1,276 Credentialing jobs in the United States

Provider Enrollment Credentialing Specialist

83708 Hidden Springs, Idaho Idaho State Job Bank

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Provider Enrollment Credentialing Specialist at HCA Healthcare in Boise, Idaho, United States Job Description Description Hourly Wage Estimate: $17.36 - $26.05 / hour Learn more about the benefits offered ( ) for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. Introduction Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Provider Enrollment Credentialing Specialist Work from Home Benefits Work from Home, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (Note: Eligibility for benefits may vary by location. We are seeking a(an) Provider Enrollment Credentialing Specialist for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply Job Summary and Qualifications Seeking a Provider Enrollment Credentialing Specialist, who is responsible for processing credentialing files and enrollments for new and existing individual providers and group practices, such as initiating new enrollments with Commercial and Governmental payors and reporting demographic or other provider changes. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you. We want you to apply today W hat you will do in this role: + Ensure provider participation with contracted payors by taking appropriate actions to complete enrollment, such as completing applications, rosters, and notifications + Work with payors and providers to ensure compliance with enrollment process + Initiate contact with payors and practices via telephone or electronic methods with respect to provider enrollment and billing errors, utilizing proper customer service protocol + Prepare credentialing files for presentation to the Credentialing Committee or the Chief Medical Officer (CMO) + Confirm completeness and accuracy of credentialing files prior to committee presentation + Work closely with Provider Enrollment Manager to resolve credentialing file issues + Ensure payor requirements for submission of rosters are met + Monitor inventory, including provisional, credentialing, and recredentialing for all providers as well as expirables to meet payor requirements + Assist during payor-delegated credentialing audits + Escalate items to other areas outside of department as needed + Update and maintain data in appropriate Provider Enrollment systems while ensuring accuracy and data integrity + Review correspondence received and perform appropriate action to resolve + Appropriately resolve or escalate payor application denials + Meet and maintain established departmental performance metrics for production and quality What qualifications you will need: + Minimum of 1 year related healthcare experience preferred, such as Medicare/Medicaid Enrollment or Managed Care Enrollment; relevant education may substitute experience requirement Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. There is so much good to do in the world and so many different ways to do it.- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you find this opportunity compelling, we encourage you to apply for our Provider Enrollment Credentialing Specialist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing apply today We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. To view full details and how to apply, please login or create a Job Seeker account

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Credentialing and Provider Enrollment Specialist

33603 Tampa, Florida BayCare Health System

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Job Description

At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence.
BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.
Position Details
+ **Location:** Remote (must reside in the State of Florida)
+ **Status:** Full Time (non-exempt)
+ **Shift:** 8:00 AM to 5:00 PM (may vary)
+ **Days:** Monday through Friday
The **Credentialing and Provider Enrollment Specialist** is a full-time remote position. This team member must currently reside in Florida.
Responsibilities
+ Responsible for initiating and maintaining credentialing, managed care provider enrollment and hospital privileges for BayCare physicians and providers in accordance with NCQA, CMS, AHCA, State and Federal guidelines and regulations, as well as Department Policies, to ensure compliance with credentialing standards.
+ Completes primary source verifications and assesses the provider's qualifications to ensure the providers meet BayCare's quality standards.
+ Documents all verifications and data in the credentialing database to produce credentialing files that meet BayCare's quality standards within the time frames required by BayCare.
+ Ensure providers remain compliant with all licensing and board requirements and will assist providers with renewals.
+ Enrolls and maintains managed care enrollment by providing updates to the health/payor plans and will resolve errors and issues by coordinating with the plans, the CBO and the Managed Care contracting department.
Why BayCare?
Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that is built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive in our forward-thinking culture, where we combine the best technology with compassionate service. We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve.
BayCare offers a competitive total reward package including:
+ Benefits (Health, Dental, Vision)
+ Paid time off
+ Tuition reimbursement
+ 401k match and additional yearly contribution
+ Yearly performance appraisals and team award bonus
+ Community discounts and more
+ AND the Chance to be part of an amazing team and a great place to work!
Certifications and Licensures
+ Preferred - CPCS (Credentialing)
Education
+ Required HS Diploma or Equivalent GED
+ Preferred associate or bachelor's degree preferred.
Experience
+ Required - 1 year Credentialing or 1-year Managed Care
Equal Opportunity Employer Veterans/Disabled
**Position** Credentialing and Provider Enrollment Specialist
**Location** Tampa | Business and Administrative | Full Time
**Req ID** 109911
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Credentialing Specialist

11788 Hauppauge, New York

Posted 20 days ago

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Job Description

Company Overview:

Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs – everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals – because we know that health requires care for the whole person. It’s no wonder 98% of patients report being fully satisfied with Upward Health!

