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Certified Provider Credentialing Specialist (CPCS) preferred. Facilitates all aspects of credentialing, including applications, reappointments, proctoring and competencies. Located near the corner of Harbor and Garden Grove Boulevards, Garden Grove Hospital is close to the Disneyland Resort, the Anaheim Convention Center, and the many hotels situated in the area.
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Under the direction of the Credentialing Supervisor and Medical Staff Director, the Credentialing Coordinator is responsible for processing initial and reappointment credentialing applications for physician and mid-level providers including dental providers.
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Maintains current provider profiles in the BMG Credentialing database SyMed OneApp. Performs initial development of Enrollment Portfolio for newly hired providers and assists in auditing established provider files.
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Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) Certification. SUMMARY - Coordinates credentialing activities and other duties that support provider onboarding activities.
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Initiates timely review and completion of all associated tasks to ensure eligibility and a complete provider file for credentialing and privileging, including background investigation, primary source verification of all components, follow up of quality and/or peer reviews, and proctor/monitor the process.
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Supports services can include processing/credentialing of provider applications of the staff, attendance at designated medical staff department and committee meetings, as well as support services.
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Texas Oncology is looking for a Credentialing and Managed Care Coordinator to join our team! What does the Credentialing and Managed Care Coordinator do? Assists in administrative activities to support state/practice managed care functions, which may include provider plan participation and credentialing, contract files, EOB analysis and managed care reporting.
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CPCS (Certified Provider Credentialing Specialist) Certification required or obtained within 18 months of start date. Medical Staff Coordinator. We currently provide credentialing and medical staff services to several local Ambulatory Surgery Centers and Hospitals, and our department is growing.
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3+ years of experience performing credentialing and provider enrollment services typically gained in a hospital or physician's office preferred. Radiation Business Solution s is seeking a highly motivated and skilled Credentialing Coordinator to join the credentialing team.
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The Credentialing Coordinator is responsible for processing and completing the credentialing and re-credentialing functions of all providers by NCQA, state, and federal requirements.
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The PNC ensures MSO network providers meet all credentialing and licensing requirements and is responsible for continuous monitoring of the entire provider network. The Provider Network Coordinator (PNC) is responsible for a wide range of activities to support, develop and maintain service relationships with all participants (physicians, hospitals and health systems, providers, and administrators) of the MSO provider network.
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The Provider Relations Coordinator is responsible for performing all physician, hospital and ancillary provider orientation, training, and ongoing educational activities for CCHP network providers and their staff.
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The Provider Transition Coordinator is responsible for collaborating, facilitating, and maintaining key relationships with internal and external stakeholders to ensure a successful transition for all new Providence employed providers.
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Handles onboarding for new provider which includes MD/DO, NP/PA, PT/OT, AUD, etc. Maintaining proper understanding of onboarding, privileging and licensing providers to include the period to complete the credentialing process.
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Confirm with VP of Operations who's the Owner/Billing Provider. As a Credentialing Administrator at Pacific Dental Services you will be coordinating credentials for Dentists with various dental insurance carriers.
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provider credentialing coordinator jobs
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