- TEKsystems (Baltimore, MD)
- TeKsystems is currently hiring for a FULLY REMOTE Payor Credentialing Specialist ! MUST HAVE: 2+ years working for a payor in credentialing role ... accuracy, and timely processing of claims starting January 2026. Perform payor credentialing functions for applicable providers via electronic methods.… more
- Union Hospital Health Group (Terre Haute, IN)
- You belong at Union! The Payor Credentialing Specialist plays a key role in providing the highest quality of patient care while the patient is in at Union ... can we help? Call us at ### or email us at ###@union.health Payor Credentialing Specialist Details Essential Job Duties: + Credentialing /re-… more
- Henry Ford Health System (Jackson, MI)
- …ensuring providers meet standards and regulations, processing Network credentialing applications, maintaining relationships between payors, clinics, and providers, ... verifying compliance with contractual obligations. The role performs further credentialing functions including resolving claims issues, assisting with onboarding new… more
- TEKsystems (Addison, TX)
- Description The Provider Enrollment Specialist role focuses on managing the credentialing and enrollment for providers. The specialist will work closely with ... required 4 + years of enrollment experience Strong knowledge of medical credentialing and payer enrollment processes Strong attention to detail and accuracy… more
- WellSpan Health (York, PA)
- …leadership, training, or QA experience Preferred **Licenses:** + Certified Provider Credentialing Specialist Upon Hire Preferred or + Certified Professional ... + Quality Assurance and Reporting - Performs routine audits on credentialing and payor enrollment files to ensure compliance and accuracy. - Tracks audit… more
- Caris Life Sciences (Irving, TX)
- …equivalent related environments. + Knowledge of health plan and governmental payor credentialing process and requirements, such as NCQA/state/federal standards, ... **Preferred Qualifications** + Bachelor's degree preferred. + Current Certified Provider Credentialing Specialist (CPCS) with the National Association of Medical… more
- Spectrum Billing Solutions (Skokie, IL)
- …is managed in the most efficient and streamlined manner. We are seeking to add a Credentialing Specialist to our growing team. If you are looking for a rewarding ... with strong communication and problem-solving skills. RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist | Revenue Cycle… more
- Queen's Health System (Honolulu, HI)
- …status for all providers by successfully completing initial and subsequent credentialing packages as required by hospitals, surgery centers, commercial payors, ... Medicare and Medicaid. * Performs credentialing in accordance with policies and procedures of The...state, insurance carriers, health plans and other third party payor requirements. II. TYPICAL PHYSICAL DEMANDS: * Essential: standing,… more
- Banner Health (Phoenix, AZ)
- …care practice. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services ... to achieve Magnet (TM) recognition by the American Nurses Credentialing Center. The Phoenix campus, long known for excellent...3. Provides all pertinent clinical information needed for the payor authorization, the facility or specialist prior… more
- HCA Healthcare (Plano, TX)
- …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions... is responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and… more