Credentialing 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.
Managed Care Credentialing Coordinator Texas Scottish Rite for ChildrenManaged Care Credentialing CoordinatorDallas, TexasEnsure all expirables are reviewed, obtained, maintained and managed by tracking, documenting: licensures, certifications, specialty certification, and malpractice insurance information prior to their expiration dates and other expirables as required; notify appropriate medical and administrative leadership staff prior to expiration so that required documents can be secured and updated or required intervention or actions can be accomplished in a timely manner. Assist leadership in the development, planning, implementation, review and revision of managed care credentialing processes, forms, related policies and procedures with regard to credentialing to stay current with Health Plans practice as well as accrediting and regulatory agency requirements (i.e., NCQA); maintain a working knowledge of such documents and keeps the medical staff updated on all changes.
Credentialing Coordinator# 26-19337 US Tech Solutions, Inc.Credentialing Coordinator# 26-19337Farmers Branch, TX$18–$19 / hourPosition Summary The Credentialing Coordinator is responsible for ensuring provider credentialing activities comply with NCQA, URAC, Medicare, Medicaid, delegation agreements, health plan contracts, and applicable state and federal regulations. Communicate professionally with providers, internal departments, external clients, and other stakeholders regarding credentialing-related questions and issues.
Credentialing Coordinator Methodist Health SystemCredentialing CoordinatorDallas, TexasNamed one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Human Resources . 1. Provide Human Resources support to new employees during the on-boarding process to include scheduling pre-employment physicals, new hire paperwork, benefits and the coordination of orientation and necessary computer training.
Credentialing Coordinator ICONMA, LLCCredentialing CoordinatorFarmers Branch, TXRemote$454.40–$615.60 / weekCommunicates clearly with providers, internal/external clients, and all client staff as needed to provide timely responses upon request on day-to-day credentialing issues as they arise. Preferred CAQH Experience, preferred MD Staff Experience, preferred Goggle Suites Experience and highly preferred Licensure Experience.
NewCredentialing Coordinator IconmaCredentialing CoordinatorFarmers Branch, TX$11.36–$15.39 / hourCommunicates clearly with providers, internal/external clients, and all client staff as needed to provide timely responses upon request on day-to-day credentialing issues as they arise. Preferred CAQH Experience, preferred MD Staff Experience, preferred Goggle Suites Experience and highly preferred Licensure Experience.
Credentialing Coordinator | Full Time Peterson HealthCredentialing Coordinator | Full TimeKerrville, TXThis position is responsible for submitting accurate and complete provider organizational and facilities providers enrollment applications, following up with payer credentialing departments and provider enrollment representatives to ensure providers are fully credentialed and loaded as participating with all applicable contracted health plans. Being named one of the Best Places to Work in Healthcare by Modern Healthcare for six consecutive years is a testament to Peterson's commitment to its team and to fulfilling its mission of providing exceptional, compassionate, patient-centered care.
["Credentialing Coordinator","Credentialing Coordinator"] The Center for Cancer and Blood Disorders["Credentialing Coordinator","Credentialing Coordinator"]Fort WorthExperience in credentialing of major payers such as Medicare, Medicaid, Tricare, BCBS, Aetna, Cigna, Humana, and other commercial and managed plans. Establish and maintain positive working relationships with payer representatives, hospital medical staff, internal departments, and providers.
Credentialing Coordinator Iconma LLCCredentialing CoordinatorFarmers Branch, TXCommunicates clearly with providers, internal/external clients, and all client staff as needed to provide timely responses upon request on day-to-day credentialing issues as they arise. Preferred CAQH Experience, preferred MD Staff Experience, preferred Goggle Suites Experience and highly preferred Licensure Experience.
Credentialing Coordinator Apidel TechnologiesCredentialing CoordinatorFarmers Branch, TXRemoteContractorCommunicates clearly with providers, internal/external clients, and all staff as needed to provide timely responses upon request on day-to-day credentialing issues as they arise. Position Summary: 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 AdventHealthCredentialing CoordinatorMission, TexasExcellent verbal and written communication skills with the ability to communicate effectively with physicians, advanced practice providers, medical staff, leadership, hospital personnel, and external agencies. The Credentialing Coordinator collaborates with providers, leadership, medical staff, and external agencies to facilitate credentialing activities, maintain provider records, and support physician onboarding and practice operations.
