- Reviews and completes hospital and payor applications for all health care providers.
- Completes verification forms/letters for outside facilities.
- Maintain billing insurance grid, provider insurance grid and each individual physician's spreadsheet up to date on current insurance changes.
- Track and maintain physician licensure(s), certification and CME credits.
- Maintain practitioner credentialing files.
- Maintain practitioner electronic file by keeping all applications/licensure current.
- Maintains all renewal applications for both hospitals/insurances.
- Has knowledge of Employee Handbook content along with established policies and procedures.
- Relies on instructions and pre-established guidelines to perform the functions of the job.
- Assists the Credentialing Supervisor in their job responsibilities/duties when necessary.
- High school diploma/GED or equivalent working knowledge preferred.
- 3-4 years of Credentialing experience.
- Must be able to communicate effectively with physicians, providers, licensing agencies, insurance payors and the public and be capable of establishing good working relationships with both internal and external customers.
- Some knowledge of insurance billing and hospital credentialing a plus.
- Knowledge of the credentialing process.
- Knowledge of computer systems.
- Knowledge of credentialing paperwork and timelines.
- Knowledge of credentialing timelines and regulations.
- Skill in establishing good working relationships with internal and external customers.
- Skill in organizing daily work assignments for various providers.
- Skill in managing multiple work assignments and set priorities.
- Ability to establish good working relationships with internal and external customers.
- Ability to communicate effectively with physicians, credentialing agencies and staff.
- Ability to be organized and efficient in daily work activities/projects.
- Normal office environment.
- Some travel within community.
- Requires sitting and standing associated with a normal office environment.
- Some bending and stretching required.
- Manual dexterity using a calculator and computer keyboard.
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Credentialing Specialist
4 weeks ago
Only for registered members Phoenix $21.01 - $31.51 (USD)This role is responsible for completing and submitting Medicaid/Medicare/Commercial Health Plan enrollment applications. The ideal candidate has prior experience with Medicaid/Medicare or healthcare administrative processes. · Must possess a strong knowledge of business and/or he ...
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Credentialing Specialist
1 month ago
Only for registered members Phoenix Full time $21.01 - $31.51 (USD)This position performs the department's credentialing work as outlined in the policies and procedures. · CORE FUNCTIONS · 1. Performs the appropriate (applicable) credentialing processes in a timely and complete manner. · 2. Performs analysis and appropriate follow-up. ...
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Credentialing Specialist
1 month ago
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Credentialing Specialist
1 month ago
Only for registered members PhoenixHOPCo is looking for a Credentialing Specialist to join the Credentialing Team. · ...
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Credentialing Specialist
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Only for registered members PhoenixHealthcare Outcomes Performance Company is a vertically integrated musculoskeletal outcomes management company.HOPCo manages physician practices hospital service lines population health and value-based care programs and musculoskeletal delivery networks. · High school diploma/GED ...
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Credentialing Specialist
3 days ago
Only for registered members Phoenix, Arizona, , United StatesWe are looking for a Credentialing Specialist to join our team. · ...
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Credentialing Specialist
3 days ago
Only for registered members Phoenix, Arizona, , United StatesHOPCo es una empresa de resultados de salud que gestiona prácticas médicas, líneas hospitalarias y programas de atención a la población y cuidados basados en valor. Están buscando un especialista en credencialización para unirse a su equipo. · ...
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Credentialing Specialist
1 month ago
Only for registered members Phoenix, AZThe Credentialing Specialist is responsible for the timely credentialing, recredentialing, and payer enrollment of all independently licensed providers across Valle del Sol's medical and behavioral health services. This role ensures providers are properly credentialed, contracted ...
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Credentialing Specialist
1 month ago
Only for registered members Phoenix, AZWe are looking for a Credentialing Specialist to join the Credentialing Team. · ...
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Credentialing Specialist
6 days ago
Only for registered members Phoenix, AZJob Description:The Credentialing Specialist is responsible for the timely credentialing of all independently licensed providers. · ...
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Credentialing Specialist
4 days ago
Only for registered members PhoenixThe Credentialing Specialist reviews and completes hospital and payor applications for all health care providers, maintains billing insurance grid and practitioner credentialing files. · ...
