Provider Enrollment & Credentialing Specialist
Tasks
- Act as liaison for credentials and provider numbers
- Align clinician credentialing with payor contract terms
- Conduct self audits for credentialing accuracy
- Coordinate hospital privileges appointments
- Maintain credentialing files
- Manage provider recredentialing
- Monitor credentialing reports
- Process provider enrollment applications
- Protect patient privacy and PHI
- Review credentialing and licensure information
- Run system reviews for provider data accuracy
- Submit provider enrollment and credentialing paperwork
- Track malpractice coverage renewals
- Track provider credentialing changes
- Verify license and DEA renewals
Perks/Benefits
- 401k savings plan
- Dental insurance
- Education reimbursement
- Employee Referral Bonus Program
- Employee assistance program
- Employee discounts
- Employee stock purchase plan
- Health savings account
- Health spending account
- Legal insurance
- Life insurance
- Long-term care insurance
- Long-term disability
- Medical plan options
- Paid Holidays
- Paid time off
- Short-term disability
- Vision insurance
Skills/Tech-stack
CMS | HIPAA | Microsoft Excel | Microsoft Word | NCQA
Education
Regions
Countries
States
Cities
Related jobs
-
Clinical Quality Informatics Specialist - Clinical Analytics - Full Time 8-hour days (Non-exempt) (Non-union) USD 121K-200KAlgorithms | CCL | Cerner | Data Cleansing | Data ValidationMid-level Full TimeLos Angeles, CA - Health Sciences …1d ago
-
Enrollment Specialist USD 47K-66KCustomer Relationship Management | Customer relationship | Data Management | Microsoft Excel | Microsoft WordEducational opportunities | Health insurance | Paid time off | Retirement benefitsMid-level Full TimeChicago, IL, United States2d ago
-
AthenaOne EMR | CredentialStream | Credentialing | HIPAA | Medicaid401k | Dental insurance | Expense Reimbursement for Home Office | Health insurance | Life insuranceEntry-level Full TimeRemote, USA, United States R3d ago
-
Enrollment Specialist USD 40K-48KCBMS | Case management | Colorado Medicaid | Customer Service | Data entry401k match | Career growth opportunities | Dental insurance | Employee resource groups | Health insuranceMid-level Full TimeDenver, CO, United States3d ago
-
AI Data Specialist USD 60K-64KData Management | Data analytics | Microsoft Excel | Prompt engineering | Spreadsheet management401k matching | Dental insurance | Health insurance | Life insurance | Paid time offMid-level Full TimeBeverly, MA, 01905, USA3d ago
-
Availity | CAQH | Credentialing | Insurance Payer | Insurance Payer ProcessesHybrid workMid-level Full Time850 Poplar, United States R4d ago
-
Active Listening | Care management | Clinical judgment | Customer Service | Internet researchMid-level Full TimeRichmond, Virginia, United States4d ago
-
Fulfillment Specialist USD 34K-45KData Accuracy | ERP systems | Inventory Management | Microsoft Excel | Microsoft OfficeCareer growth | Company ownership equity | Comprehensive benefits | Industry training programs | Leadership developmentMid-level Full TimeVirginia Beach, United States4d ago
-
Enrollment Specialist (OR) USD 36K-44KAdministrative support | Confidentiality | Customer Service | Document Management | File ManagementCompetitive wages | Flexible paid time off | Professional growth opportunitiesEntry-level Full TimeGrants Pass, Oregon, United States R4d ago
-
Enrollment Specialist (OR) USD 36K-44KAdministrative procedures | Confidentiality | Customer Service | Document Management | HIPAAFlexible paid time off | Professional growth opportunitiesEntry-level Full TimeMedford, Oregon, United States R4d ago
-
