Credentialing Specialist jobs in the United States

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Provider Services Specialist- Credentialing & Provider Enrollment
  • Credentialing & Provider Enrollment - UTHealth Houston Careers
  • Houston, TX FULL_TIME
  • What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.

    Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:  

    • 100% paid medical premiums for our full-time employees  
    • Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year) 
    • The longer you stay, the more vacation you’ll accrue! 
    • Longevity Pay (Monthly payments after two years of service) 
    • Build your future with our awesome retirement/pension plan! 

    We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as... 

    • Free financial and legal counseling 
    • Free mental health counseling services 
    • Gym membership discounts and access to wellness programs 
    • Other employee discounts including entertainment, car rentals, cell phones, etc. 
    • Resources for child and elder care 
    • Plus many more! 

    Position Summary:

    Coordinates, monitors and completes the enrollment process for all providers.

    Position Key Accountabilities:

    1. Responsible for submitting license updates to Medicare and Medicaid.  Processes licensure list from UT System for update.
    2. Processes Blue Cross and Blue Shield and Railroad Medicare applications.
    3. Prepares worksheets for Medicaid submission.
    4. Assists with preparation for monthly credentialing meeting.
    5. Assists with preparing the Medicare Opt-Out Listing.
    6. Runs reports as needed and assists in preparation for audits.
    7. Prepares files and processes applications for initial and recredentialing, including data entry into systems for all departments.  Updates licensure on all providers in the system.
    8. Regularly communicates information on expired licensure to all departments.
    9. Performs other duties as assigned.

    Certification/Skills:

    Experience with Microsoft Office (including Outlook, Word, Excel, and PowerPoint), databases, internet, phone systems.  

     

    Minimum Education:

    High School Diploma or equivalent.

    Minimum Experience:

    None.  May substitute required experience with equivalent years of education beyond the minimum education requirement.

    Physical Requirements:

    Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.

     

    Security Sensitive:

    This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215

    Residency Requirement:

    Employees must permanently reside and work in the State of Texas.

  • 4 Days Ago

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Credentialing Specialist - Centralized Credentialing
  • UNC Health
  • Chapel Hill, NC FULL_TIME
  • Description Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. *This is a Fulltime T...
  • 7 Days Ago

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Credentialing Specialist
  • STEPS Behavioral Health
  • Pikesville, MD PART_TIME,FULL_TIME
  • STEPS Behavioral Health is an Applied Behavior Analysis (ABA) therapy company comprised of Board Certified Behavior Analysts (BCBAs), Behavior Technicians, and a strong administrative team who work to...
  • 4 Days Ago

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Credentialing specialist
  • NavitsPartners
  • Hoboken, AL FULL_TIME
  • Position : Credentialing Specialist Location : New York, NY Duration : 2 Months Job Overview : The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, inclu...
  • 4 Days Ago

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Credentialing specialist
  • NavitsPartners
  • West New York, NJ FULL_TIME
  • Position : Credentialing Specialist Location : New York, NY Duration : 2 Months Job Overview : The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, inclu...
  • 4 Days Ago

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Credentialing specialist
  • NavitsPartners
  • Secaucus, NJ FULL_TIME
  • Position : Credentialing Specialist Location : New York, NY Duration : 2 Months Job Overview : The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, inclu...
  • 4 Days Ago

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Credentialing Specialist
  • Alpine Physician Partners
  • Laredo, TX
  • It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and ...
  • 6/13/2024 12:00:00 AM

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Credentialing Specialist
  • Aegis Healthcare Utah
  • Logan, UT
  • Credentialing Specialist Oracle BCC is currently seeking a proficient, and detail-oriented Credentialing Specialist. Ora...
  • 6/13/2024 12:00:00 AM

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Credentialing Specialist
  • Addison Group
  • St Louis, MO
  • The actual job duties of a certification/credentialing specialist are many, and each is equally as important in ensuring...
  • 6/12/2024 12:00:00 AM

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Credentialing Specialist
  • iCare Health Solutions Enterprise
  • Develop and cultivate productive relationships with providers, retail chains, strategic partners and their staff. Elevat...
  • 6/12/2024 12:00:00 AM

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Credentialing Specialist
  • Think Big Health Care Solutions
  • Wellington, FL
  • Company Description Think Big Health Care Solutions is a health resource, consulting, and practice management company lo...
  • 6/12/2024 12:00:00 AM

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Credentialing Specialist
  • Palo Verde Cancer Specialists
  • Scottsdale, AZ
  • POSITION SUMMARY Obtains all primary source information necessary for all organizational facilities and entities. The in...
  • 6/12/2024 12:00:00 AM

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Credentialing Specialist
  • Beth Israel Lahey Health
  • Burlington, MA
  • **Job Type:** Regular **Time Type:** Full time **Work Shift:** Day (United States of America) **FLSA Status:** Non-Exemp...
  • 6/12/2024 12:00:00 AM

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Credentialing Specialist
  • TAG - The Aspen Group
  • Syracuse, NY
  • The Aspen Group (TAG) is one of the largest and most trusted retail healthcare business support organizations in the U. ...
  • 6/10/2024 12:00:00 AM

Income Estimation for Credentialing Specialist jobs
$44,839 to $56,404