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Credentialing Specialist
3 days ago
Only for registered members Phoenix, Arizona, , United StatesReviews and completes hospital and payor applications for all health care providers. · ...
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Credentialing Specialist
1 month ago
Only for registered members Phoenix, AZThe Credentialing Specialist is responsible for the timely credentialing, · recredentialing, and payer enrollment of all independently licensed providers across Valle del Sol's medical and behavioral health services.Timely credentialing, recredentialing, and payer enrollment of a ...
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Provider Credentialing Specialist
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Only for registered members Phoenix $44,000 - $56,000 (USD)The Provider Credentialing Specialist supports the Credentialing Department by managing and maintaining accurate provider data. Performs credentialing activities including primary source verifications and communicating with Providers to request missing information. · High School ...
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Provider Credentialing Specialist
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Only for registered members Phoenix Full timeHonorHealth offers an opportunity to be part of something more meaningful. As Credentialing Specialist you'll provide credentialing support to the Network Medical Staff through the processing of applications. · Maintains sound working knowledge of credentialing and provides consu ...
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Specialist - Credentialing
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Only for registered members Phoenix, AZ+ The Credentialing Specialist provides credentialing and support to the Network Medical Staff through the processing of applications and reapplications · + · Provides credentialing support to the credentialing manager. · Maintains a sound working knowledge of credentialing and p ...
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Credentialing Specialist
1 month ago
Only for registered members Phoenix, AZWe are looking for a Credentialing Specialist to join the Credentialing Team. The functions and requirements for this position include reviewing and completing hospital and payor applications, maintaining billing insurance grid, provider insurance grid and each individual physici ...
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Credentialing Specialist
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Only for registered members Chandler, AZWe are looking for a Credentialing Specialist to join our team at MY DR NOW. The successful candidate will own credentialing and payer enrollment end-to-end and play a critical part in how fast we grow and how smoothly we operate. · ...
Credentialing Specialist - Phoenix - HOPCO
Description
Healthcare Outcomes Performance Company is a vertically integrated musculoskeletal outcomes management company. HOPCo manages physician practices, hospital service lines, population health and value-based care programs, and musculoskeletal delivery networks.HOPCo is the managing partner of Arizona-based entities, CORE Institute, Northern Arizona Orthopaedics, CORE Institute Specialty Hospital, Michigan-based CORE Institute, and Florida-based Southeast Orthopedic Specialists Clinics and Musculoskeletal Specialty Hospital.
As HOPCo continues to grow, we are looking for a Credentialing Specialist to join the Credentialing Team. Please see below for the functions and requirements for this position.
ESSENTIAL FUNCTIONS
Equal Opportunity Employer
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Credentialing Specialist
Only for registered members Phoenix
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Credentialing Specialist
Full time Only for registered members Phoenix
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Credentialing Specialist
Only for registered members Phoenix
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Credentialing Specialist
Only for registered members Phoenix
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Credentialing Specialist
Only for registered members Phoenix
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Credentialing Specialist
Only for registered members Phoenix, Arizona, , United States
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Credentialing Specialist
Only for registered members Phoenix, Arizona, , United States
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Credentialing Specialist
Only for registered members Phoenix, AZ
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Credentialing Specialist
Only for registered members Phoenix, AZ
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Credentialing Specialist
Only for registered members Phoenix, AZ
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Credentialing Specialist
Only for registered members Phoenix
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Credentialing Specialist
Only for registered members Phoenix, Arizona, , United States
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Credentialing Specialist
Only for registered members Phoenix, AZ
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Provider Credentialing Specialist
Only for registered members Phoenix
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Provider Credentialing Specialist
Only for registered members Phoenix, AZ
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Credentialing Specialist
Only for registered members Scottsdale
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Credentialing Specialist
Only for registered members Scottsdale, AZ
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Specialist - Credentialing
Full time Only for registered members Phoenix
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Specialist - Credentialing
Only for registered members Phoenix, AZ
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Credentialing Specialist
Only for registered members Phoenix, AZ
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Credentialing Specialist
Only for registered members Chandler, AZ