129 Results for

Credentialing Specialist Jobs in Ohio

Jobs

Mount Orab, OH30+ days ago

Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region.

Columbiana, OH30+ days ago

Eaton, OH30+ days ago

Portsmouth, OH30+ days ago

High School diploma or equivalent 2. Prior experience of billing procedures related to client accounts and Management Information Systems preferred 3. Knowledge about the disease of alcohol addiction preferred My signature indicates my understanding, acceptance, and receipt of a copy of this position description. Billing and Credentialing Specialist JOB SUMMARY The Billing Lead is responsible for performing billing related functions, mentoring billing staff, resolving escalated billing disputes, and managing team performance.

Sidney, OH30+ days ago

As our Managed Care & Medical Staff Credentialing Specialist, you will play a critical role in ensuring every provider who cares for our patients is properly credentialed, enrolled, and ready to deliver high-quality care. In this role, you'll work closely with clinical leadership, medical staff services, revenue cycle, and external payers to manage all aspects of provider credentialing and payer enrollment.

Cincinnati, OH23 days ago

D. Coordinate, perform and maintain tracking system for process to ensure continuous processing of applications, reporting to Manager, as needed; E. Upon completion of credentialing process, update all relevant files and listings, credentialing database per policies and procedures and file credentialing files accordingly; and ensure clinical privileges are available on-line for TCH staff to ensure providers are practicing within their scope of privileges. Maintain tracking system for process to ensure continuous processing of applications, reporting to Manager, as needed; D. Upon completion of credentialing process, update all relevant files and listings, credentialing database per policies and procedures and file credentialing files accordingly; ensure clinical privileges are available on-line for TCH staff to ensure providers are practicing within their scope of privileges.

Cincinnati, OH23 days ago

Columbus, OH30+ days ago

CONTINUOUSLY: Audible speech, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Peripheral vision, Problem solving, Seeing - Far/near, Sitting. Physical Requirements: OCCASIONALLY: Climb stairs/ladder, Electricity, Lifting / Carrying: 0-10 lbs, Lifting / Carrying: 11-20 lbs, Machinery, Pushing / Pulling: 0-25 lbs.

Akron, OH30+ days ago

Working closely alongside the Physician Advisor, the Denial Coding Specialist liaises between the Revenue Recovery team and providers, resolving queries for missing documentation and promoting departmental awareness of coding best practices. Summary: The Denial Coding Specialist supports the Revenue Recovery team by reviewing claims for coding accuracy and root causes for coding-related denials, as well as proposing process improvements to mitigate future denials.

Columbus, OH30+ days ago

Physical Requirements: OCCASIONALLY: Bend/twist, Decision Making, Problem solving FREQUENTLY: Interpreting Data CONTINUOUSLY: Computer skills, Hand use: grasping, gripping, turning, Reaching above shoulder, Repetitive hand/arm use, Seeing - Far/near, Sitting. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision.

Cleveland, OH15 days ago

$106,437–$138,370 Per Year

Customer Service - Works with clients and customers (that is, any individuals who use or receive the services or products that your work unit produces, including the general public, individuals who work in the agency, other agencies, or organizations outside the Government) to assess their needs, provide information or assistance, resolve their problems, or satisfy their expectations; knows about available products and services; is committed to providing quality products and services. Specialized experience is defined as: Experience in the planning, testing and implementation of Directory Services infrastructure technologies in a large multi-domain Active Directory (AD) Environment, including AD object management, user and group management, Group Policy management, support of Domain Name System (DNS) services and user access and authentication.

Chillicothe, OH15 days ago

$77,926–$101,309 Per Year

Specialized experience includes: handling contract related services, product acquisition, and procurement of items in a healthcare environment; overseeing contracts including pre-award and post-award; preparing procurement packages with unique, emergent and complex requirements including development of requirement documents (e.g. As the Acquisition Utilization Specialist serves as the medical center liaison and advisor on contract related services focusing on critical clinical and healthcare services, product acquisition and support services required by project managers, program managers, upper management and stakeholders on all aspects of procurement.

Columbus, OH7 days ago

$52,654–$83,733 Per Year

Examples of specialized experience would typically include, but are not limited to: Knowledge in in the areas of end-of-life, hospice death, burial, funeral, and bereavement, Advising Veterans and their next of kin of burial benefits and helps prearrange burial, interment, cremation as desired, Implementing information systems to track service activities including visits, referrals, demographics, and outcomes, Analyzing data to determine quality improvement measures and any necessary changes to processes. Examples of specialized experience would typically include, but are not limited to: Collecting and managing new data about current practices in the department and across sites of care, Maintaining proficiency in using local, regional, and national databases, Using agency, department and program knowledge to determine essential data collection and provide program assessment/analysis, Creating and submitting reports for the facility, Creates and submits reports for the facility.

