Healthcare Credentialing & Compliance Specialist
Johnson Health Center
Johnson Health Center is seeking a Credentialing Specialist to join the administrative team. You will verify and organize all aspects of credentialing and privileging, maintain provider and staff files, and ensure compliance with state and federal requirements. Responsibilities include primary source verifications, coordinating privileging forms, and staying updated on guidelines to support timely credentialing decisions. Collaboration with Compliance, HR, and other departments is essential. #J-18808-Ljbffr
- ...Health is a newly unified healthcare network serving Hudson County... ...and nationally recognized specialists, all within a connected, local... ...the area, responsible for credentialing and recredentialing... ...delegated providers, ensuring compliance with regulatory bodies (Joint...SuggestedLocal areaFlexible hours
- ...Are you a detail-oriented healthcare professional who thrives in... ...insurance enrollment and provider credentialing? We are seeking a highly... ...motivated Credentialing Specialist to join our growing team in... ...respect for confidentiality and compliance standards Ability to...Suggested
- ...an alternative application process. CREDENTIALING SPECIALIST RFT Memphis, TN, US 18 days ago Requisition... ...(CCHS) has provided high-quality healthcare to the underserved in the context of... ...You'll play a critical part in HRSA compliance, FTCA deeming, and site visit readiness...SuggestedWork at office
- ...companies in America and a Healthcare Fintech provider of supplemental... ...and satisfaction. Our compliance-focused infrastructure, proprietary... ...Provider Team, Call Center Specialists and other Nations Hearing... ...complaints related to the credentialing process. Effectively manage...SuggestedFlexible hours
$48.15k - $64.92k
...is to educate communities and healthcare professionals about the importance... ...to the Senior Director, Credentialing and Revenue Cycle, the Credentialing Specialist is responsible for overseeing all... ...partners for assigned region. Assure compliance with all health plan...SuggestedFull timeTemporary workImmediate startRemote work$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... ...responsible for supporting both caregiver compliance and the day-to-day administrative...Work at office- ...delivers life-saving virtual mental healthcare to everyone who needs it. We are... ...skills. We are currently seeking a Credentialing & Enrollment Specialist IIto join our credentialing team as... ...resolve roster-related billing issues Compliance Execution Gather audit evidence as...Temporary workRemote work
- Credentialing Specialist- ARMC- Days (full time) At Adena Health, professional roles shape the systems... ...the region's most trusted partner in healthcare. Values: Compassion, Excellence,... ...the credentials of providers to ensure compliance with industry standards and...Full timeRemote workWork from homeDay shift
- Innovaccer Inc. is seeking a Provider Services Specialist to manage enrollment tasks and follow-up on credentialing holds and denials within a multi‑specialty healthcare client base. You will escalate and track payer, provider, or billing platform issues, work with CAQH...
- 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... ...management. Awareness of regulatory and compliance standards (e.g., HIPAA, PHI handling). Technical...Remote jobFull time
- ...company based in Arizona that helps healthcare businesses across the United States streamline... ...is seeking an experienced Provider Credentialing Specialist to support U.S.-based healthcare... ...accordingly CAQH, Sanctions & Compliance Create and maintain CAQH profiles for...Full timeContract workWork at officeRemote workHome office
- Rockstar is a remote-friendly staffing partner based in Arizona, serving U.S. healthcare practices. We seek a Credentialing Specialist to manage end-to-end provider enrollment, CAQH maintenance, and payer communications for remote clients. The role focuses on accuracy,...Remote jobFull time
$60k - $70k
..., on their schedule. Sleep is one of healthcare’s biggest blind spots. Access is slow... ...Opportunity We’re hiring a Contracting & Credentialing Specialist who will be responsible for... ..., re‑credentialed, and contracted in compliance with regulatory, payer, and organizational...Local areaWork from homeWorldwide- Christ Community Health Services, Inc. in Memphis, TN seeks a Credentialing Specialist to own provider credentialing, privileging, and payer... ...while supporting NHSC program needs. You will manage HRSA compliance, FTCA deeming, and OSV readiness, serving as a liaison across...
