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University of Arkansas for Medical Sciences
Overview
The Credentialing Specialist manages the recredentialing and privileging of physicians and health professionals. They ensure regulatory compliance and handle administrative functions related to bylaws and departmental policies.
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Compensation
Salary not listed
Posted
7 days ago
University of Arkansas System
The Credentialing Specialist manages the recredentialing and privileging of physicians and health professionals while ensuring regulatory compliance. They handle administrative functions related to bylaws, policies, and the maintenance of the credentialing database.
WVU Medicine
This role coordinates the entire provider credentialing and onboarding process for new Physicians and Advanced Practice Providers (APPs), interfacing with providers and various internal and external institutional bodies. Key duties include managing licensure applications, privilege documentation, reappointment packets, tracking certifications, and maintaining compliance with regulatory standards.
8 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.
9 days ago
WellPower - All Jobs
Manage the credentialing and re-credentialing process for healthcare providers, interns, and volunteers to ensure regulatory compliance. Maintain accurate provider files and serve as a liaison between providers, insurance companies, and internal departments.
$57,803 - $80,995 / YEAR
10 days ago
Merakey
Manage all aspects of staff payer credentialing and re-credentialing to ensure compliance with payer requirements and organizational standards. Act as the primary point of contact for provider records and resolve credentialing-related claim issues.
$20 / HOUR
Gainwell Technologies LLC
The specialist will process moderately complex provider applications and requests, ensuring accuracy, and maintain provider data within systems. They will also handle written correspondence, respond to inquiries, research issues, and ensure compliance with policies and procedures.
$37,500 - $53,500 / YEAR
17 days ago
Specialists are responsible for processing and returning moderately complex provider applications and requests, ensuring accuracy and completeness. This includes entering, verifying, and maintaining provider data within systems while handling correspondence and researching related inquiries.
St. Luke's Hospital - MO
Manage the enrollment process for new providers and handle re-credentialing for established medical group and hospital-based providers. Coordinate enrollment forms, update the CAQH database, and maintain communication with health plans.
25 days ago
Responsible for supporting provider enrollment, maintenance, and renewal activities for the Florida Medicaid program. This includes reviewing and processing applications according to federal and state guidelines.
$32,700 - $46,700 / YEAR
28 days ago
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.
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.
Zotec Partners
Responsible for completing complex government and commercial payer enrollment applications for clients and physicians. The role involves maintaining necessary documentation and communicating credentialing-related claims issues to stakeholders.
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
AMERICAN ADVANCED MANAGEMENT
The role manages the administrative process of credentialing healthcare providers with insurance companies and government payers by preparing and submitting applications and tracking their status. Key duties include maintaining accurate provider records, ensuring regulatory compliance, and following up with providers and payers to resolve enrollment issues.
SUNY Downstate Health Sciences University
The Enrollment Specialist oversees managed care enrollment and delegated credentialing for providers while maintaining compliance with NCQA standards and federal regulations. They also serve as the primary point-of-contact for enrollment operations and manage provider data within the Cactus database.
OSS Health
The Medical Staff Professional is responsible for assisting in the credentialing and privileging of healthcare providers, including primary source verification and data maintenance. They also support departmental operations by managing provider enrollment, insurance follow-up, and ensuring compliance with regulatory standards.
2 months ago
Jackson Hospital
The coordinator manages the enrollment and credentialing of healthcare providers with various health plans to ensure timely claim payments. They are responsible for maintaining provider documentation, monitoring application statuses, and resolving enrollment issues.
Community Health Systems Professional Services Corporation
The Credentialing Specialist coordinates and processes all aspects of healthcare provider credentialing to ensure compliance with internal policies, hospital requirements, and regulatory standards, supporting both initial and ongoing credentialing activities. Essential functions include collecting, reviewing, and verifying documentation, processing applications, tracking renewals, and serving as a liaison between providers, carriers, and hospital departments.
Firelands Health
Duties involve gathering, verifying, and evaluating confidential healthcare provider credentials, including contacting facilities for documentation and performing data entry for all credentialing information. This role is responsible for credentialing related to initial provider enrollment for various facilities, including managing enrollments and revalidations with Medicare, Medicaid, and major insurance payors.
