Payor Credentialing Specialist (remote) BHG CareersPayor Credentialing Specialist (remote)Dallas, TexasRemoteFacilitates all aspects of BHG’s payor credentialing including payor enrollments, revalidations, maintenance, license updates, and follow up on payor credentialing related A/R issues. Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to payor credentialing and enrollment.
Specialist, HR Credentialing Akumin IncSpecialist, HR CredentialingCarbondale, ILUtilizes credentialing database to maintain credentialing data including, but not limited to creating new hire credentialing profiles, process ongoing credentialing updates, such as primary source verifications, immunization records, annual TB documentation, etc. Provides one on one credentialing support to internal, external customers and new hires to assist with on-site clearance, meeting and maintaining the company and customer policy for patient-facing team members.
Credentialing Specialist - Main Medical Staff Office - Full Time - Days The Christ HospitalCredentialing Specialist - Main Medical Staff Office - Full Time - DaysCincinnati, OHD. 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.
Credentialing Specialist - Main Medical Staff Office - Full Time - Days The Christ Hospital Health NetworkCredentialing Specialist - Main Medical Staff Office - Full Time - DaysCincinnati, OHD. 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.
Specialist-Quality & Credentialing Northeast Georgia Health System IncSpecialist-Quality & CredentialingGainesville, GAMinimum Experience: Minimum of six (6) years experience in a large group practice or managed care setting responsible for Quality Improvement and credentialing activities. Formulates the processes to facilitate review of activities such as workplans, worksheets, data collection forms, time lines, and summary forms.
NewCredentialing Coordinator Integrated Resources, IncCredentialing CoordinatorFarmers Branch, TXCommunicates clearly with providers, internal/external clients, and all *** Health staff as needed to provide timely responses upon request on day-to-day credentialing issues as they arise. The Credentialing Coordinator role will be responsible on ensuring compliance with NCQA, URAC, Medicare, Medicaid, Delegation agreements and other pertinent client requirements, policies and procedures, client health plan contracts, URAC guidelines and applicable state and federal requirements.
Credentialing Coordinator Independent Living Systems LLCCredentialing CoordinatorMiami, FLResponsibilities: Administer the end-to-end credentialing and re-credentialing process for contracted providers, including collecting, verifying, and maintaining documentation of qualifications, licenses, certifications, and work history. Ultimately, the Credentialing Coordinator ensures that all contracted providers are properly qualified and authorized to provide health and social care services, thereby safeguarding the organization's reputation and operational integrity.
Medical Staff Specialist 2- Grapevine Baylor Scott & White HealthMedical Staff Specialist 2- GrapevineGrapevine, TXAudits and evaluates processes involved in verifications for medical staff and advanced practice professionals appointments, reappointments and privileges delineations. Cert Medical Staff Coord (CMSC), Cert Provider Credentialing Spec (CPCS), Cert Prof Medical Services Mgr (CPMSM): Obtain one within 24 months of hire.
Contracted Network Specialist – PACE Neighborhood HealthcareContracted Network Specialist – PACEEscondido, CA$38.55–$55.52 / hourPart timeThis position serves as a key operational partner to internal teams and external providers, helping translate network strategy into action by coordinating onboarding, maintaining credentialing and contract compliance, supporting renewals, and fostering strong, collaborative provider relationships that enable timely access to high-quality care for PACE participants. The Contracted Network Specialist – PACE supports the execution of PACE provider network strategy by managing day-to-day contracting, provider onboarding, credentialing coordination, and ongoing provider relationship management.
Contracted Network Specialist - PACE Neighborhood HealthcareContracted Network Specialist - PACEEscondido, CA$38.55–$55.52 / hourThis position serves as a key operational partner to internal teams and external providers, helping translate network strategy into action by coordinating onboarding, maintaining credentialing and contract compliance, supporting renewals, and fostering strong, collaborative provider relationships that enable timely access to high-quality care for PACE participants. The Contracted Network Specialist - PACE supports the execution of PACE provider network strategy by managing day-to-day contracting, provider onboarding, credentialing coordination, and ongoing provider relationship management.
