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As a Credentialing Specialist, you'll be responsible for the processing of individual provider privileges for all providers at the AVP ambulatory surgery centers and clinics. Credentialing Data Base (ECHO) or equivalent.
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Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) Certification. Responsibilities SUMMARY - Coordinates credentialing activities and other duties that support provider onboarding activities.
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As an Advanced Practice Nurse (APN), the NP will demonstrate leadership as a mentor, educator, researcher and provider. Reimbursement and business practice; marketing and contracting considerations; legal, regulatory and credentialing requirements; health policy issues; organizational structure and culture; outcome evaluation and performance improvement.
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Helps develop, implement and review adherence to a quality improvement program that assesses the following items:continuous quality improvement (clinical and service indicators), utilization management, standard practice guidelines, peer review, incident reporting, provider satisfaction, patient satisfaction, patient grievances, policy and procedures, nurse practitioner / physician assistant protocols, credentialing, internal audits, and patient education.
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We are looking for a Podiatrist to join our SNF Clinical Provider division at Preferred Podiatry Group, an Assembly Health Company. Company iPad for the NextGen EMR. Internal billing and credentialing resources.
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This position is accountable for and performs an integral role in the enforcement and administration of quality control compliance for pharmacy provider enrollment; pharmacy provider credentialing and contract audit sampling fulfillment; and legal-regulatory requests for pharmacy contracting information.
$40,600 - $85,100 a yearFull-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Conduct initial provider orientations as well as ongoing educational outreachEducate providers regarding policies and procedures related to referrals, claims submission, credentialing documentation, web site education, Electronic Health Records, Health Information Exchange, and Electronic Data InterfaceEnhance account relationships by investigating, documenting and resolving provider matters and effectively handling and responding to account changes and correspondence.
$52,900 - $95,200 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Leads credentialing efforts, providing expert guidance on all provider credentialing projects. Maintains all credentialing and re-credentialing policies and processes and ensures that they are in compliance with NCQA and all applicable state regulations.
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Partners with Provider network contracting in negotiating contracts with delegated vendors. Coordinates credentialing reporting systems to monitor credentialing/re-credentialing activity, delegation oversight, vendor management, sanction monitoring and facility credentialing/re-credentialing activities.
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Certification/Licensure: Certified Provider Credentialing Specialist (CPCS) preferred. This position maintains up-to-date data for each provider in credentialing databases and online systems and ensures timely renewal of licenses and certifications.
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Perform all provider onboarding related procedures for physicians/mid-level providers to ensure credentialing can be completed accurately and in a timely manner. FasPsych is hiring an Credentialing Specialist.
$18 - $20 an hourFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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The Representative II employee will work closely with several different teams within Provider Network Services including the RFI Team and Pharmacy Credentialing. Other areas, including the Pharmacy Credentialing Team, will be to aid other employees and team leads with workloads in order to meet internal/external goals and guarantees.
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Job Requirements: 2 Years experience required Any state License American Heart Association BLS and ACLS required With Millbrook Support Services you will receive: An experienced recruiting team to help identify your dream job Comprehensive credentialing assistance throughout your contract Health Benefits Excellent compensation plans Travel Reimbursement Lodging and Meals per diem Housing Stipends Weekly Direct Deposit Referral Bonuses so you can work with your friends.
$42.34 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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A simplified credentialing process exclusively focused on hospital requirements. Provider Healthcare is currently assisting an Outpatient facility in Phoenix, AZ that is in need of a Family Medicine physician to help with locums coverage.
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Valid certificate as a Certified Provider Credentialing Specialist and/or Certified Professional Medical Services Management (CPMSC) is a plus! Manages data preparation and assists with on-site development of recommendations for credentialing committee review and approval.
$22 - $23 an hourFull-timeExpandApply NowActive JobUpdated 25 days ago
provider credentialing jobs in Phoenix, AZ
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