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  • Construction & Commissioning Scheduler

    Blackrock Resources LLC 4.4company rating

    Credentialing specialist job in New Albany, OH

    You must be able to work in the U.S. without sponsorship. No C2C or 3rd parties, please. Schedule: Full-time | On-site presence required Industry: Industrial/Power/Data Center Construction We're looking for an experienced Construction & Commissioning Scheduler to support large-scale, complex projects from the ground up. This is a hands-on, on-site role where you'll collaborate with project management, engineering, and field teams to develop and maintain detailed schedules that drive successful project delivery. What You'll Do: Build and manage comprehensive Primavera P6 schedules across engineering, procurement, construction, and commissioning phases. Partner with project managers, superintendents, and subcontractors to keep timelines accurate and achievable. Track progress, analyze variances, and recommend adjustments to keep projects on target. Generate look-ahead schedules, performance reports, and updates for leadership and client reviews. Support forecasting, resource loading, and earned value analysis to ensure clear visibility into project health. Align construction and commissioning activities for smooth transitions and seamless project closeouts. What You Bring: Bachelor's degree in Engineering, Construction Management, or a related field (or equivalent experience). 5+ years of experience scheduling large-scale industrial, data center, or power generation projects. Strong command of Primavera P6. Proven track record supporting both construction and commissioning phases. Excellent communication, organizational, and analytical skills. Ability to work on-site in New Albany, Ohio. Preferred Experience: EPC or large-scale construction background. Knowledge of commissioning processes and turnover documentation. Familiarity with cost control, earned value management, and integration with project systems like Excel, Power BI, or CMMS tools. If you thrive in a fast-paced, collaborative environment and enjoy bringing structure to complex projects, this could be the perfect next step for you.
    $65k-91k yearly est. 2d ago
  • Construction Scheduler - P6

    IES Communications 3.7company rating

    Credentialing specialist job in Columbus, OH

    THIS IS NOT A REMOTE ROLE. YOU MUST RESIDE IN THE COLUMBUS AREA TO BE ON-SITE DAILY The Construction Scheduler will work with the Project Manager to create timetables to manage both time and resources to ensure work is completed on time. Job Duties and Responsibilities: The Scheduler will manage the workload distribution and monitor the customer delivery and job installation progress. The Scheduler will coordinate with Project Management and Leads/Superintendents to create and maintain calendar for project implementation to completion. The Scheduler will identify and anticipate schedule disparities and correct or report to Project Management. The Scheduler will provide to the Project Manager all needed elements to issue Weekly/Monthly Reports The Scheduler performs other responsibilities as assigned. Physical and Mental Requirements: MUST have 2+ years experience with Primavera P6 The Scheduler must be self-motivated, positive in approach, professional and lead others to create, develop and implement project process improvement(s). The Scheduler must promote the Company culture and mission to all employees, vendors, clients and business partners. The Scheduler must have proven problem solving skills, critical thinking skills and the ability to effectively read, write and give oral presentation(s). The Scheduler must have proven high skill level to interpret blueprints and other project documents, including but not limited to, specifications, reporting and quality requirements. The Scheduler must have the ability to learn Company project management systems. Education, Certification, License, and Skill Requirements: Must possess at least a High School diploma or GED equivalency. Must have a working knowledge of Oracle Primavera and Microsoft Project Must have experience in customer interface, such as liaison between the customer and the Company. Must have a minimum of three (3) years of experience scheduling in telecommunications or a related technical or construction field. Must be proficient with Microsoft Office (Word, Excel and MS Project). Must meet Company minimum driving standards. Must be able to manage multiple tasks/projects simultaneously.
    $30k-60k yearly est. 4d ago
  • Provider Credentialing Specialist

