Talent.com

Credentialing coordinator serp_jobs.h1.location_city

serp_jobs.job_alerts.create_a_job

Credentialing coordinator • tempe az

serp_jobs.last_updated.last_updated_1_hour
Provider Credentialing Specialist

Provider Credentialing Specialist

TriWest Healthcare AlliancePhoenix, AZ
serp_jobs.job_card.temporary
The Provider Credentialing Specialist supports the Credentialing Department by managing and maintaining accurate, up-to-date provider data to include updates, changes, additions and terminations in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
HSPD-12 : Government Badging & Credentialing Specialist (Phoenix, AZ - REF1770M) • •

HSPD-12 : Government Badging & Credentialing Specialist (Phoenix, AZ - REF1770M) • •

CitizantPhoenix, AZ, US
serp_jobs.job_card.full_time
HSPD-12 : Government Badging & Credentialing Specialist.Citizant is a leading provider of professional IT services to the U. We seek to address some of our country's most pressing challenges in the a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Parts Coordinator

Parts Coordinator

Champion HomesChandler, AZ, US
serp_jobs.job_card.full_time
Ensure parts needed for repair are available or coordinate with the Purchasing Department to purchase the needed parts.Essential Duties and Responsibilities. Review each service order for correct pa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Credentialing Clerk

Credentialing Clerk

VirtualVocationsTempe, Arizona, United States
serp_jobs.job_card.full_time
A company is looking for a Payor Relations Coordinator II.Key Responsibilities Support credentialing and administrative tasks related to insurance payor participation Complete and submit applica...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Credentialing Supervisor

Credentialing Supervisor

The Center for Orthopedic and Research EPhoenix, AZ, US
serp_jobs.job_card.full_time
Manages the ongoing needs of physicians for credentialing of hospitals, insurances, and CME requirements.Establishes and maintains effective communication with. Organizes and manages specified provi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
AP Coordinator

AP Coordinator

Robert HalfTempe, AZ, US
serp_jobs.job_card.full_time
We are looking for an Accounts Payable Coordinator to join our team in Tempe, Arizona.This is an ongoing Contract position offering the opportunity to contribute to essential financial operations.T...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
CREDENTIALING SPECIALIST

CREDENTIALING SPECIALIST

Southwest Medical ImagingScottsdale, AZ, US
serp_jobs.job_card.full_time
Credentialing Specialist Position Summary.The Credentialing Specialist is responsible for performing or coordinating all assigned activities associated with credentialing or re-credentialing provid...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Project Coordinator

Project Coordinator

Waahe CapitalPhoenix, AZ, US
serp_jobs.job_card.full_time
Waahe Capital is looking for a highly motivated Project Coordinator with Inventory Management experience to join our Ops team. This role is ideal for someone who is a self-starter.We are looking for...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Operations Coordinator

Operations Coordinator

KBRPhoenix, AZ, US
serp_jobs.job_card.full_time
Belong, Connect, Grow, with KBR!.KBR's Global Asset Management (GAM) group provides comprehensive manufacturing and supply chain solutions globally, serving both commercial and government clients.W...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Medical Credentialing

Medical Credentialing

LHH Recruitment SolutionsPhoenix, AZ, US
serp_jobs.job_card.full_time
Medical Credentialing Specialist – Contract.Medical Credentialing Specialist.If you have a knack for compliance and provider onboarding, this is your chance to shine.Verify and maintain provi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Regional Credentialing Coordinator Full Time

Regional Credentialing Coordinator Full Time

USPIPhoenix, Arizona
serp_jobs.job_card.full_time
An exciting opportunity is available for the right person as Full Time Regional Credentials Coordinator.This position requires a highly motivated and detail oriented Credentials Professional.We are...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Credentialing Assistant

Credentialing Assistant

Premier Orthopaedics & Sports MedicinePhoenix, AZ, US
serp_jobs.job_card.full_time
Requisition Number : CREDE010524.Must be able to communicate effectively with physicians, providers, licensing agencies, insurance payors, and the public and be capable of establishing good working ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
Credentialing Supervisor

Credentialing Supervisor

HOPCo | Healthcare Outcomes Performance CompanyPhoenix, AZ, US
serp_jobs.job_card.full_time +1
Manages the ongoing needs of physicians for credentialing of hospitals, insurances, and CME requirements.Establishes and maintains effective communication with physicians / providers and other depart...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Program Manager (Credentialing)

Program Manager (Credentialing)

Molina HealthcarePhoenix, AZ, US
serp_jobs.job_card.full_time
Responsible for internal business projects and programs, including sanctions and exclusion monitoring of provider network and integration of credentialing operations for new markets and acquisition...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_hour
Credentialing Manager