Newark, OH15 days ago

Prospect Mundelein Naperville New Lenox North Aurora North Chicago Northbrook Oak Brook Oak Forest Oak Lawn Oak Park Oaklawn O'Fallon Orland Park Oswego Palatine Pana Plainfield Plano Posen Prospect Heights Richton Park Rockford Romeoville Roselle Round Lake Roxana Saint Anne Saint Charles Sangamon Schaumburg Schiller Park Shabbona Shorewood Skokie Smithton South Holland Southwestern area St. ABA ServicesBehavioral/Autism SupportCorporate ServicesMental Health ServicesNursing/Support ServicesOther Teaching ServicesSchool Psychology ServicesSchools, Clinic & Community ServicesSpecial Education TeachingSpecial Education Teaching ServicesSupervision JobsTherapy Services.

Columbus, OH7 days ago

Columbus, OH16 days ago

Remote

In accordance with the Mission and Guiding Behaviors; the Physician Coding Specialist II will assign the appropriate surgical and office procedural and diagnostic (CPT - E/M, surgical and ICD) codes to individual patient health information for data retrieval, analysis and claims processing for the Mount Carmel Medical Group (MCMG). Relationship-based Care: Creates a caring and healing environment that keeps the patient and family at the center of care throughout their experience at Mount Carmel following the principles of our interdisciplinary care delivery system.

Cincinnati, OH21 days ago

$125,776–$163,514 Per Year

Such a training program must have been conducted in an operating health care system and included: Assignments providing a knowledge of basic health system administration philosophies, practices, and procedures, and basic government administrative policies and requirements; Practical assignments providing an opportunity to apply health system administration skills and principles (as the individual progresses, work assignments must be characteristic of the grade level to which he or she is assigned); and Oversight by an experienced health system administrator with periodic evaluation of the individuals progress and appropriate adjustment of the training program. The incumbent provides technical and administrative supervision to a section of two (2) Health Systems Specialists, GS-0671-13 for data analysis; two (2) Nurse (RN) Informaticists; three (3) Health System Specialists, GS-0671-12/13 for program and administrative oversight, direction, and management; one (1) Administrative Officer, GS-0341-9/11 for program management; and two (2) Program Support Assistants, GS-0303-7 for administrative support.

Dayton, OH7 days ago

$64,021–$83,232 Per Year

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidates abilities; and assist a hiring manager with making a final selection for a position. Please make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50s (current/former Federal employees), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees).

Chillicothe, OH29 days ago

$52,654–$101,309 Per Year

Qualifying specialized experience planning, supervising, and coordinating volunteers of a volunteer program; evaluating and monitoring the effectiveness of a specialized program and devising new methods for improvement; effectively recruiting, interviewing, and evaluating prospective employees/volunteers in order to appropriately utilize their talents and interests; utilizing interpersonal communication skill to foster effective working relationships with others; and familiar with a wide variety of principles and practices to evaluate program trends. Specialized experience managing a program of volunteers and contributing organizations within a medical or hospital setting; development and implementation of a detailed marketing plan for a specialized program; managing a program service budget and managing a donation needs list of an organization; utilizes laws and regulations governing the General Post Fund and solicitation and acceptance of donated gifts; and understanding and applying personnel management practices for interviewing, screening, placing, and counseling purposes.

Cincinnati, OH27 days ago

$64,290–$83,582 Per Year

Manages, leads, and administers project plans which include meeting objectives, assigning resources, giving briefings and presentations as project representative, maintaining quality assurance processes, creating project documentation, and completing after action review reports and follow-up procedures in conduct comprehensive project management. You must have obtained one of the following qualifying degrees, certificate, career, or technical education programs: associates, bachelors, masters, professional, doctoral, or technical/vocational degree or certificate (which may include Registered Apprenticeship Programs, Job Corps, Climate Corps, AmeriCorps, and Peace Corps) from a qualifying educational institution within the previous two years.

Cincinnati, OH27 days ago

$144,507–$187,862 Per Year

This includes, but is not limited to, the following: designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing the most effective, least toxic and most economical medication treatments; helping achieve positive patient centric outcomes through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas; performing physical assessments; and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. This includes, but is not limited to, designing, prescribing, assessing, monitoring, and documenting therapeutic plans utilizing the most safe and effective, and most economical medication treatments; helping achieve positive patient-centered outcomes through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas, performing physical and mental health assessments; ordering laboratory and other tests to ensure efficacy and prevent toxicity of pharmacotherapy.

OH14 days ago

$19.10–$22.50 Per Hour

Flexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance. Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused.

OH30+ days ago

Remote

$32,240–$58,448 Per Year

Job Summary: As the Central Business Office (CBO) Specialist II, you will facilitate accurate provider credentialing, coding, billing, posting and collection for ProMedica Physicians and other supported entities. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges.