    Pomelo Care

    Remote credentialing specialist job

    About us Pomelo Care is a multi-disciplinary team of clinicians, engineers and problem solvers who are passionate about improving care for moms and babies. We are transforming outcomes for pregnant people and babies with evidence-based pregnancy and newborn care at scale. Our technology-driven care platform enables us to engage patients early, conduct individualized risk assessments for poor pregnancy outcomes, and deliver coordinated, personalized virtual care throughout pregnancy, NICU stays, and the first postpartum year. We measure ourselves by reductions in preterm births, NICU admissions, c-sections and maternal mortality; we improve outcomes and reduce healthcare spend. About us Pomelo Care is a multi-disciplinary team of clinicians, engineers, and problem solvers passionate about improving care for women and children. We are transforming health outcomes by providing evidence-based, compassionate care. For pregnancy and postpartum: We deliver coordinated, virtual care at scale for pregnant people and babies. We support patients throughout pregnancy, NICU stays, and the first postpartum year, measuring our success by reductions in preterm births, NICU admissions, c-sections, and maternal mortality. For perimenopause and menopause: We extend that same personalized model to support women through the midlife transition. We provide expert guidance for symptom management, long-term health planning, and navigating the physical and emotional changes of menopause. Our technology-driven care platform makes this possible, enabling us to deliver the right care at the right time, improving outcomes and reducing healthcare spend across the continuum of women's health. Role Description Your North Star: Work with the New Ventures team to complete health plan credentialing accurately & efficiently. What You'll Do Complete group & practitioner health plan credentialing on behalf of Pomelo's telehealth clinic & care team. Track applications from submission to approval, contracting, and agreement, ensuring cross-functional visibility into key milestones & timelines. Proactively mitigate application delays & denials; Rigorously follow up on any delays and/or denials to right-size Follow up on any delays and/or denials; Proactively update workflows to Rigorously follow up with Proactively mitigate application delays & denials; Rigorously follow up on delays & denials Collaborate with Pomelo licensing, credentialing, and enrollment team to ensure proper clinician licensure & up-to-date CAQH profiles, to help expedite health plan credentialing Collaborates with care team of nurses, nurse practitioners, doctors, therapists & registered dietitians to support navigation & answer questions about clinician credentialing applications Who You Are 2-4 years of experience in a high volume, credentialing specialist role Deep expertise with commercial health plan credentialing processes, including health plan portals & CAQH Highly organized with a strong attention to detail. A proactive and resourceful problem-solver who is comfortable navigating ambiguity and independently seeks out answers and solutions. An accountable and collaborative team player with excellent communication skills, both written and verbal. An expert at prioritization & time management, who proactively shares deliverable timelines and roadblocks Why you should join our team By joining Pomelo, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup where you will have a profound impact on the patients we serve. You'll also learn, grow, be challenged, and have fun with your team while doing it. We strive to create an environment where employees from all backgrounds are respected. We value working across disciplines, moving fast, data-driven decision-making, learning, and always putting the patient first. We also offer: Competitive healthcare benefits Generous equity compensation Unlimited vacation Membership in the First Round Network (a curated and confidential community with events, guides, thousands of Q&A questions, and opportunities for 1-1 mentorship) At Pomelo, we are committed to hiring the best team to improve outcomes for all mothers and babies, regardless of their background. We need diverse perspectives to reflect the diversity of problems we face and the population we serve. We look to hire people from a variety of backgrounds, including but not limited to race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status. Our salary ranges are based on paying competitively for our company's size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Pomelo Care. In accordance with New York City, Colorado, California, and other applicable laws, Pomelo Care is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity. A reasonable estimate of the current salary range is $55,000 - $75,000 per year. We expect most candidates to fall in the middle of the range. We also believe that your personal needs and preferences should be taken into consideration, so we allow some choice between equity and cash. Potential Fraud Warning Please be cautious of potential recruitment fraud. With the increase of remote work and digital hiring, phishing and job scams are on the rise with malicious actors impersonating real employees and sending fake job offers in an effort to collect personal or financial information. Pomelo Care will never ask you to pay a fee or download software as part of the interview process with our company. Pomelo Care will also never ask for your personal banking or other financial information until after you have signed an offer of employment and completed onboarding paperwork that is provided by our People Operations team. All official communication with Pomelo Care People Operations team will come from domain email addresses ending ******************. If you receive a message that seems suspicious, we encourage you to pause communication and contact us directly at ********************** to confirm its legitimacy. For your safety, we also recommend applying only through our official Careers page. If you believe you have been the victim of a scam or identity theft, please contact your local law enforcement agency or another trusted authority for guidance.
    $55k-75k yearly Auto-Apply 34d ago
  • Licensing and Credentialing Specialist

