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Credentials Verification Jobs in Arizona (NOW HIRING)

HOPCo

Credentialing Specialist

Phoenix, AZ · On-site

Completes verification forms/letters for outside facilities. * Maintain billing insurance grid ... Maintain practitioner credentialing files. * Maintain practitioner electronic file by keeping all ...

HOPCo

Credentialing Specialist

Phoenix, AZ · On-site

Completes verification forms/letters for outside facilities. * Maintain billing insurance grid ... Maintain practitioner credentialing files. * Maintain practitioner electronic file by keeping all ...

HOPCo

Credentialing Specialist

Phoenix, AZ · On-site

Completes verification forms/letters for outside facilities. * Maintain billing insurance grid ... Maintain practitioner credentialing files. * Maintain practitioner electronic file by keeping all ...

HOPCo

Credentialing Specialist

Phoenix, AZ · On-site

Completes verification forms/letters for outside facilities. * Maintain billing insurance grid ... Maintain practitioner credentialing files. * Maintain practitioner electronic file by keeping all ...

Ztek Consulting INC

Credentialing Specialist

Phoenix, AZ · On-site

$20 - $25/hr

Top Skills Required : • Coordinate initial and re credentialing for physicians and allied health providers. • Perform primary source verification of education, licensure, training, and work ...

Foothills Neurology

Be Seen First

Medical Credentialing Specialist

Phoenix, AZ · On-site

$22 - $29/hr

Process, obtain and maintain malpractice insurance for each facility including verifications and ... Credentials Specialist (CPCS) preferred. Knowledge, Skills and Abilities Required: Possess the ...

Foothills Neurology

Be Seen First

Medical Credentialing Specialist

Phoenix, AZ · On-site

$22 - $29/hr

Process, obtain and maintain malpractice insurance for each facility including verifications and ... Credentials Specialist (CPCS) preferred. Knowledge, Skills and Abilities Required: Possess the ...

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All JobsCredentials Verification JobsCredentials Verification Jobs in Arizona

Credentials Verification information

What is the difference between Credentials Verification vs Medical Assistant?

AspectCredentials VerificationMedical Assistant
Required credentialsVerifies licenses, certifications, and educational credentialsRequires completion of accredited training, certification (e.g., CMA), and sometimes licenses
Work environmentAdministrative, verification agencies, healthcare organizationsClinical and administrative settings in healthcare facilities
Employer usageUsed by HR, licensing boards, and healthcare providers for credential validationEmployers hire for patient care, administrative tasks, and clinical support
Search and comparison intentFocuses on credential validation processesFocuses on clinical support and patient interaction roles

Credentials Verification primarily involves confirming the validity of healthcare professionals' licenses and certifications, ensuring compliance and eligibility. Medical Assistants perform clinical and administrative tasks in healthcare settings, often requiring specific certifications. While both are integral to healthcare, Credentials Verification centers on validation processes, whereas Medical Assistants focus on patient care and support roles.

What are popular job titles related to Credentials Verification jobs in Arizona? For Credentials Verification jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Credentials Verification jobs in Arizona look for? The top searched job categories for Credentials Verification jobs in Arizona are:
Credentials Verification jobs near you
Credentialing Specialist

Credentialing Specialist

HOPCo

Phoenix, AZ • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Healthcare Outcomes Performance Company is a vertically integrated musculoskeletal outcomes management company. HOPCo manages physician practices, hospital service lines, population health and value-based care programs, and musculoskeletal delivery networks.
HOPCo is the managing partner of Arizona-based entities, CORE Institute, Northern Arizona Orthopaedics, CORE Institute Specialty Hospital, Michigan-based CORE Institute, and Florida-based Southeast Orthopedic Specialists Clinics and Musculoskeletal Specialty Hospital.
As HOPCo continues to grow, we are looking for a Credentialing Specialist to join the Credentialing Team. Please see below for the functions and requirements for this position.
ESSENTIAL FUNCTIONS
  • Reviews and completes hospital and payor applications for all health care providers.
  • Completes verification forms/letters for outside facilities.
  • Maintain billing insurance grid, provider insurance grid and each individual physician's spreadsheet up to date on current insurance changes.
  • Track and maintain physician licensure(s), certification and CME credits.
  • Maintain practitioner credentialing files.
  • Maintain practitioner electronic file by keeping all applications/licensure current.
  • Maintains all renewal applications for both hospitals/insurances.
  • Has knowledge of Employee Handbook content along with established policies and procedures.
  • Relies on instructions and pre-established guidelines to perform the functions of the job.
  • Assists the Credentialing Supervisor in their job responsibilities/duties when necessary.

EDUCATION
  • High school diploma/GED or equivalent working knowledge preferred.

EXPERIENCE
  • 3-4 years of recent Credentialing experience.

REQUIREMENTS
  • Must be able to communicate effectively with physicians, providers, licensing agencies, insurance payors and the public and be capable of establishing good working relationships with both internal and external customers.
  • Some knowledge of insurance billing and hospital credentialing a plus.

KNOWLEDGE
  • Knowledge of the credentialing process.
  • Knowledge of computer systems.
  • Knowledge of credentialing paperwork and timelines.
  • Knowledge of credentialing timelines and regulations.

SKILLS
  • Skill in establishing good working relationships with internal and external customers.
  • Skill in organizing daily work assignments for various providers.
  • Skill in managing multiple work assignments and set priorities.

ABILITIES
  • Ability to establish good working relationships with internal and external customers.
  • Ability to communicate effectively with physicians, credentialing agencies and staff.
  • Ability to be organized and efficient in daily work activities/projects.

ENVIRONMENTAL WORKING CONDITIONS
  • Normal office environment.
  • Some travel within community.

PHYSICAL/MENTAL DEMANDS
  • Requires sitting and standing associated with a normal office environment.
  • Some bending and stretching required.
  • Manual dexterity using a calculator and computer keyboard.

#HOP
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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