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Cabinet Peaks Medical Center
Overview
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.
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Compensation
$21 - $30 / HOUR
Posted
28 days ago
OneOncology
The Credentialing Coordinator manages all aspects of credentialing and re-credentialing for healthcare professionals, including payer enrollment and hospital privileging. They collaborate with internal departments to resolve enrollment discrepancies and maintain up-to-date provider files.
Salary not listed
1 month ago
Responsible for the credentialing and re-credentialing of healthcare professionals, including payer enrollment and hospital privileging. The role involves maintaining provider files, verifying documentation, and collaborating with billing to resolve enrollment issues.
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.
Erickson Senior Living
The Credentialing Support Specialist will determine provider eligibility, analyze applications for completeness, and assist with credentialing and re-credentialing processes. They will also manage correspondence with insurance companies and perform various administrative tasks.
$22 - $27 / HOUR
Cahaba Medical Care Foundation
Assists in preparing and submitting enrollment applications for healthcare providers and facilities with government and third-party payers. Maintains provider directories and CAQH accounts to ensure claims are not denied due to enrollment errors.
Franklin Medical Center
Provides clerical and secretarial support to the Administration Department, focusing on daily office operations and communication. Manages medical staff credentialing, privileging packets, and maintains accurate practitioner records and databases.
Corewell Health Urgent Care
The Enrollment Specialist manages end-to-end provider enrollment, revalidation, and maintenance across multiple payer lines including Medicaid, Medicare, Tricare, and Molina. They are responsible for ensuring accurate submissions, maintaining provider records, and collaborating with internal teams to ensure regulatory compliance.
Exceptional Healthcare Inc.
Manage the end-to-end credentialing and recredentialing process for physicians across a multi-state hospital system to ensure regulatory compliance. Serve as a liaison between providers and administrative teams while maintaining accurate provider databases and monitoring license expirations.
2 months ago
Senior PsychCare
The Credentialing and Enrollment Specialist manages provider credentialing, re-credentialing, and payer enrollment processes using the Medallion platform. This role ensures that healthcare providers are properly credentialed and enrolled with insurance networks in a timely and compliant manner.
American Vision Partners
The Provider Enrollment Specialist will be responsible for assisting with the administration of the provider enrollment process for both new and existing providers, including preparing and submitting enrollment applications until providers are enrolled with all assigned payers. This role also involves maintaining essential information for the credentialing/re-credentialing process, tracking application statuses using Smart Sheets, and updating various provider portals.
3 months ago
METRO COMMUNITY HEALTH CENTER
This role involves managing and overseeing the insurance credentialing and re-credentialing processes for over 20 medical, mental health, and dental providers, ensuring compliance with federal, state, and commercial insurance regulations. Key duties include maintaining accurate provider files, timely submission of enrollment applications to payers, and monitoring licenses and certifications for renewal.
Altais
The Provider Enrollment Specialist II independently manages the full lifecycle of provider credentialing, recredentialing, and payer enrollment for specified medical groups, ensuring compliance with various policies and standards. This role involves coordinating payer enrollment, maintaining government payer records, collaborating on EHR system issues, and managing credentialing processes for health plans and medical staff.
$21 - $25 / HOUR
RadNet
The Credentialing Coordinator will assist with gathering information, researching, and coordinating credentialing and re-credentialing activities for employed radiologists, ensuring all documentation is accurate and complete prior to submission. This role involves managing radiologist credentialing according to policy, maintaining up-to-date files, and initiating and maintaining payer enrollment.
4 months ago
