- Catholic Health (Buffalo, NY)
- …Hours: Standard work schedule: 8:00 am - 4:30 pm M - F Summary: The Credentialing Specialist is responsible for assisting with the process of electronic ... credentialing and enrolling them into insurances that are relevant...and organizing significant amounts of enrollment data. Oversee the credentialing process in its entirety from start to finish.… more
- CVS Health (Albany, NY)
- …data integrity issues in a timely manner. **What you will do** The Credentialing Specialist is responsible for managing and maintaining the credentialing ... all credentialing activities are completed timely and accurately. The specialist maintains Credentialing systems and collaborates closely with Provider Data… more
- US Physical Therapy (Garden City, NY)
- …company committed to providing top-quality care to our patients. We're hiring a ** Credentialing Specialist ** to join our fast-paced team! You'll play a key ... Verify provider data using CAQH and other platforms + Manage onboarding, credentialing , and re- credentialing + Keep provider databases accurate (Verifiable… more
- Centene Corporation (New York, NY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Perform credentialing and related activities based on plan specifications + Perform ... credentialing and re- credentialing activities according to plan specifications and in compliance with NCQA standards + Communicate with professionalism with… more
- University of Rochester (Albany, NY)
- …Medical Professional Services Management (CPMSM) upon hire preferred + Certified Provider Credentialing Specialist (CPCS) upon hire preferred The University of ... maintaining, and communicating the medical and allied health professional staff credentialing , privileging, and primary source verification process. Serves as a… more
- Molina Healthcare (Yonkers, NY)
- **JOB DESCRIPTION** **Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all ... safety for members. This position is responsible for the initial credentialing , recredentialing and ongoing monitoring of sanctions and exclusions process for… more
- Mount Sinai Health System (New York, NY)
- …solution is preferred. **Minimum Certification Requirements** + NAMSS Certified Provider Credentialing Specialist (CPCS), Required + NAMSS Certified Professional ... CMOs across the system on all matters related to medical staff governance, credentialing , peer review and performance management; + In collaboration with the FPA,… more
- SUNY Upstate Medical University (Syracuse, NY)
- …in at least one of the NAMSS accreditations below: - Certified Provider Credentialing Specialist (CPCS) - Certified Professional in Medical Services Management ... (CPMSM) - Certified Provider Enrollment Specialist (CPES) Preferred Qualifications: Master's degree a plus. Familiarity with NCQA Credentialing and… more
- Oak Orchard Health (Brockport, NY)
- …ensure standardization is maintained consistently across the organization. . Provide credentialing specialist with updated documentation of required training ... elements for clinical credentialing and privileging files. . Coordinate multi-service line training presentations as requested by departmental leadership. . Track… more
- Molina Healthcare (Syracuse, NY)
- …to learn/navigate new software programs. **Preferred Qualifications** * Certified Credentialing Specialist (CCS), Licensed Practical Nurse (LPN), Licensed ... Vocational Nurse (LVN), Certified Clinical Coder (CCD), Certified Medical Audit Specialists (CMAS), Certified Professional in Healthcare Management (CPHM) and/or other health care certification/licensure. If licensed, license must be active and unrestricted in… more