Billing/Budget Specialist (226 Days) Dallas Independent School DistrictBilling/Budget Specialist (226 Days)Dallas, TX297972'',''true'',''297972'',''false'',''Submission for the position: Billing/Budget Specialist (226 Days) - (Job Number: RTP20260616-038)'',''false'',''297972'',''false'',''true'',''Billing/Budget Specialist (226 Days)'',''RTP20260616-038'',''!*! 16, 2026'',''Jun 16, 2026'',''false'',''297972'',''297972'',''true'',''297972'',''false'',''Submission for the position: Billing/Budget Specialist (226 Days) - (Job Number: RTP20260616-038)'',''false'',''297972'',''false'',''true''.
Provider Application Processing Specialist Integrated Resources, IncProvider Application Processing SpecialistHarrisburg, PennsylvaniaContractorQualifications• High school graduate or equivalent – Required• Previous Credentialing Experience – Highly Desired• Experience in Managed Care or the Health Care environment – Highly Desired• Microsoft Word & Microsoft Excel – Highly Desired The Application Processing Specialist coordinates all written communication to physicians, hospitals and ancillary providers to assure all credentialing information is complete for presentation to the Corporate Credentialing Department.
Clinical Nurse Specialist Children's Hospital of PhiladelphiaClinical Nurse SpecialistKing of Prussia, PA$104,600–$138,600 / yearInformation literacy, including the effective use of the Intranet and Internet to find electronic resources for patient care, nursing practice, and evidence-based decision-making; Information management skills, including the effective use of the electronic health record and clinical information systems, the ability to collect clinical data using quality tools, and the ability to discuss, evaluate, analyze, and present outcome data depicted in charts and tables. Demonstrates health care informatics competencies to manage patient care, outcome data, and current and emerging healthcare technology, which includes: Basic computer competency, including the effective use of patient care devices, computers, and computer software programs such as e-mail, word processing, and shared network file space.
NewClinical Nurse Specialist (CNS/APS/NPS) - Acute Care Cardiology, 0.6 FTE Seattle Children's HospitalClinical Nurse Specialist (CNS/APS/NPS) - Acute Care Cardiology, 0.6 FTESeattle, Washington$129,992–$214,487 / yearTogether, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho – the largest region of any children’s hospital in the country. Works collaboratively with leadership to develop criteria for patient care, assess health needs of patients/populations, and evaluate nursing interventions to achieve optimal nursing practice outcomes.
NewRegistered Nurse- Lactation Specialist St. Josephs Medical CenterRegistered Nurse- Lactation SpecialistHouston, TXPer diemJoseph Medical Center (SJMC), Houston's first and only downtown hospital delivering world-class care for the last 137 years and looking forward to the next century of exceptional care to Houstonians when they need us most. Reviews care routines, policies, procedures and/or other aspects of the mother-baby hospital experience with involved clinical staff in order to highlight successes or needs of the breast feeding dyad.
Licensing Specialist MedElite GroupLicensing SpecialistBrooklyn, New York$30–$40 / hourSkills & Competencies: Strong knowledge of state licensing requirements and medical credentialing processes Excellent communication and customer service skills Highly organized with attention to detail and ability to meet deadlines Ability to handle confidential information with discretion Proficiency in Microsoft Office Suite and credentialing database systems Strong attention to detail and the ability to handle several tasks simultaneously with minimalerrors. Education Experience: Bachelor’s degree preferred or equivalent work experience 2+ years of experience in licensing, credentialing, or healthcare administration Experience with credentialing databases and licensing platforms preferred.
Revenue Cycle Management Specialist Ellie Mental HealthRevenue Cycle Management SpecialistSmyrna, Tennessee$50,000–$60,000 / yearSo we created a new model: one that puts flexibility, innovative decision-making, creativity, and our people first, while remaining a socially conscious and responsible for-profit business focused on changing how we treat mental health. Position Overview The Revenue Cycle Management (RCM) Specialist oversees the full revenue cycle—from payer applications and provider credentialing to accurate billing and timely reimbursement.
Licensing Specialist MedElite Group, LLC.Licensing SpecialistBrooklyn, NY$30–$40 / hournetwork of advanced practice providers and specialty clinicians, we deliver high-quality, proactive care. candidate will serve as the primary point of contact between state licensing boards, clinicians, and.
Authorization & Insurance Verification Specialist Peak Performance Physical TherapyAuthorization & Insurance Verification SpecialistLansing, MichiganThe Authorization & Insurance Verification Specialist is responsible for verifying patient insurance benefits, obtaining and tracking authorizations, maintaining accurate documentation, and communicating insurance-related information to the appropriate team members. This position supports our clinics, providers, intake team, and billing team by helping reduce delays in care and keeping patient accounts accurate from the start.