- Molina Healthcare (TX)
- …High School Diploma or GED **Required Experience/Knowledge Skills & Abilities:** Certified Provider Credentialing Specialist (CPCS) or participation in a CPCS ... **Job Description** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare ... Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Credentialing Assistant 3 obtains and reviews documentation to determine status in a health plan. ... The Credentialing Assistant 3 performs advanced administrative/operational/customer support duties that...identified by leadership via APEX + Outreaches to the provider /facility as needed to obtain missing/expired info + Manages… more
- Houston Methodist (Houston, TX)
- …Professional Medical Services Management (NAMSS) **OR** + CPCS - Certified Provider Credentialing Specialist (NAMSS) **KNOWLEDGE, SKILLS, AND ABILITIES** + ... At Houston Methodist, the Credentialing Specialist position is responsible for processing applications...the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an… more
- Prime Healthcare (Dallas, TX)
- …and willingness to learn Additional Qualifications That Are a Plus + Certified Provider Credentialing Specialist (CPCS) preferred + Minimum of 3 years ... and federal regulations, and insurance panels + Maintain accurate and confidential credentialing files and provider databases; use credentialing software… more
- Molina Healthcare (Fort Worth, TX)
- …Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management ... daily/weekly production goals and maintaining a high level of confidentiality for provider information. **Job Duties** * Evaluates credentialing applications for… more
- Texas Health Resources (Dallas, TX)
- … experience required, preferably in a hospital + CPCS (Certified Provider Credentialing Specialist) or CPMSM (Certified Professional Medical Services ... to supervisor as required. Enter or post requested privileges in database. Provide statistical information on the credentialing process by accurately recording… more
- Modivcare (Austin, TX)
- …will + Assists in the collection and verification of documentation for provider credentialing , including licenses, certifications, etc. + Enters and maintains ... right fit for you! Modivcare is looking for a Credentialing Services Specialist to ensure contract fulfillment of insurance... provider documents in an electronic filing system, while ensuring… more
- Cardinal Health (Austin, TX)
- …+ Respond to third party/managed care requests in a timely manner + Provide existing customers and third-party vendors with the best possible service and ... recommendations in relation to credentialing inquiries, service requests, improvements to internal and external processes, and other areas of opportunity + … more
- Immigration and Customs Enforcement (El Paso, TX)
- …Services Program. The incumbent will serve as a Psych Advanced Practice Provider (APP), whether they are a Psych Mental Health Nurse Practitioner (PMHNP), ... performs functions as outlined in the IHSC Psychiatric Advanced Practice Provider Collaborative Practice and Prescriptive Authority Agreement and the IHSC formulary.… more
- Evolent (Austin, TX)
- …of one to two years' experience in the healthcare field related to credentialing , provider enrollment, provider services, and/or configuration is required. ... for the culture. **What You'll Be Doing:** The Specialist, Provider Data Management will be a dynamic role that... data within the claims processing system. + Managing credentialing variables and demographics and contract or fee schedule.… more
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