Credentialing Specialist
Boca Raton, FL · On-site +1
The Delegated Credentialing Specialist is responsible for organizing, maintaining, and verifying all aspects of the delegated credentialing process for General and Specialty Dentists. In all ...
Boca Raton, FL · On-site +1
The Delegated Credentialing Specialist is responsible for organizing, maintaining, and verifying all aspects of the delegated credentialing process for General and Specialty Dentists. In all ...
Boca Raton, FL · On-site +1
The Delegated Credentialing Specialist is responsible for organizing, maintaining, and verifying all aspects of the delegated credentialing process for General and Specialty Dentists. In all ...
Sarasota, FL · On-site
$90 - $120/hr
The Credentialing Manager provides enterprise-wide leadership for all delegated and non-delegated credentialing, re-credentialing, and payer enrollment activities, covering over 900 dentists across ...
Sarasota, FL · On-site
$90 - $120/hr
The Credentialing Manager provides enterprise-wide leadership for all delegated and non-delegated credentialing, re-credentialing, and payer enrollment activities, covering over 900 dentists across ...
Gainesville, FL · Hybrid
Experience with delegated provider rosters, provider onboarding, and enrollment maintenance ... Knowledge of provider enrollment, delegated credentialing, provider directory maintenance, and ...
Gainesville, FL · Hybrid
Experience with delegated provider rosters, provider onboarding, and enrollment maintenance ... Knowledge of provider enrollment, delegated credentialing, provider directory maintenance, and ...
The Credentialing Manager provides enterprise-wide leadership for all delegated and non-delegated credentialing, re-credentialing, and payer enrollment activities, covering over 900 dentists across ...
The Credentialing Manager provides enterprise-wide leadership for all delegated and non-delegated credentialing, re-credentialing, and payer enrollment activities, covering over 900 dentists across ...
Gainesville, FL · On-site
Experience with delegated provider rosters, provider onboarding, and enrollment maintenance ... Knowledge of provider enrollment, delegated credentialing, provider directory maintenance, and ...
Gainesville, FL · On-site
Experience with delegated provider rosters, provider onboarding, and enrollment maintenance ... Knowledge of provider enrollment, delegated credentialing, provider directory maintenance, and ...
The Credentialing Manager provides enterprise-wide leadership for all delegated and non-delegated credentialing, re-credentialing, and payer enrollment activities, covering over 900 dentists across ...
The Credentialing Manager provides enterprise-wide leadership for all delegated and non-delegated credentialing, re-credentialing, and payer enrollment activities, covering over 900 dentists across ...
... delegated arrangements. You will maintain a high bar for quality and compliance, ensure new ... Own complex credentialing programs end to end, including payer enrollments, workflows for ...
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... delegated arrangements. You will maintain a high bar for quality and compliance, ensure new ... Own complex credentialing programs end to end, including payer enrollments, workflows for ...
Gainesville, FL · Hybrid
This position does not directly perform credentialing or provider enrollment functions but works closely with operational teams to ensure delegated activities remain compliant, consistent, and audit ...
Gainesville, FL · Hybrid
This position does not directly perform credentialing or provider enrollment functions but works closely with operational teams to ensure delegated activities remain compliant, consistent, and audit ...
Gainesville, FL · On-site
This position does not directly perform credentialing or provider enrollment functions but works closely with operational teams to ensure delegated activities remain compliant, consistent, and audit ...
Gainesville, FL · On-site
This position does not directly perform credentialing or provider enrollment functions but works closely with operational teams to ensure delegated activities remain compliant, consistent, and audit ...
Coordinate initial credentialing and recredentialing for physicians, physician assistants, and advanced practice providers across Medicare, Medicaid, commercial insurers, and delegated payers.
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Coordinate initial credentialing and recredentialing for physicians, physician assistants, and advanced practice providers across Medicare, Medicaid, commercial insurers, and delegated payers.
Coordinate initial credentialing and recredentialing for physicians, physician assistants, and advanced practice providers across Medicare, Medicaid, commercial insurers, and delegated payers.
Coordinate initial credentialing and recredentialing for physicians, physician assistants, and advanced practice providers across Medicare, Medicaid, commercial insurers, and delegated payers.
