Credentialing Coordinator
Dallas, TX · On-site
... health plan contracts, URAC guidelines and applicable state and federal requirements ... Supervisor of the Credentialing Hub. Candidates will monitor files to ensure completeness and ...
Dallas, TX · On-site
... health plan contracts, URAC guidelines and applicable state and federal requirements ... Supervisor of the Credentialing Hub. Candidates will monitor files to ensure completeness and ...
Dallas, TX · On-site
... health plan contracts, URAC guidelines and applicable state and federal requirements ... Supervisor of the Credentialing Hub. Candidates will monitor files to ensure completeness and ...
Farmers Branch, TX · On-site +1
... health plan contracts, URAC guidelines and applicable state and federal requirements ... Supervisor of the Credentialing Hub. Candidates will monitor files to ensure completeness and ...
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Farmers Branch, TX · On-site +1
... health plan contracts, URAC guidelines and applicable state and federal requirements ... Supervisor of the Credentialing Hub. Candidates will monitor files to ensure completeness and ...
... supervisor and other management as required. This organization reserves the right to revise or ... This does not constitute a written or implied contract of employment. QUALITY ASSURANCE ...
... supervisor and other management as required. This organization reserves the right to revise or ... This does not constitute a written or implied contract of employment. QUALITY ASSURANCE ...
Keep records on licenses, credentials, and insurance contracts * Release information to agencies ... supervisory and safety procedures. These functions are essential to the position. Skills And ...
Keep records on licenses, credentials, and insurance contracts * Release information to agencies ... supervisory and safety procedures. These functions are essential to the position. Skills And ...
Keep records on licenses, credentials, and insurance contracts * Release information to agencies ... supervisory and safety procedures. These functions are essential to the position. Skills And ...
Keep records on licenses, credentials, and insurance contracts * Release information to agencies ... supervisory and safety procedures. These functions are essential to the position. Skills And ...
Keep records on licenses, credentials, and insurance contracts * Release information to agencies ... supervisory and safety procedures. These functions are essential to the position. Skills And ...
Keep records on licenses, credentials, and insurance contracts * Release information to agencies ... supervisory and safety procedures. These functions are essential to the position. Skills And ...
Keep records on licenses, credentials, and insurance contracts * Release information to agencies ... supervisory and safety procedures. These functions are essential to the position. Skills And ...
Keep records on licenses, credentials, and insurance contracts * Release information to agencies ... supervisory and safety procedures. These functions are essential to the position. Skills And ...
Houston, TX · On-site
$23 - $25/hr
Credentialing & Provider Enrollment Specialist Supervisor:Business Office Director Texas Hearing ... Maintain contract documentation. * Monitor provider participation status. * Communicate enrollment ...
Houston, TX · On-site
$23 - $25/hr
Credentialing & Provider Enrollment Specialist Supervisor:Business Office Director Texas Hearing ... Maintain contract documentation. * Monitor provider participation status. * Communicate enrollment ...
Houston, TX · On-site
$2.0K - $4.0K/wk
Maintain executed payer contracts and files, database with agreements summaries, completes ... your supervisor. 13.Uphold the core principles of Cenikor's culture and contribute to a positive ...
Houston, TX · On-site
$2.0K - $4.0K/wk
Maintain executed payer contracts and files, database with agreements summaries, completes ... your supervisor. 13.Uphold the core principles of Cenikor's culture and contribute to a positive ...
Communicates unresolved issues to the supervisor or designee as needed Essential Functions and ... Responsible for new and/or amendments for insurance contracts * Travels to different clinics to ...
Communicates unresolved issues to the supervisor or designee as needed Essential Functions and ... Responsible for new and/or amendments for insurance contracts * Travels to different clinics to ...
Communicates unresolved issues to the supervisor or designee as needed Essential Functions and ... Responsible for new and/or amendments for insurance contracts * Travels to different clinics to ...
Communicates unresolved issues to the supervisor or designee as needed Essential Functions and ... Responsible for new and/or amendments for insurance contracts * Travels to different clinics to ...
... supervisory authority unless specifically delegated. Responsibilities Manage a portfolio of complex ... law, payer contract or company policy. Review applications, attestations, primary-source ...
... supervisory authority unless specifically delegated. Responsibilities Manage a portfolio of complex ... law, payer contract or company policy. Review applications, attestations, primary-source ...
... supervisory authority unless specifically delegated. Responsibilities Manage a portfolio of complex ... law, payer contract or company policy. Review applications, attestations, primary-source ...
... supervisory authority unless specifically delegated. Responsibilities Manage a portfolio of complex ... law, payer contract or company policy. Review applications, attestations, primary-source ...
Acts as liaison to physician recruitment and clinical practice supervisors/managers on matters ... payor contracts * Develops and builds collaborative relationships to handle queries or ...
Acts as liaison to physician recruitment and clinical practice supervisors/managers on matters ... payor contracts * Develops and builds collaborative relationships to handle queries or ...
