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This position will also coordinate with: Compliance & Quality staff on the re-credentialing process; with Provider Contracting staff for contracting issues or concerns; and will periodically assist the Claims staff with auditing and troubleshooting of provider data to ensure proper claims adjudication.
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A minimum of two years of experience in all facets of provider healthcare credentialing- with a focus on Outpatient ABA/PT/OT/SP/Pediatric Rehab. Completes provider credentialing and re-credentialing applications, monitors applications and follow up as needed.
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2 years of progressively responsible experience in a business office or managed care credentialing setting with specific experience in provider enrollment. Enters provider credentialing information into enrollment databases and ensures that the data is current and accurate.
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University Health is Bexar County and South Texas' first health system to earn Magnet status from the American Nurses Credentialing Center (ANCC). American Heart Association Healthcare Provider card.
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Full Time 4502 Medical Dr. Nursing Night Shift University Health is Bexar County and South Texas' first health system to earn Magnet status from the American Nurses Credentialing Center (ANCC.
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Participate in all continuing education, training and other requirements to remain in good standing for credentialing purposes at assigned medical facilities. Duties of this position include, but are not limited to, the following: Position purpose The purpose is to provide patient care assistance in a hospital or other clinical setting for scheduled rounds, under the supervision of a primary care physician.
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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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Provider Credentialing, medical staff, credentialing coordinator experience is preferred. The Provider Relations Specialist for the continued development, implementation, compliance management of a cost-effective provider network, and support the day to day operational needs.
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Assist with health plan/hospital/facility provider enrollments, renewing licenses, creating, updating and maintaining credentialing files, and completing and processing credentialing applications.
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The purpose is to provide patient care assistance in a hospital or other clinical setting for scheduled rounds, under the supervision of a primary care physician. Licensed as a Registered Nurse (RN) and Nurse Practitioner by the Texas Board of Nursing.
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We are proud to be the largest provider of the lifesaving ECMO Program in San Antonio, are home to the largest robotics program in the world, and our Adult Blood Cancer and Stem Cell Transplant unit has become the first program to receive FACT Accreditation in North America.
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The Healthfirst Credentialing department credentials and re-credentials providers, facilities and vendors; prepares hard-copy directories and reviews network provider data for accuracy and ensures compliance with regulatory requirements and federal and state regulations.
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Provider Relations Representative works as the primary liaison between Community First Health Plans and network participants (physicians, providers, and administrators) of the health plan provider network.
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Knowledge of medical provider credentialing and accreditation principles, policies, processes, procedures, and documentation. Enters, updates and maintains data from provider applications into credentialing database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses, and in accordance with internal policies and procedures.
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Reason for Coverage - The provider is taking a leave of absence. 60-day credentialing time frame. Reason for Coverage - The provider is taking a leave of absence. Internal Medicine (Primary Care) $131 Hourly Rate 12/4 - 3/29.
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provider credentialing jobs in San Antonio, TX
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