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IVX HealthNew
Overview
Responsible for the credentialing and enrollment of practitioners across various states and jurisdictions to ensure active status with government and commercial payers. This includes maintaining provider files, managing contracts, and ensuring compliance with health plans and federal regulations.
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Compensation
$20 - $26 / HOUR
Posted
New
AkidoNew
Manage the end-to-end credentialing and enrollment process for providers with health plans, Medicare, Medicaid, and hospitals. Maintain accurate provider data in MD Staff and resolve complex enrollment issues to ensure uninterrupted patient care.
$24 - $33 / HOUR
WakeMed Health & Hospitals
The specialist performs system-wide credentialing for medical staff and advanced practice providers in compliance with bylaws and regulatory requirements. They also support the Credentials Committee by managing agendas, minutes, and information dissemination.
Salary not listed
4 days ago
Duke Health
Responsible for all aspects of credentialing for medical providers within the Duke University Health System to ensure compliance with regulatory standards. This includes verifying practitioner information, maintaining credentialing databases, and managing renewals and applications.
9 days ago
Hospital Management Company
The coordinator is responsible for processing initial and re-credentialing applications while verifying practitioner eligibility through various sources. They maintain up-to-date files, track certification expirations, and handle inquiries from health plan providers and customers.
10 days ago
EyeSouth Partners
Manage all aspects of credentialing, recredentialing, and privileging for medical providers, clinics, and facilities within the network. Maintain accurate provider data in databases and ensure timely renewal of licenses and certifications to maintain regulatory compliance.
Wasatch Behavioral Health
The role involves managing provider enrollment and credentialing for Medicaid, NPI, and private insurance networks to ensure regulatory compliance. Additionally, the specialist maintains accurate provider records and supports funding coordination to ensure timely reimbursement for services.
$21 - $27 / HOUR
11 days ago
Memorial Hermann Health System
This role is responsible for the front-line coordination of system-wide credentialing, ensuring accurate and timely processing of provider applications, managing daily workflow, and preparing necessary documentation for committee meetings. Key accountabilities include coordinating department workflow, preparing audit information, attending committee meetings, and overseeing training related to credentialing tools.
Beth Israel Lahey Health
The Credentialing Specialist will support the Medical Staff Office by processing initial appointment and reappointment applications, ensuring all required documentation is complete and accurately entered into the credentialing software (MDStaff). This role also involves maintaining accurate records for certifications, malpractice coverage, and providing administrative support to various Medical Staff committees.
$26 - $43 / HOUR
This role is responsible for the front-line coordination of system-wide credentialing functions, ensuring accurate and timely processing of provider applications through daily workflow management and meeting preparation. Key accountabilities include coordinating department workflow, preparing audit information, attending committee meetings, and onboarding new staff regarding credentialing tools and procedures.
Native American Rehabilitation Assoc. of the NW
The Credentialing Specialist manages the credentialing, re-credentialing, and privileging of medical and mental health providers to ensure regulatory compliance. This includes conducting background investigations, maintaining accurate provider files, and interfacing with health plans and agencies.
$26 - $32 / HOUR
12 days ago
UnitedHealth Group
Responsible for the credentialing and recredentialing of employed physicians and contracted affiliated providers. Duties include primary source verifications, maintaining files, and liaising with payors regarding audits and reports.
$18 - $32 / HOUR
16 days ago
Golden Steps ABA
The specialist is responsible for acquiring insurance contracts, managing provider files, and processing credentialing applications for government and commercial payers. They also maintain CAQH accounts and collaborate with the billing department to negotiate contract rates.
17 days ago
Cantex Continuing Care Network
Manage the full lifecycle of provider and facility credentialing for Skilled Nursing Facilities and Home Health Agencies. Ensure all providers meet regulatory, accreditation, and payer enrollment requirements while maintaining compliant records.
24 days ago
St. Luke's Hospital - MO
Assists the Medical Staff Office with credentialing, privileging, and reappointment processes. Provides general administrative support and assists medical staff officers as directed by the manager.
26 days ago
Memorial Hospital at Gulfport
Supports and maintains physician credentialing, privileging, and primary source verifications for medical staff. Manages credentialing data systems to ensure organizational compliance with regulatory requirements.
29 days ago
Cabinet Peaks Medical Center
Coordinates and manages provider credentialing, recredentialing, and payer enrollment to ensure regulatory and organizational compliance. Serves as a liaison between providers, payers, and regulatory agencies to facilitate timely network participation.
$21 - $30 / HOUR
COMPREHENSIVE EYECARE PARTNERS LLC GROUP
The Credentialing Specialist provides administrative support to the Regional Credentialing Team by maintaining provider data accuracy and managing payer-related updates. Key duties include coordinating insurance directory rosters, managing CAQH attestations, and collaborating with practice leadership to ensure compliance.
1 month ago
Townsen Memorial Hospital
The Credentialing Specialist leads and maintains the provider credentialing and re-credentialing process. This includes managing provider data, tracking license expirations, and ensuring compliance with Medical Staff Bylaws.
Charlie Health
The specialist will manage health plan enrollment applications for Medicaid and Commercial payors for both group and individual submissions. They are responsible for monitoring application progress, resolving delays, and tracking all activities in Salesforce.
$41,000 - $55,000 / YEAR