- ...Baystate Health, a nationally recognized leader in healthcare quality and safety, is seeking an experienced Credentialing Specialist to join our Central Verification... ...regulatory audits, accreditation reviews, and compliance activities, including preparation for surveys...Hourly payFull timeTemporary workMonday to Friday
- ...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...3 days per week
- NYU Langone Health is seeking a Credentials Specialist (Manhattan) to manage the credentialing process for physician and allied health providers... ...will review applications, verify credentials, and ensure compliance with established standards, while maintaining...
- ...The Credentialing Specialist works as a part of the administrative team and is responsible for ensuring that healthcare professionals and the organization are qualified and meet the necessary... ...and Responsibilities: Maintains compliance with all regulatory and accrediting...Work at office
- ...TITLE: CREDENTIALING AND PAYOR ENROLLMENT SPECIALIST POSITION TYPE: FULL TIME REPORTS TO: OPERATIONS MANAGER FLSA CATEGORY: NON-EXEMPT DEPARTMENT: ADMINISTRATION MAIN LOCATION: 3676 PARKER BLVD, PUEBLO, CO 81008 JOB SUMMARY: This position is required to perform all duties...Full timeContract workWork at office
- ...Credentialing SpecialistA 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 can...
- ## Senior Credentialing SpecialistApplylocations: Oklahoma, United Statestime type: Full timeposted on: Posted Todayjob requisition id:... ...years of college completed.* Minimum 3 years of experience in healthcare administration, credentialing, and provider enrollment (governmental...
- ...policy and procedure, to the chain of command. Performing related credentialing functions, including ensuring all documents are maintained... ...Experience: One year of related experience in a hospital or healthcare environment One year of experience in credentialing, provider...Work at office
- 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...
- Adena Health System is seeking a Credentialing Specialist for ARMC on the Day shift in Chillicothe,... ...focuses on verifying credentials to ensure compliance with industry standards and... ...experience in medical credentialing and healthcare administration. #J-18808-Ljbffr Adena...Remote jobDay shift
- Brightside Health is a fully remote, mission-driven company transforming mental healthcare nationwide. We seek a Credentialing & Enrollment Specialist II to manage complex credentialing and enrollment workflows with minimal supervision. You will execute provider onboarding...Remote job
$18.23 per hour
...Resets. Answering phone calls/email inquiries related to PIV credentials and access control matters. Coordinate and conduct the enrollment... ...of new applicants, contractors, and federal employee files. Compliance and Training Stay current with relevant policies, regulations...Full timeFor contractorsLocal areaImmediate startFlexible hours$47.12k - $70.68k
...for an accommodation or an alternative application process. Compliance Specialist Full Time University, Des Moines, IA, US 6 days ago... ...mission has remained unchanged since that time, to provide healthcare and supportive services to all, regardless of insurance, immigration...Full timeContract workWork experience placementWork at officeFlexible hours- Centene Corp. in the United States seeks a Senior Compliance Analyst to oversee ethics and regulatory compliance for WellCare and delegated subcontractors, focusing on audits and remediation to meet government program requirements. You will collaborate with business owners...Remote jobFor subcontractor
- The Compliance Specialist supports Lincoln's Licensing/Brokerage team in managing the day-to-day monitoring, renewal, and administration of... ...science, retail, industrial, data center, production studio, healthcare, government, universities, sports and entertainment, and...Hourly payPart timeH1bWork at officeLocal areaVisa sponsorshipWork visaFlexible hours
$126.5k - $210.7k
...Division as a Principal Regulatory Affairs Specialist, where you will serve as a key... ...applicable regulations, standards, and compliance requirements. Monitor global regulatory... ...with its customers, is driven to make healthcare better. We offer innovative products and...For contractorsWork at officeRemote work
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