Job Title & Role Description:

The Credentialing Specialist will join the Upward Health Business Services team, working behind the scenes to ensure that our provider team is enrolled with appropriate payers to treat our patients. This role will support review of provider licenses applications for both new and existing licenses as needed. This position requires attention to detail, strong organizational skills, and the ability to manage a dynamic workload. This role reports to the Senior Director of Business Services. 

Skills Required:

  • Proven background in credentialing, with experience handling both individual and group credentialing applications.
  • Ability to create and maintain databases for credentialing approvals and processes with reporting across multiple internal teams
  • Understanding of the healthcare industry, particularly in working with health insurance companies, healthcare provider organizations, or other healthcare services companies.
  • Ability to manage complex processes and maintain accuracy across multiple provider records.
  • Strong verbal and written communication skills to collaborate effectively with internal teams and external stakeholders.
  • Ability to prioritize tasks and manage competing deadlines in a fast-paced, goal-oriented environment.
  • Comfort with using various software programs, including Microsoft Office, Jira, and clinical applications (EHR, care management systems).
  • Demonstrated ability to adjust to evolving priorities and workload demands in a virtual, dynamic environment.

Key Behaviors:

Accountability: 

  • Takes ownership of the credentialing process, ensuring all tasks are completed in a timely and efficient manner.

Collaboration: 

  • Works well with cross-functional teams, maintaining open communication and contributing to a positive, supportive work environment.

Attention to Detail: 

  • Demonstrates exceptional focus on detail, ensuring that all submissions and approvals are accurate and tracked.

Flexibility: 

  • Adapts quickly to changing processes, priorities, and workload, managing multiple responsibilities without compromising quality.

Professionalism: 

  • Maintains a professional approach with both internal and external stakeholders, exemplifying Upward Health’s values at all times.

Competencies:

Problem-Solving: 

  • Capable of identifying issues and developing solutions independently while managing the complexities of the credentialing process.

Organization: 

  • Effectively manages multiple tasks, timelines, and deadlines while keeping records organized and up-to-date.

Communication: 

  • Clearly communicates processes, updates, and issues with both team members and external parties.

Customer Focus: 

  • Demonstrates a strong commitment to understanding and meeting the needs of both internal teams and external health plan representatives.

Leadership: 

  • Though not a supervisory position, exhibits leadership qualities by driving efficiency, offering guidance, and ensuring team alignment on goals.

Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.




