- Hybrid: Remote & In office (as needed)
- 25-31 Hourly Wage
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Innovative Management Systems Incorporated Whittier, CA, United StatesCredentialing Specialist · -Hybrid: Remote & In-office (as needed) · This position reports to the Director of Provider Services and is responsible for full cycle credentialing of Providers and Facilities. Position must have experience with facility credentialing of Hospitals, SNF ...
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Credentialing Specialist
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Innovative Management Systems Incorporated City of Industry, United States:Position: Credentialing Specialist · -Hybrid: Remote & In-office (as needed) · This position reports to the Director of Provider Services and is responsible for full cycle credentialing of Providers and Facilities. Position must have experience with facility credentialing of Hos ...
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Credentialing Specialist
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Innovative Management Systems Incorporated City of Industry, United States:Position: Credentialing Specialist · -Hybrid: Remote & In-office (as needed) · This position reports to the Director of Provider Services and is responsible for full cycle credentialing of Providers and Facilities. Position must have experience with facility credentialing of Hos ...
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Credentialing Specialist
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Innovative Management Systems Incorporated Whittier, United States:Position: Credentialing Specialist · -Hybrid: Remote & In-office (as needed) · This position reports to the Director of Provider Services and is responsible for full cycle credentialing of Providers and Facilities. Position must have experience with facility credentialing of Hos ...
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Credentialing Specialist
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Innovative Management Systems Incorporated Whittier, United States:Position: Credentialing Specialist · -Hybrid: Remote & In-office (as needed) · This position reports to the Director of Provider Services and is responsible for full cycle credentialing of Providers and Facilities. Position must have experience with facility credentialing of Hos ...
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Credentialing Specialist
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Innovative Management Systems Incorporated Whittier, United StatesJob Description · Job DescriptionDescription:Position: Credentialing Specialist · -Hybrid: Remote & In-office (as needed) · This position reports to the Director of Provider Services and is responsible for full cycle credentialing of Providers and Facilities. Position must have e ...
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Credentialing Specialist
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Credentialing Specialist
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Innovative Management Systems Incorporated San Francisco, United States Permanent:Position: Credentialing Specialist · -Hybrid: Remote & In-office (as needed) · This position reports to the Director of Provider Services and is responsible for full cycle credentialing of Providers and Facilities. Position must have experience with facility credentialing of Hos ...
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Credentialing Specialist
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Innovative Management Systems Incorporated City of Industry, CA, United States Full time: Position: Credentialing Specialist · -Hybrid: Remote & In-office (as needed) · This position reports to the Director of Provider Services and is responsible for full cycle credentialing of Providers and Facilities. Position must have experience with facility credentialing of ...
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Innovative Management Systems Incorporated Whittier, United States: · Position: Credentialing Specialist · -Hybrid: Remote & In-office (as needed) · This position reports to the Director of Provider Services and is responsible for full cycle credentialing of Providers and Facilities. Position must have experience with facility credentialing of ...
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Argus Medical Management, LLC Long Beach, CA, United States Full time*About Us:* We are one of the few successful physician practice management companies in Southern California We own and manage over 200+ clinics in Long Beach and surrounding cities. At Argus, we're not just a healthcare management solutions provider; we've been passionate about t ...
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Mens Health Foundation West Hollywood, United StatesJob Description · Job DescriptionJob Title:Credentialing Specialist · Hourly Range:$ $33.65 · Worker Category:Full-Time · FLSA ClassificationNon-Exempt · Department & Location:Operations 9220 Sunset Blvd · Organization BackgroundMen's Health Foundation connects men at risk to com ...
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credentialing specialist
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Argus Medical Management, LLC Long Beach, CA, United States Full timeWe are one of the few successful physician practice management companies in Southern California We own and manage over 200+ clinics in Long Beach and surrounding cities. At Argus, we're not just a healthcare management solutions provider; we've been passionate about transforming ...
