3,017 credentialing specialist jobs at 1,452 companies in United States
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Credentialing Specialist
Santa Fe, New Mexico, United States
OnsitePart Time
La Familia Medical Center: Community health center providing comprehensive medical and dental care.
Part-time credentialing specialist with high school diploma and CPCS preferred; strong computer skills and knowledge of credentialing software; familiar with NCQA/TJC standards.
Credentialing software, Medical terminology, Data entry
Austin Regional Clinic: Multispecialty medical group providing primary and specialty healthcare services.
1+ YOEGathers and documents physician data for credentialing; investigates discrepancies; maintains provider records; performs credentialing and re-credentialing per NCQA standards.
HOPCo: Provides integrated musculoskeletal outcomes and practice management services.
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.
CenCal Health: Provides Medi-Cal managed care plans for Central Coast residents.
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.
Florida Medical Clinic Orlando Health: Multi-specialty medical network providing comprehensive outpatient healthcare services.
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.
MDB Health Services: Delivering on-site clinical care to long-term care residents.
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.
Orlando Health: A private, non-profit network of healthcare and hospital facilities.
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
HOPCo: Provides musculoskeletal practice management and value-based healthcare programs.
3+ YOE3+ years credentialing or related experience; knowledge of credentialing processes, insurance/hospital applications, strong communication and organizational skills.
One Federal Solution: Provides professional and technical services to federal government agencies.
4+ YOEPerform credential enrollment, issuance, activation, inventory management, scheduling, and customer support while following federal credentialing and security procedures.
Microsoft Office Suite, USAccess, Fixed Credentialing Unit, Mobile Credentialing Unit, Light Activation Kit
CommonSpirit Health: Large non-profit healthcare system providing hospital and medical services.
Coordinating credentialing, re-credentialing, and payer enrollment; performing 3rd-party verifications; processing applications and documenting materials in ECHO; strong organization and communication.
CommonSpirit Health: Operates a national non-profit Catholic health system.
5+ YOE5+ years medical secretarial experience, associates degree, credentialing experience, strong attention to detail, organization, communication, confidentiality, and knowledge of credentialing processes.
Arizona or California or Colorado or Florida or Georgia or Oregon or Texas or Utah or Tennessee or Washington
$28-$31/hrRemoteFull Time
Kyo: Provides individualized behavioral therapy for children with autism.
Experience managing provider credentialing and licensure processes, proficiency with productivity and project management software, database skills, knowledge of credentialing standards and medical terminology.
Microsoft Office, G Suite, Asana, CAQH, NPPES, JIRA
MPOWERHealth: Provides intraoperative neuromonitoring and surgical assist services to hospitals.
2+ YOE2+ years medical staff credentialing experience (hospital preferred), experience with credentialing software (e.g., MD-Staff), strong attention to detail and communication skills.
Chord Specialty Dental Partners: Provides business and operational support for dental practices.
1+ YOE1–2 years credentialing/enrollment experience, proficiency with Microsoft Office and credentialing databases, strong time management, multitasking, organizational and written communication skills.
Vensure Employer Solutions: Comprehensive HR, payroll, and benefits services for business employers.
Proven medical credentialing experience, high school diploma or equivalent, strong knowledge of healthcare regulations, proficiency with credentialing software and Microsoft Office, excellent organization and communication.