$17 - $23/hr
Participate in the delegated credentialing audit process as needed Benefits Offered: Medical, Dental, Vision Qualifications What We Look For: * 2+ years of credentialing/re-credentialing experience
$17 - $23/hr
Participate in the delegated credentialing audit process as needed Benefits Offered: Medical, Dental, Vision Qualifications What We Look For: * 2+ years of credentialing/re-credentialing experience
... delegated credentialing audit process as needed Qualifications 2+ years of credentialing/re-credentialing experience Professional and effective oral and written communication skills Proficient in ...
... delegated credentialing audit process as needed Qualifications 2+ years of credentialing/re-credentialing experience Professional and effective oral and written communication skills Proficient in ...
Fort Myers, FL · On-site +1
$20.78 - $36.53/hr
Maintain audit-ready files and support accreditation surveys, delegated credentialing activities, and regulatory compliance reviews. KPA 3 - Credentialing Coordination & Stakeholder Support * Serve ...
Fort Myers, FL · On-site +1
$20.78 - $36.53/hr
Maintain audit-ready files and support accreditation surveys, delegated credentialing activities, and regulatory compliance reviews. KPA 3 - Credentialing Coordination & Stakeholder Support * Serve ...
Assists with managed care delegated credentialing audits; conducts internal file audits, and audits health plan directories for current and accurate provider information. Responds to inquiries from ...
Assists with managed care delegated credentialing audits; conducts internal file audits, and audits health plan directories for current and accurate provider information. Responds to inquiries from ...
Miami Gardens, FL · On-site
Oversee compliance with health plan requirements related to delegated credentialing agreements and credentialing file audits. Oversee processes and reviews (including ensuring resolution) all reports ...
Miami Gardens, FL · On-site
Oversee compliance with health plan requirements related to delegated credentialing agreements and credentialing file audits. Oversee processes and reviews (including ensuring resolution) all reports ...
Miami Gardens, FL · On-site
... to delegated credentialing agreements and credentialing file audits. • Oversee processes and reviews (including ensuring resolution) all reports related to adverse actions such as sanctions ...
Miami Gardens, FL · On-site
... to delegated credentialing agreements and credentialing file audits. • Oversee processes and reviews (including ensuring resolution) all reports related to adverse actions such as sanctions ...
Fort Myers, FL · On-site
Delegated credentialing functions * Primary source verifications * Preparing credentialing files for review and approval * Will assist with training and mentoring of Credentialing Specialist I's and ...
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Fort Myers, FL · On-site
Delegated credentialing functions * Primary source verifications * Preparing credentialing files for review and approval * Will assist with training and mentoring of Credentialing Specialist I's and ...
... delegated credentialing activities. Ensures the needs of medical staff and managed care offices are met through efficient processes, assuring compliance to accreditation standards, government ...
... delegated credentialing activities. Ensures the needs of medical staff and managed care offices are met through efficient processes, assuring compliance to accreditation standards, government ...
Winter Park, FL · On-site +1
$18.36/hr
Perfom1s recredentialing and verification of other entity providers for whom delegated credentialing is provided, in accordance with said entities' policies, and within their required deadlines on ...
Winter Park, FL · On-site +1
$18.36/hr
Perfom1s recredentialing and verification of other entity providers for whom delegated credentialing is provided, in accordance with said entities' policies, and within their required deadlines on ...
| Aspect | Delegated Credentialing | Credentialing Specialist |
|---|---|---|
| Required Credentials | Healthcare administration, compliance knowledge, industry certifications | Healthcare administration, certification in credentialing or related fields |
| Work Environment | Healthcare organizations, insurance companies, or credentialing firms | Hospitals, clinics, insurance companies, or credentialing departments |
| Employer & Industry Usage | Used by healthcare providers to delegate credentialing tasks | Performs credentialing tasks under supervision or independently |
| Comparison Focus | Delegates credentialing authority to third parties | Manages credentialing processes directly |
Delegated Credentialing involves healthcare organizations assigning credentialing authority to third-party entities, streamlining provider verification. Credentialing Specialists handle the verification process directly, ensuring providers meet all requirements. Both roles require healthcare industry knowledge, but Delegated Credentialing emphasizes delegation and oversight, while Credentialing Specialists focus on execution and verification.
For Delegated Credentialing jobs in Florida, the most frequently searched job titles are:
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