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Credentialing Lead
Washington or Lanham or Holtsville or Fresno or Chamblee or Guaynabo or Ogden or Austin or Kansas City or Memphis
OnsiteFull Time
4+ YOEOversee credentialing operations, coordinate scheduling, manage credential issuance/activation, maintain inventory, and provide administrative and operational support; high school diploma or four years' related experience required; Microsoft Office proficiency.
USAccess, Microsoft Office
1mo
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Manager Credentialing - Credentialing Resource Office
United States
$83k/yr RemoteFull Time
Strong knowledge of credentialing processes, regulatory standards, and leadership; CPCS certification; extensive credentialing experience.
MD-Staff or similar credentialing systems
2w
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Credentialing Lead
Mission Viejo, California, United States
$75k-$90k/yr HybridFull Time
3+ YOE1+ Mgmt3+ years credentialing experience in behavioral health, 1 year team management, proficiency with CAQH, PAVE, Availity, EMR/EHR, Microsoft Excel and PowerPoint; strong communication and data validation skills.
CAQH, PAVE, Availity, EHR, Microsoft Excel, Microsoft PowerPoint
1w
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Credentialing Specialist
Houston, Texas, United States
$23-$32/hr RemoteFull Time
Coordinate credentialing, re-credentialing, and payer enrollment; perform verifications and document provider credentials in ECHO; strong organizational and communication skills.
ECHO
1mo
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Credentialing Team Lead
United States or San Jose
$55k-$75k/yr RemoteFull Time
3+ YOE1+ Mgmt3+ years credentialing/operations experience in payer or provider settings, 1+ year supervising credentialing associates, NCQA knowledge, Excel/Sheets and CRM/credentialing software experience (e.g., CAQH, Verifiable), US work eligibility and occasional travel to San Jose.
Microsoft Excel, Google Sheets, CRM, CAQH, Verifiable, Verifable
1mo
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Credentialing Specialist
Austin, Texas, United States
HybridFull Time
1+ YOEGathers and documents physician data for credentialing; investigates discrepancies; maintains provider records; performs credentialing and re-credentialing per NCQA standards.
2mo
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Credentialing Coordinator
Kearney, Nebraska, United States
OnsiteFull Time
High school degree required. Responsible for credentialing and privileging processes, maintaining centralized credential files, verifying licensure and malpractice, and processing credentialing applications.
3mo
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Credentialing Specialist
Laurinburg, North Carolina, United States
OnsiteFull Time
Credentialing and privileging processes, verification, licensure and board credentialing, and compliance with HIPAA and HCQIA.
3w
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Credentialing Specialist
Phoenix, Arizona, United States
OnsiteFull Time
3+ YOE3-4 years credentialing experience; knowledge of credentialing processes, paperwork, timelines and basic insurance/hospital credentialing; effective communication with providers and payors; computer proficiency.
3w
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Credentialing Supervisor
Phoenix, Arizona, United States
OnsiteFull Time
3+ YOE3+ Mgmt3+ years credentialing experience and 3+ years supervisory experience in credentialing; knowledge of credentialing processes, timelines, regulations, and computer systems; strong communication, organization, and decision-making skills.
1mo
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Credentialing Coordinator
Miami, Florida, United States
OnsiteFull Time
1+ YOEAssociate's degree or equivalent experience; 1+ year credentialing or related healthcare admin experience; knowledge of credentialing standards and regulations; proficiency with credentialing software and Microsoft Office; CPCS preferred.
credentialing software, Electronic health records (EHR), healthcare compliance software, Microsoft Office
1mo
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Credentialing Specialist
Santa Barbara, California, United States
$26-$37/hr OnsiteFull Time
2+ YOEKnowledge of credentialing and regulatory requirements (NCQA, DHCS, CMS); 2+ years credentialing or provider enrollment experience; proficiency with Microsoft Office and credentialing systems; strong attention to detail and communication.
Microsoft Office, PECOS, PAVE, NPDB, OIG, SAM, CMS databases, credentialing systems, databases
1mo
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Coordinator, Credentialing
Irving, Texas, United States
$17-$22/hr OnsiteFull Time
1+ YOEHigh school/GED required; 1-2 years state business credentialing experience; ability to complete credentialing applications, verify credentials, maintain provider files, and ensure regulatory compliance.
1mo
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Credentialing Coordinator
Providence, Rhode Island, United States
$21-$35/hr OnsiteFull Time
Coordinating credentialing and licensing for providers with insurers and hospitals, maintaining credentialing databases (CAQH, Image Silo, NPPES), preparing applications, tracking licenses/certificates, and resolving billing-related credentialing issues.
CAQH, Image Silo, NPPES (NPI database)
1mo
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CREDENTIALING SPECIALIST
Rochester, New York, United States
$26-$27/hr OnsiteFull Time
3+ YOEEnsuring credentialing, re-credentialing, privileging, and provider enrollment compliance; maintaining provider files; timely renewals; 3+ years credentialing or related healthcare admin experience; associate degree required.
Microsoft Word, Microsoft Excel, Microsoft Access
3w
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Credentialing Specialist
Box Elder, Montana, United States
OnsiteFull Time
2+ YOECoordinate provider credentialing, privileging, and recredentialing; perform primary source verification and background checks; maintain credentialing databases; assist provider enrollment and revalidation; 2 years credentialing/healthcare admin experience.
CAQH, PECOS, NPPES, National Practitioner Data Bank (NPDB), OIG, System for Award Management (SAM), Microsoft Office
1mo
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Credentialing Coordinator
Birmingham, Alabama, United States
HybridFull Time
3+ YOEBachelor's degree or equivalent experience in credentialing, 3 years credentialing experience, CAQH and credentialing software knowledge, Microsoft Office proficiency, data analysis, strong communication and independent problem-solving skills.
CAQH, credentialing software, Microsoft Office
2d
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Credentialing Specialist
St. Petersburg, Florida, United States
HybridFull Time
1+ YOE3 years credentialing/privileging experience or 1 year credentialing plus 2 years clinical; high school diploma; medical terminology knowledge; proficiency with Microsoft Word, Excel and credentialing systems.
Microsoft Word, Microsoft Excel, Internet
4w
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Credentialing Specialist
Flowood, Mississippi, United States
OnsiteFull Time
Perform end-to-end clinician credentialing, enroll hires with Medicare/Medicaid/payors, maintain CAQH and credential records; medical credentialing experience required, CPCS preferred, high school required, bachelor’s preferred.
CAQH
1mo
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Credentialing Specialist
St. Petersburg, Florida, United States
HybridFull Time
3+ YOEHigh school or equivalent, knowledge of medical terminology, 3 years credentialing experience (or 1 year credentialing + 2 years clinical); proficiency in Microsoft Word, Microsoft Excel, internet and credentialing data systems.
Microsoft Word, Microsoft Excel, credentialing data system
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