Credentialing Specialist

Há 2 dias


Brasil Monogram Health Inc Tempo inteiro
Overview

Employer Industry: Healthcare Services

Why consider this job opportunity
  • Opportunity for career advancement and growth within the organization
  • Comprehensive medical, dental, vision, and life insurance benefits
  • Flexible paid leave and vacation policy
  • 401(k) plan with matching contributions
  • Work in a collaborative environment that values detail-oriented professionals
  • Engage in meaningful work that supports patients with complex chronic conditions
Responsibilities
  • Manage payor enrollment for federal, state, and commercial health plans
  • Ensure timely and accurate submission of credentialing applications and follow-ups with health plans
  • Communicate with practitioners and internal stakeholders regarding enrollment processes and requirements
  • Maintain comprehensive and organized credentialing data in software systems
  • Produce and distribute status reports on credentialing and enrollment progress
Qualifications
  • Bachelor\'s Degree preferred
  • 3-5 years of experience in credentialing or related field
  • Proficiency in Microsoft Office applications and credentialing systems
  • Expertise in Medicaid, Medicare, and commercial payor credentialing requirements
  • Excellent verbal and written communication skills with strong attention to detail
Preferred Qualifications
  • Familiarity with telehealth payor requirements
  • Experience in roles such as Provider Enrollment Specialist or Credentialing Specialist
  • Strong organizational skills and ability to manage multiple projects simultaneously
  • Demonstrated ability to work independently and make informed decisions
  • Knowledge of primary source verifications and medical licensing processes

#HealthcareServices #Credentialing #CareerOpportunity #PatientCare #HealthInsurance

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.

We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.


#J-18808-Ljbffr

  • Brasil Remote Jobs Tempo inteiro

    OverviewEmployer Industry: Credentialing Verification OrganizationWhy consider this job opportunitySalary range of $21-$27 per hourOpportunity for career advancement and growth within the organizationFlexible work options including remote work, hybrid, or in-office at various locationsSupportive and collaborative work cultureComprehensive benefits that...


  • Brasil beBeeCredentialing Tempo inteiro R$1.018.000 - R$1.249.000

    Accurate Provider Information SpecialistCredentialing Specialists play a vital role in ensuring the accuracy and completeness of healthcare provider information.Key ResponsibilitiesReview and process internal credentialing applications for healthcare providers by verifying licenses, certifications, and work history through various methods.Maintain detailed...


  • Brasil Monogram Health, Inc Tempo inteiro

    OverviewWhy consider this job opportunity:Competitive salary with the opportunity to participate in the company's bonus programComprehensive medical, dental, vision, and life insurance coverageFlexible paid leave and vacation policy401(k) plan with matching contributionsOpportunity to work in a dynamic and innovative care management company focused on...


  • Brasil beBeeCredentialing Tempo inteiro R$60.000 - R$80.000

    Job Title: Credentialing Professional\This role offers the opportunity to work in a dynamic and detail-oriented environment where you can make a meaningful impact on patient care. As a Credentialing Specialist, you will play a critical part in ensuring timely and accurate submission of credentialing applications and follow-ups with health plans.\Key...


  • Brasil beBeecredentialing Tempo inteiro US$43.800 - US$56.200

    Job Opportunity OverviewWe are seeking a skilled Credentialing Specialist to join our team. As a credentialing professional, you will be responsible for managing application processes, verifying information, and communicating with applicants.Key Responsibilities:Verify credentials and identify potential issuesMaintain timely communication with...


  • Brasil beBeeLeadership Tempo inteiro US$231.900 - US$440.500

    Job OpportunityThis is an exceptional chance to drive meaningful change in the community as a clinical professional. The role involves providing medical leadership for utilization management, cost containment, and quality improvement activities.We are seeking a seasoned Medical Director to lead and coordinate functions such as medical management, quality...


  • Brasil beBeeDirector Tempo inteiro US$231.000 - US$440.500

    The Medical Director is a key role in our organization, responsible for leading and coordinating medical management, quality improvement, and credentialing functions. This position requires a strong clinical background, leadership skills, and ability to drive meaningful change in the community.Key ResponsibilitiesProvides medical leadership of all...


  • Brasil beBeeTelemedicine Tempo inteiro US$75.000 - US$90.000

    About the RoleThe ideal candidate will assist in the operations of a post acute telemedicine service. This role is responsible for daily oversight of physician scheduling and staffing, physician onboarding to the Telemedicine team, and other operational responsibilities.Key duties include creating and managing the physician schedule with proactive planning,...


  • Brasil Medtronic Tempo inteiro

    At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all.You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.A Day in the LifeWe're a mission-driven leader in medical technology and solutions with a legacy of integrity and...

  • Medical Director

    Há 7 dias


    Brasil Centene Tempo inteiro

    OverviewYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.We\'re Hiring: Full-time Medical DirectorsCentene Corporation is a...