Credential Specialist jobs

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PAYOR CREDENTIALING SPECIALIST

Monday-Friday 9AM to 5PM EST. Remote. Full Time, Exempt. Maintain accurate and up to date provider profiles on CAQH, PECOS, NPPES, and in our credentialing database. Process new providers and facilities within the enrollment syste...

CompanyTheoria Medical
AddressNovi, MI
CategoryHuman Resources
Salary$59.3K - $75K a year
Job typeFull-time
Date Posted 2 months ago See detail

Payor Credentialing Specialist

Theoria Medical

Novi, MI

$59.3K - $75K a year

Monday-Friday 9AM to 5PM EST. Remote. Full Time, Exempt. Maintain accurate and up to date provider profiles on CAQH, PECOS, NPPES, and in our credentialing database. Process new providers and facilities within the enrollment syste...

Credentialing Specialist

Hca Healthcare

Arlington, TX

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

CREDENTIALING & BILLING SPECIALIST

Riggs Community Health Center

Lafayette, IN

$45,000 - $50,000 a year

Assists CFO with managed care contracting issues and projects. Compiles data necessary to credential and privilege providers. Credentials all Riggs CHC providers with contracted payers, re-validating facility and providers, as nee...

Credentialing Specialist

Medical City Arlington

Arlington, TX

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

Credentialing Specialist

Catholic Health

Melville, NY

$27 - $30 an hour

Utilizes all available resources to reach sound decisions. Assumes responsibility for problems and initiates actions to solve them. Work with others toward shared goals including participation in department problem-solving and imp...

Credentialing and Billing Specialist ( PRN )

Trinity Health

Boise, ID

Support and performing as a liaison between physicians, clinic managers, ownership company and insurance payers. Responsible for the audit and recovery of reimbursement deficiencies between the payer and Saint Alphonsus Medical Gr...

Credentialing Specialist - The Health Plan

Texas Children's Hospital

Houston, TX

$38.7K - $48.9K a year

High school diploma. A minimum of three (3) years of managed care or health care experience. Knowledge of the credentialing process and NCQA, JCAHO, state and federal HMO regulations is required for completely satisfactory perform...

Credentialing Specialist/ Contract Reviewer

Southwest Network

Phoenix, AZ

High School diploma or equivalency certificate required; associates degree preferred. Two (2) years relevant credentialing experience preferred. Two (2) years contract reviewing experience preferred. Knowledge and understanding of...

ABA Payer Credentialing Specialist- Belmont, NC Onsite

Compleat Kidz - Belmont Clinic

Belmont, NC

$46.5K - $58.9K a year

Domestic. Associate degree or above is preferred. Minimum 2 years of payer enrollment processing required. Ability to utilize multiple spreadsheets. CredentialStream software experience (preferred). Knowledge of MCO payer credenti...

Billing/Credentialing Specialist

The Memorable Practice

Remote

From $20 an hour

This is a HUSTLE free zone - We dont believe in working ourselves to the bone. Rest, Relaxation, & Luxury are essential. We believe that an excellent work ethic, serenity and joy can coexist. We believe that you can serve clients...

Credentialing Specialist

Gundersen Health System

La Crosse, WI

$20.22 an hour

Full time, 1.0 FTE - 40 hours/ week Monday-Friday 8:00am-5:00pm Located at our Front Street Office in La Crosse, WI Starting pay of $20.22/hr and up, based on your years of experience. Associate degree in Healthcare or Legal or Bu...

Credentialing Specialist

Expressable

Remote - Oregon, United States

Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications. Maintain accurate provider profiles on CAQH, NPPES and any other ap...

Credentialing Delegated Specialist

Confluent Health

Louisville, KY

$45.2K - $57.3K a year

PTO Sick days Paid Holidays Health, Dental, Vision Insurance 401(k) Responsible for compliance with NCQA delegated credentialing and any other applicable industry standard for provider credentialing and enrollment. Oversees all de...

Credentialing Specialist

Luxottica

Austin, TX

Reviews, screens, and completes initial credentialing and/or recredentialing, and additional privilege request applications for completeness, accuracy, and compliance with federal, state, local, and Vision Web regulations, standar...

Credentialing Specialist

Protera Health

Remote

$20.92 - $25.20 an hour

Choose your own hours....