Wooster, OH30+ days ago

The successful applicant for this position shall have minimum high school diploma with bachelor's degree preferred and have at least 6 months experience working with young children; early childhood credentialing preferred; experience in working with groups and ability to work well with many different types of people; possess a valid driver's license, a good driving record, the ability to drive to community locations in Wooster, and automotive liability insurance. Early Childhood Prevention Specialists promote resiliency while providing consultation and early intervention support in classrooms and childcare settings.

Columbus, Ohio30+ days ago

communicate on-going student progress to parents/guardians, general education teachers, school administration, district personnel, and other service professionals via progress reporting and Individual Education Plans. About TES: Total Education Solutions (TES) is a female-owned organization led by experienced educators and clinicians who are passionate about creating opportunities for individuals of all abilities.

Cleveland, Pennsylvania9 days ago

Within select customer accounts, acts as the primary point of contact for the customer, meets with key customers/personnel to maintain an understanding of their current practice structure, business model, and key influencers (ex: Managed Care Organization/payers, Management Service Organizations (MSOs), employers, state policy, advocacy groups, coalitions), and their patients’ needs. Within their geography, there are a diverse set of health care locations that they will call upon in to execute their role including: Clinics, Health Departments, Integrated Delivery Networks, Hospitals and Residency programs, Federally Qualified Health Centers, Universities, Independent Physician Associations, Management Service Organizations, Planned Parenthood and Family Planning Clinics, Military Treatment Facilities, and Indian Health Services.

Stow, OH23 days ago

$18.49–$23.93 Per Hour

Our Travelers repair surgical instruments, provide on the job coaching to local Repair Technicians and ensure daily operations are performed effectively (ie: safety, mobile unit operations and Customer requirements). Ability to perform and train repair skills, such as Ultra sonic function, Metallurgy, buff & polish, bend, sharpen, shape, hinge points, serrations & braze, advance Dremel operation, and re-cup & rejaw.

Stow, OH26 days ago

$18.49–$23.93 Per Hour

Cincinnati, OH30+ days ago

$61,401.60–$78,291.20 Per Year

Client relationship manager for multiple programs; Manages expectations, identifies potential issues; Identifies when appropriate to escalate issues up the chain of command; Communicates project status and results to manager and clients; Develops and maintains relationships with internal clients, M&C team and strategy and growth colleagues; works with internal and external agency partners, vendors and freelancers to complete projects. Provides consultation for divisions and programs and recommends appropriate M&C strategies and tactics to support their goals; solves problems proactively; provides marketing and communications counsel to clients; Identifies needs for marketing research and project manages that research with supervisory direction; provides subject matter expertise across projects.

Cincinnati, OH30+ days ago

$61,401.60–$78,291.20 Per Year

Serving as the primary relationship manager for multiple service lines and programs, the role oversees project communication, execution of marketing tactics, timelines, budgets, and performance reporting to ensure successful outcomes. The Senior Specialist leads annual service line marketing planning and execution across owned, earned, and paid channels, working with subject matter experts to deliver integrated, data‑informed initiatives.

OH30+ days ago

The Vascular Access Sales Specialist is responsible for establishing and developing relationships with key decision makers that are critical to preserving the existing base of business while evolving future business opportunities for ICU Medical. The position is focused on increasing territory level profitability and expanding the current customer base by selling ICU Medical products and extending relationships into new areas with new customers.

Cleveland, OH30+ days ago

If you are applying to perform work for Medtronic, Inc. ("Medtronic") in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program).

Dayton, Ohio16 days ago

If you are applying to perform work for Medtronic, Inc. (“Medtronic”) in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find herea list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment. The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program).

Cleveland, Ohio8 days ago

Remote

The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). Provide clinical expertise for TAVR implanting centers, including “scrubbing in” for TAVI implant procedures to assist with loading valves onto delivery catheter, and providing technical support in accordance with the instructions for use/trial protocol, and best-practices to facilitate procedural consistency and best clinical outcomes .

Columbus, OH30+ days ago

The Clinical Specialist works closely with the surgical team members to provide clinical product assistance to the surgeon by being familiar with the surgical procedure, instruments, supplies and equipment. Highly desirable candidates will have a high tenure in medical device procedure support in the operative room setting and degree or certification in a medical related field (ex: LPN, RN, Surg Tech, Rad Tech, etc).

Columbus, OH30+ days ago

$109,810–$158,322 Per Year

Veterans Preference Documentation (if applicable): Candidates claiming Veterans Preference must submit a DD-214 (Member Copy 4), or, if you are CURRENTLY serving on active duty, a statement of service from your unit which states the date you entered on active duty, the date you are separating, and the campaign medals you have received. Experience installing, configuring, and maintaining operating systems in alignment with an organizations IT framework to meet critical business needs; along with IT-related experience demonstrating Attention to Detail, Customer Service, Oral Communication, and Problem Solving as described in the vacancy announcement.