Compensation details: 65000-7000 Yearly Salary





PI5ef3415a5f1e-34600-38212342

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Credentialing Specialist

95670 Rancho Cordova, California Dignity Health

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Job Description

**Responsibilities**
***This position is work from home** **within the Greater Sacramento, CA region.**
**Position Summary:**
Under minimal supervision and by applying expertise and individual judgment, the Credentialing Specialist is responsible for ensuring the credentialing program and all related credentialing, recredentialing and privileging functions are maintained in accordance with policy, NCQA, CMS, AAAHC, URAC and IMQ accreditation and health plan regulatory standards. The Credentialing Specialist works in conjunction with the Director, Credentialing and Payer Enrollment, Chief Medical Officers and the Director, Quality Management in the development, coordination, implementation and management of a comprehensive credentialing program. The Credentialing Specialist ensures the organization and medical groups meet health plan and government regulatory requirements, including delegated functions pertaining to credentialing, credential file auditing, organizational provider credentialing, organizational provider auditing, primary source verification, etc. They consult and collaborate with physicians and operational leaders on credentialing related issues and potential credentialing related provider contract terminations.
The Credentialing Specialist coordinates/supports Dignity Health Medical Foundation and medical group credentialing committees to meet the organizations' bylaws, administrative policies, health plan contractual requirements and committee charters. They ensure interdepartmental compliance with policies that support onboarding, credentialing, recredentialing, privileging and network management functions. Manages and has access to provider Protected Personal Information (PPI) and Protected Health Information (PHI) and maintains the confidentiality of same at all times. Must be willing to register for access to confidential government databases, including the notarization of registration documents. Such registration may require providing confidential personal information. Occasional travel to locations for meetings and audits and any other duties as assigned to support Credentialing and Payer Enrollment initiatives and projects.
**Qualifications**
**Minimum Qualifications:**
+ Three (3) years experience in credentialing or closely related healthcare administration experience required
+ High School diploma or equivalent
+ Requires:
+ Demonstrated knowledge of credentialing and privileging principles, concepts, standard and regulations
+ Excellent analytical and organizational skills required. Highly detail oriented, creative and proven problem solver
+ Strong attention to detail and ability to analyze
+ Strong project management, problem resolution and communication skills
+ Excellent organizational skills and ability to prioritize workload in ever changing environment
+ Strong MS Office Suite skills (Word, Excel, PowerPoint and SharePoint) and proven ability to learn/use company specialized software and hardware
+ Strong work ethic and high degree of professionalism
+ Motivation, energy and ability to work both independently and collaboratively
**Preferred Qualifications:**
+ AA degree preferred
+ Three (3) years of prior multi-specialty physical medical group and credentialing experience with health plans
+ Current CPCS (Certified Provider Credentialing Specialist) certification preferred
**Overview**
Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.
**Pay Range**
$26.76 - $39.81 /hour
We are an equal opportunity/affirmative action employer.
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Credentialing Specialist

33765 Clearwater, Florida BayCare Health System

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Job Description

**Join the team that is revolutionizing health care - BayCare Health System**
Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility, and clinical excellence.
**Title:** Credentialing Specialist
**Facility:** Remote _(Must reside in the state of Florida)_
**Responsibilities:**
+ Responsible for the data intake and collection from primary source and other resources for practitioner applications in the BayCare System.
+ Establish and maintain electronic credential files for assigned practitioners and complete the data gathering process within established guidelines for turnaround time, accuracy, and in accordance with external requirements (accreditation, federal, and state).
**BayCare offers a competitive total reward package including:**
+ Benefits (Medical, Dental, Vision)
+ Paid Time Off
+ Tuition Assistance
+ 401K Match and additional yearly contribution
+ Annual performance appraisals and team award bonus
+ Family resources and wellness opportunities
+ Community perks and discounts
**Experience:**
+ Required - 1 year healthcare practitioner credentialing environment (physicians, mid-levels) or 3 years processing healthcare practitioners for appointment/reappointment utilizing credentialing software
+ Preferred - Electronic primary source verification experience
**Education:**
+ Required - High School or equivalent
+ Preferred - Associates in related field
**Certification:**
+ Preferred - CPCS (Credentialing)
**Location:** Clearwater, FL
**Status:** Full Time, Exempt: No
**Shift Hours:** 8:00AM - 4:30PM
**Equal Opportunity Employer Veterans/Disabled**
**Position** Credentialing Specialist
**Location** Clearwater:BayCare Sys Office West | Business and Administrative | Full Time
**Req ID** 99406
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Credentialing Specialist

