- University of Virginia (Charlottesville, VA)
- …assist in complying with all delegated credentialing and enrollment processes to maintain provider eligibility to bill Medicare/Medicaid/Department of ... to ensure the highest level of accuracy. + Completes enrollment process including provider enrollment ...and entry of all physician and allied health professional credentialing information into the Symplr provider database… more
- Mount Sinai Health System (Astoria, NY)
- …+ **Education:** Bachelor's degree strongly preferred, or equivalent years of Provider /Facility Enrollment or credentialing experience and Associates ... years minimum of healthcare experience including Medicare or Medicaid Provider or Facility Enrollment or Credentialing...of official PAR status notifications from the CBO and Delegated Credentialing teams. + Trouble shoot, critical… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …commercial payers. + Become subject matter expert on NCQA, URAC, CMS standards, delegated credentialing policies and procedures, and update in policy software. + ... specialized credentialing program to assure compliance with the payer credentialing requirements and delegated carrier agreements and NCQA requirements that… more
- Dignity Health (Phoenix, AZ)
- …Institute and contracted providers in accordance with the Health Plan's Delegated Credentialing Agreements, Physician Billing Services policies and procedures, ... medical staff office to ensure successful and timely completion of the delegated credentialing and re- credentialing process. **Essential Function:** +… more
- Nuvance Health (Danbury, CT)
- …well as any other reporting requests from WCHN leadership. Maintains Med Kinetics provider enrollment database with all required information. 4. Responsible for ... for all commercial payers ie Aetna, United/Oxford, Anthem, Cigna, etc. and delegated credentialing agreements signed by WCHN to assure timely participation… more
- Essentia Health (Duluth, MN)
- …field, or Certified as a Credentialing Specialist (CPCS) or Certified Provider Enrollment Specialist certified Required Qualifications: + Minimum of 3 years' ... communication across teams + Hire, train, supervise, and evaluate credentialing and enrollment staff; provide ...experience in Credentialing and/or Provider Enrollment +… more
- Robert Half Office Team (Kansas City, MO)
- …meetings as required. + Coordinate with the HR Talent Acquisition team on new hire credentialing and provider enrollment . + Ensure team members follow best ... and privileging of various practitioner types. + Maintains and/or acquires delegated credentialing as appropriate to benefit Swope Health. + Uses… more
- Beth Israel Lahey Health (Westwood, MA)
- …making a difference in people's lives.** Under the direction of the Manager, Provider Enrollment completes enrollment and health plan recredentialing ... relationships with both provider practices and health plan contacts regarding provider enrollment statuses. Investigates and resolves enrollment problems… more
- Caris Life Sciences (Irving, TX)
- …+ Maintain and track Continuing Medical Education (CME) for providers + Initial enrollment and revalidation of provider Medicare + Other duties as assigned ... yourself, Caris is where your impact begins.** **Position Summary** This Credentialing Specialist - Physician Licensing position is responsible for individually… more