responsible for the inspection... ...currency of all required credentials, certifications, and facility... ...with TJC, ACR, NFPA 99, and CMS Conditions of Participation...CmsImmediate start
$60.33k - $103.43k
...proficiency in documentation tools (Markdown, Git, CMS platforms) and strong understanding of... ...editing, and proofreading skills with a focus on clarity, quality, usability, and user-... ...industry, infrastructure, transport, and healthcare. From more resource-efficient factories,...CmsImmediate start$275k - $350k
...Leadership SVP & Practice Leader, Retiree Healthcare (Remote) Amwins Benefits, Retiree... ...experience in employee benefits, with 5+ years focused on retiree healthcare (Medicare Advantage... ...with Medicare regulatory landscape (CMS, Part D, EGWP compliance). Existing relationships...CmsRemote work$21 - $24 per hour
...Remote Care Navigator Cardiac Healthcare Cardiac Care Coordination... ...population health dashboards, CMS documentation tools Role... ...clinical (non-licensed) role focused on telephonic patient outreach... ...certification or equivalent clinical credential (CNA, EMT, CHW with relevant...CmsRemote jobFull timeContract workFlexible hoursWeekend work- ...Centers for Medicare & Medicaid Services (CMS), Illinois Statutes, and Occupational... ...degree in Nursing (BSN) or other clinical healthcare field Current Registered Nurse (RN) license... ...in manufacturing environments with a focus on quality control and assurance processes...CmsLive in
$230k
...patients Maintain knowledge of current CMS and MCG evidence-based guidelines to... ...Street Health is on a mission to Rebuild healthcare as it should be, providing personalized primary... ...right in our patient's communities, and focused on the quality of care over volume of...CmsFull timeRemote workMonday to Friday- ...Enterprise Architecture, and Program Management support services – focusing on the U.S. Departments of Homeland Security and Treasury. We... .... Answering phone calls/email inquiries related to PIV credentials and access control matters. Coordinate and conduct the enrollment...For contractorsLocal areaImmediate startFlexible hours
$160k - $220k
...oliverjames.com Oliver James are currently partnered with a leading US Healthcare Actuarial Consulting firm seeking a Senior Actuarial Manager... ...experts on emerging Medicare initiatives, including the new CMS LEAD model. The position offers significant ownership of client...CmsWork at officeRemote work$145k - $175k
...Habitat Health is supported by leading healthcare organizations and investors including New... ...Centers for Medicaid & Medicare Services (CMS) and State Administering Agency (SAA) audits... ...to the business on needed areas of focus based on audit findings and PACE regulatory...CmsContract workTemporary workFixed term contractLocal areaRemote workFlexible hours- ...reporting. Assist with administration of our LMS/CMS platforms supporting partner education... ..., or a similar role in a SaaS company (healthcare experience is a plus). ~ Extensive... ...proactive, problem-solving mindset, with a focus on continuous improvement and operational...CmsHourly payFull timeFlexible hours
$30 - $40.5 per hour
...is what sets us apart as a leader in the healthcare industry. As an integral part of our... ...healthcare setting ~ RHIT, RHIA or CCS credentialed The Outpatient Coder II reflects the... ...HCPCS and CPT codes and modifiers. The focus is on complex outpatient encounters that...CmsRemote jobHourly payFull timeLocal areaRelocation packageShift work- ...better way to provide quality healthcare while achieving health equity... ..., when applicable. Clinical Focus Manage chronic diseases... ...prevention. Coordinate referrals to specialists and ancillary services;... ...HIPAA, OSHA, Joint Commission, CMS, and organizational policies....CmsTemporary workWork at officeAfternoon shift
$65k - $70k
...- yearly Company Description TVG-Medulla, LLC is a multi-site healthcare management organization, with an emphasis on providing managed... ...across functional groups. Detail-oriented, organized, and learner-focused with excellent problem-solving abilities. High social...CmsTraineeshipLocal area$103.5k - $214.82k
...Health Practice is seeking a credentialed Actuarial Manager with strong... ...variety of areas within the healthcare industry while working alongside... ...opportunities, including the CMS LEAD (Long Term Enhanced ACO... ...senior team members to focus on business development and strategic...CmsFull timeTemporary workWork experience placementWork at officeRemote workFlexible hours- ...experience and working knowledge of HCFA/CMS-1500 and UB-04 medical claims, including... ...service or customer service experience in healthcare, benefits administration, insurance, or a... ...remain professional, empathetic, and solution-focused during complex or sensitive interactions....CmsRemote jobWork at office
- ...TVG-Medulla, LLC is a multi-site healthcare management organization, with an emphasis on... ...Chiropractic Technicians (CTs), Clinic Managers (CMs), Doctors of Chiropractic (DCs), Senior... ...Detail-oriented, organized, and learner-focused with excellent problem-solving abilities....CmsFull timeTraineeshipLocal area
- ...receives the safest, highest-quality care. Through our innovative Healthcare Operations Platform, we’re connecting data to unlock trusted... ...framework. Interpret regulatory requirements (e.g., ISO, SOC, CMS, HIPAA) to ensure organizational compliance. Draft and revise...CmsWorldwideFlexible hours
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