46202 Indianapolis, Indiana Robert Half

Posted 1 day ago

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Job Description

Description
We are looking for a dedicated Credentialing Specialist to join our client's team in Indianapolis, Indiana. In this role, you will oversee the credentialing, re-credentialing, and privileging processes for medical staff while ensuring compliance with public and private payer requirements. This position is ideal for someone who is highly organized and committed to maintaining high standards in healthcare operations.
This role offers a hybrid schedule, excellent benefits, and opportunity for growth.
Responsibilities:
- Manage credentialing, re-credentialing, and privileging processes for medical staff to ensure compliance with regulatory requirements.
- Enroll healthcare providers in applicable public and private payer organizations, maintaining accurate records.
- Monitor and track the expiration dates of licenses, certifications, and other required documents to facilitate timely renewals.
- Coordinate with the Payer Relations Manager to ensure proper alignment of provider credentials with payer contracts.
- Maintain and update provider demographic information across all healthcare payer systems.
- Audit health plan directories to ensure the accuracy and currency of provider information.
- Generate and analyze reports related to credentialing and provider compliance as needed.
- Stay informed on current health plan and facility requirements for credentialing processes.
- Uphold confidentiality of sensitive provider information in all documentation and communications.
Requirements - Minimum of 2 years of experience in credentialing within the healthcare industry.
- High school diploma required; a college degree is preferred.
- Valid driver's license and automobile insurance are mandatory.
- Proficiency in provider credentialing systems, such as CAQH, is essential.
- Strong understanding of payer requirements and healthcare provider regulations.
- Excellent organizational and time-management skills to handle multiple tasks effectively.
- Ability to work collaboratively with cross-functional teams to meet credentialing and compliance goals.
- Attention to detail and commitment to maintaining high standards of data accuracy.
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ( .
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Credentialing Specialist

30297 Forest Park, Georgia ASM Research, An Accenture Federal Services Company

Posted 1 day ago

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Job Description

Processes credentialing and re-credentialing applications for the client. Reviews applications and prepares verification letters. Contacts various departments, licensing agencies, and insurance carriers to complete credentialing and re-credentialing applications. Provides support to the client in the collection and query of credentials of members of the client.
+ Conducts Primary Source Verification (PSV) of credentials such as licenses, certifications, registrations, professional school education, postgraduate, residency, or specialty training, board certifications, work history, and current references.
+ Conducts queries through the National Practitioner Data Bank (NPDB), the Defense Practitioner Data Bank (DPDB), the Department of Health and Human Services (DHHS) and TRICARE sanction data banks.
+ Collects professional/peer references and completed clinical privileges, demographics, military and civilian practice history (including adverse privileging actions and malpractice history), health status, documentation of contingency and continuing education training, national provider identification number, and for non-personal services contract providers malpractice insurance information.
+ Accurately loads appropriate data in the DoD Centralized Credentials Quality Assurance System (CCQAS). Keeps records and documentation of the applications and verifications maintained.
+ Establishes and maintains updated CCQAS records.
+ Researches and solves credentialing/re-credentialing problems; escalates more complex issues as appropriate.
+ Tracks status of credentials for healthcare practitioners and provides required documents to clients to make accession, credentialing and privileging (C&P) decisions.
+ Maintains relationships with Military Treatment Facilities and supported customers.
+ Ensures providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities.
+ Reviews records for regulatory compliance and quality assurance at a healthcare facility, insurance group, or similar organization, ensuring relevant regulations are met.
**Minimum Qualifications**
+ HS diploma or GED; Bachelor's Degree in healthcare or business field preferred
+ Certified Provider Credentialing Specialist (CPCS) preferred
+ 2-5 years of experience performing physician credentialing at a medical group, hospital or health plan.
**Other Job Specific Skills**
+ Strong customer focus, interpersonal, collaboration, written/verbal communication, prioritization and computer skills.
+ Strong attention to detail and good organizational capability.
+ Able to handle multiple simultaneous tasks and complete work projects in designed time frames.
+ Knowledge of Department of Defense credentialing guidelines preferred.
+ Experience using Centralized Credentials Quality Assurance System (CCQAS) and Defense Medical Human Resources System - internet (DMHRSi) a plus.
+ Ability to handle confidential information on a daily basis in a professional manner.
+ Ability to consistently maintain quality and production expectations.
+ Possess proof-reading skills sufficient for auditing documents.
+ Demonstrate familiarity with credentialing policies, guidelines, and regulations for the DoD credentialing process.
**Compensation Ranges**
Compensation ranges for ASM Research positions vary depending on multiple factors; including but not limited to, location, skill set, level of education, certifications, client requirements, contract-specific affordability, government clearance and investigation level, and years of experience. The compensation displayed for this role is a general guideline based on these factors and is unique to each role. Monetary compensation is one component of ASM's overall compensation and benefits package for employees.
**EEO Requirements**
It is the policy of ASM that an individual's race, color, religion, sex, disability, age, sexual orientation or national origin are not and will not be considered in any personnel or management decisions. We affirm our commitment to these fundamental policies.
All recruiting, hiring, training, and promoting for all job classifications is done without regard to race, color, religion, sex, disability, or age. All decisions on employment are made to abide by the principle of equal employment.
Physical Requirements
The physical requirements described in "Knowledge, Skills and Abilities" above are representative of those which must be met by an employee to successfully perform the primary functions of this job. (For example, "light office duties' or "lifting up to 50 pounds" or "some travel" required.) Reasonable accommodations may be made to enable individuals with qualifying disabilities, who are otherwise qualified, to perform the primary functions.
**Disclaimer**
The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.
34.73
EEO Requirements
It is the policy of ASM that an individual's race, color, religion, sex, disability, age, gender identity, veteran status, sexual orientation or national origin are not and will not be considered in any personnel or management decisions. We affirm our commitment to these fundamental policies.
All recruiting, hiring, training, and promoting for all job classifications is done without regard to race, color, religion, sex, veteran status, disability, gender identity, or age. All decisions on employment are made to abide by the principle of equal employment.
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Credentialing Specialist

