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Maintains current provider profiles in the BMG Credentialing database SyMed OneApp. Performs primary data source verification of new providers joining BMG. Performs initial development of Enrollment Portfolio for newly hired providers and assists in auditing established provider files.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Remote position - May be required to come onsite if does not hold Medical Services Management (CPMSM) and/or Provider Credentialing Specialist (CPCS) certification. Certification: Medical Services Management (CPMSM) and/or Provider Credentialing Specialist (CPCS) certifications or equivalent of 3 years experience.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Certification by the National Association Medical Staff Services (NAMSS) as a Certified Professional in Medical Services Management (CPMSM) or a Certified Provider Credentialing Specialist (CPCS.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Provide support including (but not limited to): Medical Records, Credentialing, Admissions/Intake, Accounts Payable, Billing, Collections, Insurance Verification, Transaction, Posting, Clinical Logs and other duties as needed.
ExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
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Maintain insurance contracts and provider credentialing information. Work with insurance, or other agencies to facilitate authorizations and benefit verification for patients. Process and files insurance claims, including submitting appropriate information to the insurance carriers, and requests third party payer prior authorization as needed.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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3+ years of experience performing credentialing and provider enrollment services typically gained in a hospital or physician’s office preferred. Expected to have or obtain within one year of hire date the CPCS (Certified Provider Credentialing Specialist) from NAMSS (National Association Medical Staff Services.
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Successful completion (or on track to sit for the exam within 3 years of assuming this position) and ongoing maintenance of the Medical Services Management (CPMSM) and/or Provider Credentialing Specialist (CPCS) certifications.
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Responsible for inputting and maintaining credentialing information for physicians and organizations, utilizing monitoring reports to tracking for physicians’ re-credential status, quality assurance information, verification of sanctions, and incident investigation status.
ExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Certification or eligibility for Certification by the National Association of Medical Staff Services (NAMSS) as a Certified Medical Staff Coordinator (CMSC) or Certified Provider Credentialing Specialist (CPCS) is highly preferred within two years of initial hire date.
$35.5 - $36.49 an hourFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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1-3 years prior office experience in credentialing healthcare providers for a hospital, provider network, or payor. Completes verification checklists that document the completion of credentialing tasks and their corresponding timelines.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Documenting all interactions and documentation, recording details of findings and communications as well as actions taken while credentialing in the credentialing tool (MBS-ECT) for FTC, vendor provider and other audit purposes and data retention requirements.
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Conducts primary source verification for all credentialing and re-credentialing applications. Accurately enters all critical data elements of provider applications into the Credentialing system.
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The Credentialing Specialist is responsible for facilitating all aspects of provider credentialing, including initial appointment, reappointment, credential audits, as well as clinical privileging for Medical Staff, Allied Health Professionals, and all other providers as outlined in the corporate policy and procedures, or hospital bylaws.
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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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provider credentialing verification jobs
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