    Ophelia

    Remote credentialing specialist job

    Are you looking for a role in a company that's solving one of the greatest challenges of our lifetime? Ophelia helps people end their opioid use and restore their quality of life with respect for their time and dignity. Our mission is to make evidence-based treatments for opioid use disorder (OUD) accessible to everyone... and we're looking to bring more people onto our team to help us achieve it. Ophelia is a venture-backed, healthcare startup that helps individuals with OUD by providing FDA-approved medication and clinical care through a telehealth platform. Our approach is discreet, convenient, and affordable. We've been successfully operating in 14 states for almost four years and we're excited to continue our growth. We are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America. The Licensing and Credentialing Specialist helps us achieve our Mission by ensuring our clinicians are properly credentialed, licensed, and enrolled in payor networks to care for our patients. The responsibilities include timely submission of new and renewal licensing requests, credentialing of Ophelia's providers, and the enrollment of Physicians, Nurse Practitioners, and Physician Assistants in managed care organizations and government payors such as Medicare and Medicaid, as well as many commercial plans. The L&C Specialist also maintains accurate provider records within various databases, including CAQH and payer portals. The L&C Specialist works with a team of other specialists and collaborates closely with Clinical Operations, Billing, and Contracting teams to ensure our patient care functions smoothly. The role reports to the Licensing and Credentialing Senior Manager. In this role, you will: Review provider initial and reappointment credentialing applications, ensuring compliance with industry standards. Conduct primary source verification and coordinate the credentialing committee review process Ensure new and renewed license, DEA, and CSR requests are submitted promptly. Follow up directly with providers to gather missing or incomplete information for enrollment submissions. Submit enrollment packets to payers (MCOs, Medicare, Medicaid) in an accurate and timely manner. Monitor enrollment status and address any delays by following up with payers to expedite credentialing approvals. Enter and maintain accurate provider enrollment data in internal and external databases, including CAQH and payer portals, by updating demographic information, practice locations, termination of providers, and other maintenance forms as required. Act as a point of contact between providers, payors, and internal teams to resolve issues related to credentialing, enrollment, and reimbursement. The Ideal candidate will have: Associates degree or equivalent combination of education and experience 3-5 years of working experience in a credentialing and enrollment setting required Knowledge of multi-state/national provider credentialing and/or enrollment required Experience with PECOS/Medicare and or state Medicaid enrollment platforms Knowledge of Google Workplace/Microsoft office or other task management suites National Association of Medical Staff Services (NAMSS) Certified Provider Credentialing Specialist (CPCS) certification a plus Our Benefits Include: Remote work anywhere in the United States Competitive medical, vision, and health insurance (many plans are fully covered for the employee!) 20 days of PTO per year 10 company holidays 401k Contribution Platform Additional benefits offered through our benefits provider such as life insurance, short and long term disability, financial wellness, virtual primary care, among others! #LI-Remote Ophelia Compensation Overview We set compensation based on the level and skills required for the role. We value pay transparency and equity, and are committed to fair pay. In order to prevent pay disparities and reduce time spent in negotiations, we take a “first and best” offer approach: this means we're not holding any compensation back from our candidates, and you can feel confident that our pay is fair and does not vary based on the strength of someone's negotiation skills. Compensation is dynamic at Ophelia: as long as the company performs well and meets our targets, there will be opportunities for increased compensation annually. We're happy to discuss this approach and our bands if you have questions during the interview process. Compensation Range$60,000-$67,000 USD Interested in learning more about Ophelia and this role? Apply to work with us!
    $60k-67k yearly Auto-Apply 42d ago
  • Credentialing Specialist