55905 Rochester, Minnesota Mayo Clinic

Posted 2 days ago

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**Why Mayo Clinic**
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans ( - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
**Benefits Highlights**
+ Medical: Multiple plan options.
+ Dental: Delta Dental or reimbursement account for flexible coverage.
+ Vision: Affordable plan with national network.
+ Pre-Tax Savings: HSA and FSAs for eligible expenses.
+ Retirement: Competitive retirement package to secure your future.
**Responsibilities**
Ensures regulatory compliance with Mayo Clinic, accreditation, and regulatory agencies in the coordination of initial credentialing, appointment, and related hiring processes to meet the needs of patients and achieve financial commitments.
Coordinates the initial and reappointment processes to ensure compliance with Mayo Clinic, accreditation, and regulatory agencies. Provides direction and consultation on credentialing, privileging, payer/provider enrollment, and licensure related policies and regulations between providers and departments, state licensing boards, Medicare and Medicaid, commercial payers, physicians, administrators, and operation managers. Coordinates and ensures internal and regulatory compliance with clinical privileging and payer enrollment. Actively participates in accreditation, government, state Department of Health surveys, and payer audits. Maintains industry knowledge of accreditation and regulatory standards, and government regulations for payer enrollment. Actively participates in the delegated credentialing activities to ensure third-party reimbursement. Works to develop and enhance credentialing processes and compliance. Coordinates licensure and licensure compliance-related items for providers. Coordinates provider compliance of licensure, DEA, board certification renewals along with other regulatory requirements. Trains and mentors new credentialing personnel. Exhibits strong problem-solving, analytic skills and independent decision-making abilities. Consistently exhibits behavior and communication skills that demonstrate Mayo Clinic's commitment to superior customer service.
This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.
**Qualifications**
Associate degree and 3 years administrative assistant or related experience in a healthcare environment, or 5 years administrative assistant or related experience. Associate or Bachelor's degree in a business-related field is preferred.
Superior customer service skill and communication skills, written and oral, with the ability to communicate to all levels of personnel. Excellent organizational and analytical skills. Self-motivated, able to prioritize multiple assignments, ability to track multiple projects/tasks and follow through as needed. Ability to work well independently in a fast changing environment and with others in a team environment. Detailed-oriented individual. Computer proficient and strong computer skills in Microsoft Office (e.g. Word, Excel, etc). Willingness to enhance knowledge and skills by obtaining appropriate training. Must be able to work collaboratively with internal and external customers.
**Exemption Status**
Nonexempt
**Compensation Detail**
$26.11 - $35.27 / hour
**Benefits Eligible**
Yes
**Schedule**
Full Time
**Hours/Pay Period**
80
**Schedule Details**
Flexible, Monday-Friday 7:30-4:30. This position is primarily remote but must live within driving distance from a Mayo Clinic campus.
**Weekend Schedule**
None
**International Assignment**
No
**Site Description**
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. ( Opportunity**
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law" ( . Mayo Clinic participates in E-Verify ( and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
**Recruiter**
Maggie Kramer
**Equal opportunity**
As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.
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  61. science Scientific Research & Development
  62. wifi Telecoms
  63. psychology Therapy
  64. pets Veterinary
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