- Insight Global (Morristown, NJ)
- …https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements -2+ years' experience in Payer/ Provider delegated /Quality credentialing - ... top Healthcare client in NJ is looking for a Delegated Credentialing Coordinator to sit hybrid in...in Morristown, NJ. This person will maintain credentials for Payor/ Provider quality enrollment throughout the CVO process… more
- Trinity Health (Boise, ID)
- …in behaviors, practices, policies and decisions. Manages the operational work for SAHA provider credentialing and SAHA provider file maintenance under the ... strictly adheres to industry criteria (NCQA) required by insurance companies for delegated credentialing services. Supports insurance company audits of … more
- Highmark Health (Montgomery, AL)
- …the National Association Medical Staff Services + Experience with ECHO and/or professional provider credentialing + Delegated credentialing experience + ... used in the enrollment processes. **ESSENTIAL RESPONSIBILITIES:** + Completes provider payer enrollment / credentialing and recredentialing with all… more
- Dignity Health (Prescott, AZ)
- …auditing setting, or Health Care Enrollment . + Bachelor's degree + Certified Provider Credentialing Specialist **Pay Range** $22.95 - $33.28 /hour We are an ... enrollment process for providers in accordance with the Health Plans Delegated Credentialing Agreements Physician Billing Services policies and procedures… more
- Planned Parenthood of Central and Western NY (Buffalo, NY)
- …Third-Party payer contracts; investigates and resolves medical claim denials related to Enrollment Credentialing , Coding, or other Payer issues to mitigate risk ... and facility participation with health insurance carriers under their respective delegated credentialing agreements. + Works collaboratively with Clinical… more
- Guidehouse (Birmingham, AL)
- …with the medical credentialing team for provider updates, resolves enrollment issues, and manages delegated provider rosters to ensure compliance ... and regulatory requirements. + Coordinate with insurance payers to maintain accurate provider enrollment records for both government and commercial payers. +… more
- Beth Israel Lahey Health (Wakefield, 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
- Penn Medicine (Philadelphia, PA)
- …participating in over 60 payer contracts. The Penn Medicine CVO performs delegated credentialing for employed/billable providers that directly impacts Penn ... credentials and privileges of 10,000 providers and owns the credentialing and payer enrollment system which is...develop and review CVO Operating policies and procedures and delegated credentialing policies and procedures + develop,… more
- Roper St. Francis (Ladson, SC)
- …** Provider Credentialing / Enrollment :** + Manage the Provider Credentialing / Enrollment process. + Provide guidance to RSFH on the structure of ... operations of managed care programs and initiatives and the provider credentialing and enrollment program....to comply with payor policies. + Develop and maintain delegated credentialing program. + **Relationship Management:** +… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …and written English. Additional Requirement: Buprenorphine prescribing, Active DEA license and Enrollment in the VHA Clozapine Registry and credentialing and ... no significant restriction on moonlighting The addiction specialist physician will provide care for Veterans within Substance Use Disorder Treatment Program (SUDTP)… more