Credentialing Manager

EWINGSPhoenix, AZ
serp_jobs.job_card.full_time
Credentialing Manager - Delegated Credentialing and NCQA Compliance.Location : Remote (United States).While this role has been filled we continue to accept resumes in the event additional contractor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Care Coordinator

Care Coordinator

Terros HealthMesa, AZ, United States
serp_jobs.job_card.full_time
Stapley Drive - Mesa, AZ.Terros Health is pleased to share an exciting and challenging opportunity for a.Families FIRST - Care Coordinator.Stapley Dr Health Cen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Credentialing Specialist - Sunburst

Credentialing Specialist - Sunburst

Amergis Healthcare StaffingPhoenix, AZ, US
serp_jobs.job_card.full_time
The Credentialing Specialist provides the highest level of customer service to clients, suppliers, and team members.The Credentialing Specialist contributes to the culture of the division with stro...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
BIM Coordinator

BIM Coordinator

Access SciencesChandler, AZ, US
serp_jobs.job_card.full_time
Join Access Sciences as a full-time BIM Coordinator and take your career to new heights! Embrace the future of consulting by diving into projects that challenge your skills and stimulate your creat...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Safety Coordinator

Safety Coordinator

HelloFreshPhoenix, AZ, US
serp_jobs.job_card.full_time
At HelloFresh, we want to change the way people eat forever by offering our customers high-quality food and recipes for different meal occasions. Over the past 10 years, we've seen this mission ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Sales Coordinator

Sales Coordinator

MultivistaScottsdale, AZ, US
serp_jobs.job_card.full_time
Multivista believes in doing better.Tech isn't just our main field- problem solving is.We believe in using the power of critical thinking to drive the success of our clients.Backed by technolog...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Provider Credentialing Specialist

Provider Credentialing Specialist

TriWest Healthcare AlliancePhoenix, AZ
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.temporary
job_description.job_card.job_description

Job Summary

The Provider Credentialing Specialist supports the Credentialing Department by managing and maintaining accurate, up-to-date provider data to include updates, changes, additions and terminations in the credentialing, while working under timeline, accuracy and production targets. Performs credentialing activities including primary source verifications, communicating with Providers to request missing information supporting the integrity of Provider data in all downstream systems, and key-entering initial data of potential network Providers into the credentialing system.

Education & Experience

Required :

  • High School Diploma or GED
  • If supporting TRICARE contract, must be a U.S. Citizen
  • If supporting TRICARE contract, must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
  • 6 months or more of provider credentialing experience

Preferred :

  • 1+ years of credentialing experience
  • Experience using provider credentialing software systems or Provider Data Management Systems
  • Knowledge of URAC or NCQA standards
  • Key Responsibilities

  • Process Provider credentialing inventory within expected timeline, accuracy and production targets.
  • Update outdated provider credentialing and demographic information.
  • Reviews Provider applications and verifies that each meets all credentialing criteria.
  • Reviews Provider applications for accuracy and completeness and follows-up to obtain missing information materials in a timely manner and in accordance with department standards.
  • Queries primary sources, as applicable, to verify Provider credentials and qualifications.
  • Prepares files for review by the Credentialing Committee.
  • Maintains current credentialing, directory status information in a Provider credentialing system (Provider database).
  • Represents the Credentialing Unit at Credentialing Committee meetings as needed.
  • Achieves and maintains required department credentialing timeframe standards.
  • Communicates, though both written and verbal communication, in a professional and concise manner and is able to share information and / or instructions for updating and correcting Provider credentialing databases.
  • Coordinate with internal departments for Provider database related issues.
  • Works with Credentialing Verification Organization(s) as directed.
  • Performs other duties as assigned.
  • Regular and reliable attendance is required.
  • Competencies

    Commitment to Task : Ability to conform to established policies and procedures; exhibit high motivation.

    Communication / People Skills : Ability to influence or persuade others under positive or negative circumstances; adapt to unique styles; listen critically; collaborate.

    Computer Literacy : Ability to function in a multi-system Microsoft environment using Word, Excel, Outlook, TriWest Intranet, the Internet, and department software applications.

    Organizational Skills : Detail-oriented with the ability to organize people or tasks, adjust priorities, learn systems, within time constraints and with available resources.

    Problem Solving / Analysis : Able to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues.

    Technical Skills : Proficient with key databases, including credentialing software systems, Provider Data Management Systems, and Provider Information Management Systems; working knowledge of Provider credentialing policies and procedures, healthcare or managed care experience

    Working Conditions

    Working Conditions :

  • Availability to cover any work shift
  • Works within a standard office environment, with minimal travel
  • Extensive computer work with prolonged periods of sitting