    Sailor Health

    Remote credentialing specialist job

    Sailor Health is on a mission to solve the mental health crisis among older adults. In the United States, older adults have the highest suicide rates of any age group yet receive the least mental health care. By 2030, over 65 million seniors will make up nearly a quarter of the U.S. population, creating one of the largest and most urgent challenges in healthcare. Sailor is building the platform for senior mental health, connecting older adults, therapists, healthcare professionals, and insurance plans. Our AI-native operating system powers seamless care coordination, real-time clinical insights, and insurance billing - enabling therapists to spend more time delivering compassionate care. We are growing quickly and have partnered with Medicare to offer affordable and exceptional psychotherapy to hundreds of patients. ⭐ About the Role Location: Remote - US or Canada based only Title: Credentialing Specialist Salary Range: $40,000 - $55,000 We're hiring a full-time remote Credentialing Specialist to lead and support all aspects of provider credentialing at Sailor Health. You will own end-to-end enrollment of providers and practice locations in Medicare via PECOS, manage credentialing with Medicare Advantage health plans, maintain accurate CAQH profiles, establish SOPs, and improve credentialing workflows. You will also work closely with our leadership team to innovate on our processes and systems. 💻 Your Key Responsibilities Manage provider enrollment & credentialing: Lead the full credentialing lifecycle for new and existing providers and practice locations - including Medicare (PECOS), Medicare Advantage plans, and other payers. Maintain provider data: Ensure CAQH profiles are complete, current, and accurately reflect provider credentials and practice information. Optimize workflows: Assess current credentialing processes, identify inefficiencies, and implement improvements using Airtable, automation tools, and best practices. Develop SOPs: Write, maintain, and iterate standard operating procedures for credentialing functions and integrate them into operational practice. Monitor compliance: Track credentialing status, re-credentialing deadlines, notices, and plan requirements to ensure uninterrupted provider participation in payer networks. Communicate across teams: Partner with internal stakeholders - including Clinical Operations, Payer Strategy, and Provider Growth - to align priorities and share updates on credentialing progress and blockers. Provider support: Serve as a credentialing point of contact for providers and internal teams, answering questions and coordinating documentation submissions. ✅ What We're Looking For Credentialing experience: 3+ years of direct experience in provider enrollment and credentialing, including both group and individual provider enrollments. PECOS wizard: You have extensive experience working with PECOS enrollments, I&A, and request for corrections - this is a must. Medicare Advantage applications: Prior work with Medicare Advantage health plans and credentialing requirements. Tracking and project management tools: Comfortable learning and using tools such as Airtable, credentialing automation software, and common office/productivity apps. Detail-oriented & organized: You have impeccable attention to detail, stay organized, and meet deadlines in a fast-paced environment. Process mindset: Experience building SOPs and improving operational workflows. Collaborative communicator: Able to work cross-functionally and communicate clearly with internal teams and external partners. ⛵ Why Sailor Health? Mission with impact. Help bring life-changing care to a population that's too often overlooked. Remote-first team. Enjoy the flexibility of remote work while staying closely connected with a thoughtful, collaborative team rooted in purpose. Growth and ownership. Be part of a small, agile team where you'll take initiative, shape key processes, and grow as we grow. Make someone's day - every day. Your work helps older adults and their families feel seen, supported, and cared for. Our Offer to You 💰 Competitive salary 🩺 Comprehensive benefits, including medical insurance 🌴 Flexible PTO and sick days 🕺🏻 Friendliest and most dynamic team culture If this sounds like you, we'd love to connect. Join us in redefining what it means to age with dignity, connection, and mental wellness.
    $40k-55k yearly Auto-Apply 14d ago
  • Credentialing Coordinator (MST or PST)