Acts as liaison to physician recruitment and clinical practice supervisors/managers on matters ... payor contracts * Develops and builds collaborative relationships to handle queries or ...
Acts as liaison to physician recruitment and clinical practice supervisors/managers on matters ... payor contracts * Develops and builds collaborative relationships to handle queries or ...
Five years supervisory experience with excellent management skills. * Must be able to work in a ... Resource for contract language interpretation. * Manage IPA relationships. * Revenue Cycle ...
New
Five years supervisory experience with excellent management skills. * Must be able to work in a ... Resource for contract language interpretation. * Manage IPA relationships. * Revenue Cycle ...
New
Acts as liaison to physician recruitment and clinical practice supervisors/managers on matters ... payor contracts * Develops and builds collaborative relationships to handle queries or ...
Acts as liaison to physician recruitment and clinical practice supervisors/managers on matters ... payor contracts * Develops and builds collaborative relationships to handle queries or ...
Acts as liaison to physician recruitment and clinical practice supervisors/managers on matters ... payor contracts * Develops and builds collaborative relationships to handle queries or ...
Acts as liaison to physician recruitment and clinical practice supervisors/managers on matters ... payor contracts * Develops and builds collaborative relationships to handle queries or ...
Acts as liaison to physician recruitment and clinical practice supervisors/managers on matters ... payor contracts * Develops and builds collaborative relationships to handle queries or ...
Acts as liaison to physician recruitment and clinical practice supervisors/managers on matters ... payor contracts * Develops and builds collaborative relationships to handle queries or ...
Acts as liaison to physician recruitment and clinical practice supervisors/managers on matters ... payor contracts * Develops and builds collaborative relationships to handle queries or ...
Acts as liaison to physician recruitment and clinical practice supervisors/managers on matters ... payor contracts * Develops and builds collaborative relationships to handle queries or ...
$43.5K - $51.5K
3% of jobs
$51.5K - $59.5K
4% of jobs
$64.1K is the 25th percentile. Wages below this are outliers.
$59.5K - $67.5K
30% of jobs
The median wage is $72.1K / yr.
$67.5K - $75.5K
22% of jobs
$75.5K - $83.5K
12% of jobs
$88.5K is the 75th percentile. Wages above this are outliers.
$83.5K - $91.5K
6% of jobs
$91.5K - $99.5K
6% of jobs
$99.5K - $107.5K
4% of jobs
$107.5K - $115.5K
5% of jobs
$115.5K - $123.5K
3% of jobs
$123.5K - $131.5K
3% of jobs
$43.5K
$85K
$131.5K
Cities with the most Contract Credentialing Supervisor job openings:
The most popular types of Credentialing Supervisor jobs are:
States with the most job openings for Contract Credentialing Supervisor jobs include:

Other
Re-posted 20 days ago
POSITION SUMMARY:
The Credentialing Coordinator role will be responsible on ensuring compliance with NCQA, URAC, Medicare, Medicaid, Delegation agreements and other pertinent client requirements, policies and procedures, client health plan contracts, URAC guidelines and applicable state and federal requirements.
Responsibilities may include:
Verifying State Licenses, exclusions lists, DEA's, Board Certifications and Medicaid/Medicare Enrollment Verifications on an ongoing basis to ensure qualified and approved clinicians remain active in the network.
Enrolling clinicians in Medicare and Medicaid following state and federal guidelines
Applying for state licensure for clinicians
The candidate will maintain strong cross-departmental relationships with Recruiting, Production, and Education This role will report to our Supervisor of the Credentialing Hub.
Candidates will monitor files to ensure completeness and accuracy; reviews all file documentation for compliance with quality standards, accreditation requirements, and all other relevant policies; prepares and provides information to internal and external customers as appropriate. Enters, updates, and maintains data from provider applications into the credentialing database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses and in accordance with internal policies and procedures. Prepares, issues, electronically tracks, and follows up on appropriate verifications for efficient, high-volume processing of individual applications in accordance with applicable credentialing standards, established procedural guidelines, and strict timelines. Communicates clearly with providers, internal/external clients, and all client staff as needed to provide timely responses upon request on day-to-day credentialing issues as they arise. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of the latest developments to enhance understanding of various regulations and legislation of the healthcare industry and assist with special projects on an as-needed basis.
QUALIFICATIONS:
Preferred NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS) . Preferred CAQH Experience, preferred MD Staff Experience, preferred Goggle Suites Experience and highly preferred Licensure Experience.
Experience & Skills:
Preferred Experience: 1-3 years
Credentialing or licensure experience highly preferred
Top 3 Non-Negotiables:
Ability to verify licensure and education
Experience filling out applications
Strong attention to detail and admin skills
Experience Level:
Level I (0-3 Years)
Notes:
Work Schedule:
Flexible shifts between 7:00 AM - 5:00 PM CST
Options for 30-minute or 1-hour lunch breaks
Must work CST hours regardless of time zone
VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status