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Credentials Specialist
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Los Angeles County Office of Education Downey, United StatesAn equal opportunity employer fostering a workforce that embraces and reflectsthe rich diversity of Los Angeles CountyCredentials Specialist$4803 to $5964 MonthlyInsurance:Your choice of several medical, dental, vision, and life insurance plansTo learn more, applicationsmust be ...
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Credentialing Specialist
1 week ago
Argus Medical Management, Llc Long Beach, United States*About Us:* · We are one of the few successful physician practice management companies in Southern California We own and manage over 200+ clinics in Long Beach and surrounding cities. At Argus, we're not just a healthcare management solutions provider; we've been passionate about ...
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Credentialing Specialist
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Heluna Health Los Angeles, United StatesSalary: $26.53-$38.28 Per Hour · Schedule for this position: Monday through Friday 8am-5pm (can be some flexibility with hours) · SUMMARY · The Credentialing Specialist position has primary responsibility for processing paperwork relating to credentialing and recredentialing ens ...
Credentialing Specialist Credentialing Specialist - City of Industry, CA, United States - Innovative Management Systems Incorporated
Description
Credentialing SpecialistThis position reports to the Director of Provider Services and is responsible for full cycle credentialing of Providers and Facilities.
Position must have experience with facility credentialing of Hospitals, SNF, Home Health, Radiology etc.The role will work closely with new client implementation and will assist regularly with transitioning Credentialing file of new clients moving from one MSO to another.
Implementation will require thorough auditing of already approved files to ensure system data matches file and reviewing files for errors that will impact Health Plan audit.
The Specialist will have oversite to ensure Provider Rosters can be pulled, Re-credentialing timeframe are met and CAQH accounts are setup and maintained.
Credentialing Specialist will assist in preparing files for pre-delegation and annual audits, monitoring of providers and entities. This position will also work closely with Quality and will require some travel when Facility Site Reviews are required.Auditing Credentialing files for delegation oversight and new client implementation.
Organizing files and ensuring Provider and Facility data is accurately entered into the database while validate all key elements required for Credentialing and Provider Rosters.
Review initial paperwork and applications to identify possible issues and follows up with the healthcare provider as needed to obtain any missing or request additional information.
Review of hospital privileging, run quality reports and review reappointment applicationsRun reports for various departments, assist with identification on network deficiency, and periodically audit files, conduct internal reviews and ensure all files are current and audit ready.
Prepare and conduct Credentialing Committees.Participates in staff meetings and continuing education, and recommends new approaches, opportunity for automation and data migration, review policies, and procedures and recommend continual improvement in efficiency of the department and services performed.
Travelling to providers' offices may be required for credentialing purposes.Troubleshooting and making phone calls that pertain to Credentialing and/or Provider Service Department.
Other duties and projects assigned.
Full Time, Benefits Eligible
Hybrid:
Remote & In-Office (as needed)
25 - $31 per hour or Competitive Compensation
We are an equal opportunity employer and seek diversity in our workforce.
We strive to innovate the healthcare industry by providing management and consulting services to healthcare entities, including healthcare facilities, medical groups, providers, and suppliers.
Using our wide-ranging experience and comprehensive knowledge of the healthcare industry, our team works to provide quality services and customer care to our clients and their Medicare beneficiaries.
Take initiative and ownership of your projects to make a difference and go the extra mile Bachelor's Degree preferred, and/or equivalent experience in healthcare administration, management service organization, health plan, and/or IPA.
Active and Valid Driver's License and unexpired car insurance.Certified Provider Credentialing Specialist certification (CPCS) by National Committee for Quality Assurance (NCQA), preferred.
Facilities credentialing experience, required.
Accurate data entry and proficient computer skills.
Knowledge in credentialing and re-credentialing process.
Knowledge in facilities credentialing process.
Ability to interact with physicians, contractors, and all levels of management.
Knowledge of federal and state laws and compliance regulations, such as HIPAA.
Be able to travel to our office location in City of Industry office and to other clients' offices and business affiliates as needed.