Cincinnati, OH13 days ago

$144,507–$187,862 Per Year

This includes, but is not limited to, the following: designing, implementing, assessing, monitoring and documenting therapeutic plans utilizing the most effective, least toxic and most economical medication treatments; helping achieve positive patient centric outcomes through direct and indirect interactions with patients, providers, and interdisciplinary teams in assigned areas; performing physical assessments; and ordering laboratory and other tests to help determine efficacy and toxicity of medication therapy. (2) Graduates of foreign pharmacy degree programs meet the educational requirement if the graduate is able to provide proof of achieving the Foreign Pharmacy Graduate Examination Commission (FPGEC) Certification, which includes passing the Foreign Pharmacy Graduate Equivalency Examination (FPGEE) and the Test of English as a Foreign Language Internet[1]Based Test (TOEFL iBT).

Dayton, OH30+ days ago

Cleveland, OH30+ days ago

Remote

The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). Provide clinical expertise for TAVR implanting centers, including "scrubbing in" for TAVI implant procedures to assist with loading valves onto delivery catheter, and providing technical support in accordance with the instructions for use/trial protocol, and best-practices to facilitate procedural consistency and best clinical outcomes.

Toledo, OH10 days ago

Remote

The following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). If you are applying to perform work for Medtronic, Inc. ("Medtronic") in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.

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Credentialing Specialist Jobs in Ohio

Child Life Specialist - FT Days - Pediatrics and PICU - Mount Orab Lehigh Valley Health Network

Child Life Specialist - FT Days - Pediatrics and PICU - Columbiana Lehigh Valley Health Network

Child Life Specialist - FT Days - Pediatrics and PICU - Eaton Lehigh Valley Health Network

Billing and Credentialing Specialist (2706) Counseling Center

Managed Care & Medical Staff Credentialing Specialist Wilson Health

Credentialing Specialist - Main Medical Staff Office - Full Time - Days The Christ Hospital

Credentialing Specialist - Main Medical Staff Office - Full Time - Days The Christ Hospital Health Network

Credentialing Coordinator - Radiology Nationwide Children's Hospital

Coding Denial Specialist Akron Children's Hospital

Medical Staff Services Specialist-Medical Staff Office Nationwide Children's Hospital

IT Specialist (SYSANALYSIS) U.S. Department of Veterans Affairs

Acquisition Utilization Specialist U.S. Department of Veterans Affairs

Program Specialist - Survivors Assistance and Memorial Support U.S. Department of Veterans Affairs

Intervention Specialist The Stepping Stones Group LLC

Charter School - Intervention Specialist The Stepping Stones Group LLC

Physician Coding Specialist II-Remote Trinity Health

Supervisory Health System Specialist U.S. Department of Veterans Affairs

Program Applications Specialist (ADPAC) U.S. Department of Veterans Affairs

Voluntary Services Specialist U.S. Department of Veterans Affairs

Health System Specialist (Graduate Healthcare Administrative Training Program) U.S. Department of Veterans Affairs

Clinical Pharmacy Specialist U.S. Department of Veterans Affairs

Provider Enrollment Specialist II - Full Time Experity Inc

CBO Specialist II - Remote ProMedica Health System Inc

Early Childhood Prevention Specialist Case Manager Pathway Caring for Children

Intervention Specialist Total Education Solutions

Clinical Account Specialist - Cleveland, OH State of Oregon

Repair Specialist Steris Plc

Repair Specialist, Traveler Steris Plc

Senior Marketing Specialist, CRM & Email Marketing Cincinnati Children's Hospital Medical Center

Senior Marketing Specialist Cincinnati Children's Hospital Medical Center

Vascular Access Sales Specialist - Michigan/Northwest Ohio ICU Medical Inc

Sr. Vascular Clinical Specialist - Cleveland, OH Medtronic Plc

Sr. Vascular Clinical Specialist - Dayton, OH Medtronic

Senior CoreValve Therapy Development Specialist - Cleveland, OH Medtronic

Clinical Specialist ConsignMed

IT CYBERSECURITY SPECIALIST (SYSADMIN/INFOSEC) U.S. Department of Defense

Pharmacist (Clinical Specialist) U.S. Department of Veterans Affairs

Sr. Vascular Clinical Specialist - Dayton, OH Medtronic Plc

Senior CoreValve Therapy Development Specialist - Cleveland, OH Medtronic Plc

Clinical Specialist - Cardiac Rhythm Management - Lima/Toledo, OH Medtronic Plc

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