Manager, Credentialing & Provider Enrollment Texas Children's HospitalManager, Credentialing & Provider EnrollmentHouston, TXTexas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston; and Texas Children's Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children's Health Plan, the nation's first HMO focused on children; Texas Children's Pediatrics, the largest pediatric primary care network in the country; Texas Children's Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world.
Credentialing Coordinator UT Health San Antonio School of DentistryCredentialing CoordinatorSan Antonio, TXWork with Provider to maintain and ensure compliance for all licensures and appointments with state and governmental agencies and certifications for each Provider, generate monthly report of expiring credentials. The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research university that unites the power of higher education, biomedical discovery and healthcare within one visionary institution.
Credentialing & Payer Contracting Coordinator Legion HealthCredentialing & Payer Contracting CoordinatorAustin, TexasRemote$5–$15 / hourCollect, review, and organize provider documentation, including licenses, DEA registrations where applicable, malpractice coverage, CVs, education and work history, board certifications, W-9s, NPIs, taxonomy codes, disclosures, and attestations. Support the payer-contracting lifecycle, including network-interest submissions, contracting applications, agreement intake, fee-schedule organization, redline tracking, signature routing, amendments, and renewals.
Supervisor, Credentialing Quality CVS Health CorpSupervisor, Credentialing QualityTX$43,888–$85,068 / yearThe Credentialing Quality Supervisor oversees the day-to-day activities of the Senior Credentialing Specialists who are responsible for auditing the quality and accuracy of all applications reviewed by our credentialing team. Act as an Escalation Point: Serve as the final reviewer for complex credentialing audits, discrepancies, or appeals regarding additional verifications (such as State Board Licenses and Department of Defense requests).
Coordinator, Delegated Credentialing Pacific Dental Services IncCoordinator, Delegated CredentialingIrving, TX$17–$22.20 / hourEnsures that credentialing records comply with requirements of regulatory and accrediting agencies including the National Committee for Quality Assurance (NCQA), federal and state laws and delegated credentialing agreements. Submit the dental providers to desired insurance plans via excel spreadsheet within 48 hours of committee approval.
Temporary Coordinator, Credentialing Pacific Dental Services IncTemporary Coordinator, CredentialingIrving, TX$17–$22.20 / hourBeing a part of the Contracts Department which is responsible for credentialing General Dentists and Specialists to ensure they possess the appropriate professional licenses and credentials to participate in the Dental Plans as required by the Insurance companies. As a Credentialing Administrator at PDS Health you will be coordinating credentials for Dentists with various dental insurance carriers.
Coordinator, Credentialing Pacific Dental Services IncCoordinator, CredentialingIrving, TX$17–$22.20 / hourBeing a part of the Contracts Department which is responsible for credentialing General Dentists and Specialists to ensure they possess the appropriate professional licenses and credentials to participate in the Dental Plans as required by the Insurance companies. As a Credentialing Administrator at PDS Health you will be coordinating credentials for Dentists with various dental insurance carriers.
Credentialing Coordinator Select Physical TherapyCredentialing CoordinatorPlano, TexasSelect Medical is seeking a detail‑oriented Credentialing Coordinator to support our Credentialing Manager with the full credentialing and re‑credentialing process for providers across our outpatient facilities. Communicate with practitioners, data banks, state licensing and regulatory bodies, educational programs, health plans, and other company divisions.
Temporary Coordinator, Credentialing PDS HealthTemporary Coordinator, CredentialingIrving, Texas$17–$22.20 / hourFull timeBeing a part of the Contracts Department which is responsible for credentialing General Dentists and Specialists to ensure they possess the appropriate professional licenses and credentials to participate in the Dental Plans as required by the Insurance companies. Overview: As a Credentialing Administrator at PDS Health you will be coordinating credentials for Dentists with various dental insurance carriers.