Enrollment Specialist (OR) USD 36K-44KAdministrative Clerical Procedures | Clerical procedures | Customer Service | Document Management | HIPAACompetitive wages | Flexible paid time off | Health benefits | Professional growth opportunitiesEntry-level Full TimeBend, Oregon, United States R4d ago
-
HRIS Specialist & Data Analyst USD 65K-75KADP Workforce | ADP Workforce Manager | ADP Workforce Now | Dashboards | Data CleansingHybrid work schedule | Onsite Days 2 to 3Mid-level Full TimeTwinsburg, OH, United States4d ago
-
Continuous Improvement | Data Governance | Data Management | Data Quality | Internal Audit401k | Accident insurance | Disability insurance | Life insurance | Medical, dental, and vision coverageSenior-level Full TimeGetzville, New York, UNITED STATES; Delaware, …5d ago
-
Customer Order and Fulfillment Specialist USD 116K-149KBacklog Management | Customer portals | Data Accuracy | ERP systems | Microsoft ExcelChallenging work environment | Competitive compensation | Professional developmentSenior-level Full TimeGrand Rapids, United States5d ago
-
Provider Enrollment & Credentialing Specialist USD 48K-66KCAQH | Credentialing | Credentialing software | HIPAA | Healthcare administrationEducation reimbursement | Employee recognition | Life insurance | Paid Holidays | Paid time offMid-level Full TimeCharlotte, NC, US5d ago
-
Enrollment Lead USD 60K-80KCAQH | Commercial Enrollment | Delegated Credentialing | Documentation | Enrollment Portals401k matching | Company sponsored offsite travel | Employee wellness program | Free therapy | Hardware or software allowanceSenior-level Full TimeUS - Remote R5d ago
-
Outreach and Enrollment Specialist (Float) USD 36K-36KApplication Management | Community outreach | Customer Service | Data Analysis | Document preparationEducational leave | Employee recognition program | Paid Holidays | Paid time off | Retirement matchingMid-level Full TimePhoenix, AZ, United States5d ago
-
Deduction Resolution Specialist - Foodservice - Corporate Office (Austin Or Willmar, Mn) USD 36K-52KAnalytical Skills | Billback | Customer Service | Decision Making | Microsoft Excel401k match | Dental insurance | Health insurance | Paid vacation | Relocation assistanceMid-level Full TimeAustin, MN, United States5d ago
-
Enrollment Specialist, Payments USD 40K-44KCRM | Case management | Case management systems | Customer Relationship Management | Customer relationship401k match | Company paid life insurance | Company-paid disability insurance | Dental insurance | Employee assistance programEntry-level Full TimeOmaha, Nebraska, United States - Remote R6d ago
-
Sr. Statistical Programmer USD 145K-180KAgile | Analysis Plan | CDISC | CDISC standards | Case Report FormsSenior-level Full TimePalo Alto, California, United States6d ago
-
Credentialing & Enrollment Specialist USD 57K-62KAthena EMR | Credentialing | Google Sheets | HIPAA | Hospital CredentialingMid-level Full TimeHouston, TX, United States R6d ago
-
AthenaOne | AthenaOne EMR | CredentialStream | Credentialing | HIPAA401k | Dental insurance | Expense Reimbursement for Home Office | Health insurance | Life insuranceEntry-level Full TimeRemote, USA, United States R6d ago
-
Enrollment Specialist USD 40K-48KApplication processing | CBMS | Case management | Colorado Medicaid | Customer Service401k match | Career growth opportunities | Dental insurance | Employee resource groups | Health insuranceMid-level Full TimeDenver, CO, United States6d ago
-
834 file processing | Data Reconciliation | Data Troubleshooting | Data Validation | File comparison401k match | Dental insurance | Flexible spending accounts | Health insurance | HolidaysEntry-level Full TimeMadison, WI, US6d ago
-
Provider Enrollment Specialist USD 48K-56KCAQH | Fee Schedules | HIPAA | MS Office | Managed care401k | Career growth | Child care assistance | Continuing education funds | Dental insuranceMid-level Full TimeTEMPE, AZ, United States7d ago