- Integra Partners (Troy, MI)
- The Medical Policy & Compliance Specialist is responsible for researching, analyzing, and interpreting CMS (Medicare) and state Medicaid guidelines to ensure the ... payer policies to develop and update billing procedures, assist with provider inquiries, identify compliance risks areas, and support process improvement initiatives… more
- Veterans Affairs, Veterans Health Administration (West Haven, CT)
- Summary The incumbent serves as a Lead Health Systems Specialist - C&P Specialist . They are assigned to the Credentialing and Privileging (C&P) Office at a ... competence for the ongoing provider practice evaluation (OPPE) and focused provider practice evaluation (FPPE). Serves as lead specialist over a group of… more
- Cleveland Clinic (Middleburg Heights, OH)
- APRN: Nationally certified licensed healthcare provider who provides primary and/or specialty nursing and/or medical care in a variety of healthcare settings. ... of acute and chronic health problems. PA: Nationally certified licensed healthcare provider who provides primary and or specialty medical care (the practice of… more
- SSM Health (St. Louis, MO)
- …of Radiologic Technologists (ARRT) * Or * Registered Cardiovascular Invasive Specialist (RCIS) - Cardiovascular Credentialing International (CCI) State of ... of Radiologic Technologists (ARRT) * Or * Registered Cardiovascular Invasive Specialist (RCIS) - Cardiovascular Credentialing International (CCI) State of… more
- SSM Health (MO)
- …medical school, or Associate's degree and Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement ... Specialist (ACDIS) EXPERIENCE + Two years in an acute...Regulation (IDFPR) + Or + Physician - Regional MSO Credentialing + Or + Registered Professional Nurse (RN) -… more
- Transdev (Clackamas, OR)
- …key. The Vendor Enrollment Specialist reviews and monitors transportation provider 's credentialing documents according to the established schedule, responds ... The Vendor Enrollment Specialist works in support of the goals of...Corporate Policy. Key Responsibilities: + Reviews and verifies transportation provider credentials according to the established schedule to ensure… more
- HCA Healthcare (Campbell, CA)
- …worth of each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today and find out what it truly means ... for benefits may vary by location._** **Job Summary and Qualifications** The Contract Specialist is responsible for understanding the terms of all HMO and PPO… more
- Magellan Health Services (Albuquerque, NM)
- The Network Contract Specialist will be responsible for creating and maintaining behavioral health provider contracts across the New Mexico territory for ... Medicare, and Commercial lines of business. This role includes managing provider contracting activities in coordination with the Network team and processing… more
- Northwell Health (New York, NY)
- …network contract offerings; monitors applications and follows-up as needed. + Conducts provider and facility credentialing and re- credentialing activities; ... staff, and managed care companies. + Resolves issues related to credentialing , managed care participation, claims payment, demographic changes, referrals, and… more
- HCA Healthcare (Dallas, TX)
- **Description** **Medical City Healthcare** Division Clinical Inpatient Rehab Specialist PRN Facilities supported: Medical City Arlington, Medical City Fort Worth, ... like family! Jump-start your career as a Clinical Rehab Specialist PRN today with North Texas Division Office. **Benefits**...Management to share with patients and family members. May provide directly to patient and family after a patient… more