- A minimum of three years of experience in managing medical provider credentialing and privileging processes
- Knowledge of credentialing and privileging principles, processes, procedures, and documentation
- Proficient in computer applications (Windows, Microsoft Office)
- Able to communicate effectively both verbally and in writing. Excellent information research skills.
- Prepares, reviews and screens initial medical staff, allied health, new employees and contracted staff credentialing applications for completeness, accuracy, and appropriateness per policy
- Performs external research and conducts verification of all initial applicants
- Utilizing company policies and tools to provide facility guidance relative to the credentialing and privileging processes.
- Stays abreast of and applies knowledge of applicable federal and state laws and regulations and accreditation standards. Recommends pertinent updates and revisions to policies and procedures.
- Maintains the Clinical Services Program Policies and Procedures including revisions and updates
- Manages the distribution and update of Clinical Services Policies and Procedures
- Maintains an electronic achieve of Clinical Services Policies and Procedures
- Provides documentation for surgical and special procedure patients
- Maintains current materials for patient education and consent procedures
- Discusses documentation with patient and family member confirming that instructions are understood, and questions answered
- Answer's patient and family member questions and refers questions to healthcare professionals when appropriate
- Communicates pertinent information from the physician, support staff, insurance companies and other significant parties to the patient
- Reports regularly to the Business Office Manager about the status of current projects or workflow
- Reviews prequalification for third party payer before date of scheduled admission
- Counsels patients about Facility charges, insurance coverage and the intra-operative experience
- Bills and follows-up with third party payers and patients for services received in accordance with Facility Policy and Procedures
- Accurately prepares the schedule for timely distribution
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This role coordinates initial credentialing and privileging processes for all medical staff under general supervision. The specialist provides consultation to facilities for ongoing facility reappointment and credentialing processes. · ...
Media2 weeks ago
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Under the general supervision of the Business Office Manager and the Administrator this role will be responsible for the coordination, administration, and quality controls of the initial credentialing and privileging processes for all the medical staff. Assignments are planned an ...
Media, Pennsylvania, , United States1 week ago
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This role will be responsible for the coordination, administration and quality controls of the initial credentialing and privileging processes for all medical staff. · The Credentialing Specialist will work under the general supervision of the Business Office Manager and Administ ...
Media, PA2 weeks ago
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: · We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team. This role is responsible for managing and maintaining accurate staff credentialing files to ensure compliance with regulatory, accreditation, and organizational requirements. The ...
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We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team. This role is responsible for managing and maintaining accurate staff credentialing files to ensure compliance with regulatory, accreditation, and organizational requirements. The Cred ...
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We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team. This role is responsible for managing and maintaining accurate staff credentialing files to ensure compliance with regulatory, accreditation, and organizational requirements. The Cred ...
Philadelphia Full time1 week ago
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· Full-time · Description · We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team. This role is responsible for managing and maintaining accurate staff credentialing files to ensure compliance with regulatory, accreditation, and organiza ...
Philadelphia, PA1 week ago
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· Description · We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team. This role is responsible for managing and maintaining accurate staff credentialing files to ensure compliance with regulatory, accreditation, and organizational requi ...
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We are seeking a Credentialing Specialist to join our team. The ideal candidate will possess experience working in a human services industry, proficiency in Microsoft Word, Excel and Outlook, experience using time management skills such as prioritizing, organizing, · and tracking ...
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: · The experience expected from applicants, as well as additional skills and qualifications needed for this job are listed below. · We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team. This role is responsible for managing and maintain ...
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We are seeking a Credentialing Specialist to join our team. · Remote Position available for candidates residing in PA, DE, FL, LA, MD, NJ, OH, TX and VA. · Working with candidates to ensure timely completion of new hire tasks · Processing all new hire application and credentialin ...
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:We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team. This role is responsible for managing and maintaining accurate staff credentialing files to ensure compliance with regulatory, accreditation, and organizational requirements. The Cre ...
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:We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team. This role is responsible for managing and maintaining accurate staff credentialing files to ensure compliance with regulatory, accreditation, and organizational requirements. The Cre ...
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Join us at Dermatology Partners, where your career flourishes alongside your health and happiness. Your future starts here-let's grow together · Discover the Benefits of Joining Dermatology Partners · No Nights or Weekends · Growth Opportunity · Medical, Dental, and Vision Insur ...
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Performs complex diversified administrative clerical operational and strategic functions responsible for preparing and submitting credentialing applications and supporting documentation for the purpose of medical staff and advanced practice providers credentialing privileging in ...
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Performs complex administrative functions for credentialing medical staff and advanced practice providers. · ...
Philadelphia1 month ago
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+Performs complex administrative and operational functions for credentialing medical staff. · +Prepares and submits credentialing applications and supporting documentation. · Maintains provider database integrity. · ...
Philadelphia, PA1 month ago
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Performs complex diversified administrative clerical operational and strategic functions responsible for preparing and submitting credentialing applications. · ...
Philadelphia, PA2 months ago
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We are hiring a Healthcare Credentialing Specialist in Philadelphia, PA to support provider credentialing, payer enrollment, and privileging processes. · ...
Philadelphia1 month ago
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+This is an opportunity to work as a Healthcare Credentialing Specialist in Philadelphia PA supporting provider credentialing payer enrollment and privileging processes. · +Credentialing & Enrollment: Oversee all credentialing re-credentialing payer enrollment and privileging pro ...
Philadelphia, PA1 month ago
Credentialing Specialist - Media - NueHealth
Description
Under the general supervision of the Business Office Manager and the Administrator this role will be responsible for the coordination, administration, and quality controls of the initial credentialing and privileging processes for all the medical staff. Assignments are planned and executed with considerable independence in compliance with established policies and procedures, bylaws, regulations, and laws. In collaboration with the Director of Nursing and the Administrator, provides consultation to facilities for ongoing facility reappointment and credentialing processes.
Qualifications
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
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Credentialing Specialist
Only for registered members Media
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Credentialing Specialist
Only for registered members Media, Pennsylvania, , United States
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Credentialing Specialist
Only for registered members Media, PA
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Credentialing Specialist
Only for registered members Philadelphia
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Credentialing Specialist
Only for registered members Philadelphia
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Credentialing Specialist
Full time Only for registered members Philadelphia
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Credentialing Specialist
Only for registered members Philadelphia, PA
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Credentialing Specialist
Only for registered members Philadelphia
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Credentialing Specialist
Full time Only for registered members Whitemarsh Township
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Credentialing Specialist
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Comhar Inc.- Philadelphia
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Credentialing Specialist
Only for registered members Lafayette Hill
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Credentialing Specialist
Only for registered members Philadelphia, PA
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Credentialing Specialist
Only for registered members Philadelphia, PA
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Credentialing Specialist
Full time Only for registered members Pottstown
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Credentialing Specialist
Full time Only for registered members Philadelphia
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Credentialing Specialist
Only for registered members Philadelphia
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Credentialing Specialist
Only for registered members Philadelphia, PA
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Credentialing Specialist
Only for registered members Philadelphia, PA
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Healthcare Credentialing Specialist
Only for registered members Philadelphia
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Healthcare Credentialing Specialist
Only for registered members Philadelphia, PA