    Find The Children 3.7company rating

    Remote credentialing specialist job

    About the Company: Octave is a modern behavioral health practice creating a new standard for care delivery that's both high-quality and accessible. With in-person and virtual clinics in multiple states, the company offers evidence-based individual, couples, and family therapy, while pioneering relationships with payers to make care more affordable through insurance. By raising the bar on how care is delivered and how providers are supported, we are building a sustainable system that values equity, affordability, and effectiveness. About the Role: As an Octave Credentialing Coordinator, you will play a vital role in ensuring the timely credentialing and renewal of all providers with payors, while effectively meeting the needs of multiple stakeholders including providers, operations, and revenue cycle teams. With a keen attention to detail and a strong desire to establish and maintain efficient systems, you will work towards achieving the company's strategic objectives. Thriving in a fast-paced, high-growth environment, you will embrace the inherent variability and opportunities it offers, demonstrating initiative and problem-solving skills. This position reports to the Credentialing Manager and is fully remote currently. Responsibilities Include: Collaborate with providers to ensure completion of enrollment applications and track the progress across various payor portals. Perform primary source verifications during initial and re-credentialing cycles. Establish and cultivate relationships with internal and external stakeholder groups. Interact with health plans as needed to ensure accurate provider data is present. Regularly review and validate provider rosters across various payor partnerships. Ensure all internal systems are kept up to date with the most recent provider information Support documentation of processes and procedures. Ensures information is complete, accurate, clear, and concise by following process steps outlined in standard operating procedures. Performs follow-up to ensure quality of work and/or actions are completed. Preferred Qualifications: 1+ year experience in credentialing, with 3 years of experience in a healthcare setting preferred. Experience using various portals and systems, like CAQH, Availity and Salesforce. Proficiency in Gsuite, MS office and excel. Strong prioritization skills. Follows a particular set of instructions given by management or outlined in standard operating procedures. Comfortable in an ambiguous, fast paced environment where all processes might not be fully fleshed out. Effective and empathetic communicator who knows ones audience and can tailor messaging as needed. Calm and clear in conflict resolution with skill in de-escalation when needed. Understands the customer and takes a proactive approach to meeting their needs in an effective and timely manner. Completes individual objectives that contribute to the department and organizations goals. Be a lifelong learner, curious and kind striving towards continuous improvement. Octave's Company Values: The below values drive our day-to-day operations. We're human beings first. We operate with empathy and kindness - with our clients, with our collaborators, and with ourselves. People deserve better than status quo. We're willing to tackle the intractable problems, no matter how big, because someone should. We ask big questions, we craft big solutions, and we challenge ourselves and others to make it happen. No bystanders. No stars. No tourists. Each person has been selected to be here, and with that comes a responsibility to bring your expertise, share your ideas, and help make this company better. Partnership paves the path ahead. We don't operate in a silo, internally or externally. To transform the system, we believe in working with others to create something bigger, better, and stronger. Quality is crucial at scale. Quality is core to our business, and we refuse to sacrifice it as we grow. Progress is a process. In the pursuit of progress, we iterate, reflect, learn, adjust - and always leave things better than we found them. There are people behind every data point. We recognize that numbers tell only one part of the story, and we also do the work to understand impacts at the individual level. Physical Requirements: Available to work 8am to 5pm or 9am to 6pm MST or PST. Prolonged periods sitting at a desk and working on a computer. Must be able to frequently communicate with others through virtual meeting applications such as Zoom and Google Meet. Must be able to observe and communicate information on company provided laptop. Move up to 10 pounds on occasion. Must be eligible to work in the United States without sponsorship now or in the future. Compensation: Octave is committed to pay equity. To maintain our commitment to pay equity, Octave will follow Pay Transparency regulations on all open job postings. Current Pay Transparency laws require companies to include a position's salary or hourly wage range (not including bonuses or equity-based compensation) in any internal or external job posting. This requirement extends to job postings published by a third party at an employer's request. Octave will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with Octave's legal duty to furnish information. Starting pay for qualified applicants will depend on a combination of job-related factors, which may include education, training, experience, location, business needs, or market demands. The expected salary range for this role is set forth below and this range may be modified in the future. The salary range for Geo 1 (all states, excluding those in Geo 2 or Geo 3, and D.C.) is $23.51 - $25.00 per hour. The salary range for Geo 2 (CO, HI, MD, RI) is $25.87 - $27.50 per hour. The salary range for Geo 3 (AK, CA, CT, MA, NJ, NY, WA) is $27.02 - $28.75 per hour. Additionally, this position is eligible for the following benefits: company sponsored life insurance, disability and AD&D plans. Voluntary benefits such as 401k retirement, medical, dental, vision, FSA, HSA, dependent care and commuter/parking options are also available. Octave offers generous Paid Time Off as well as paid parental leave benefits. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Application Instructions: Please complete the following application. Please note that the U.S. Equal Opportunity Employment Information questions below are used for the purposes of EEOC reporting and are optional to complete. Octave is unable to change these questions and we acknowledge that many of the U.S. Equal Opportunity Employment Information questions are not inclusive or affirming of all aspects of cultural identity. Octave is committed to an inclusive workplace environment, and this information will not inform how we approach hiring or employment.
    $23.5-25 hourly Auto-Apply 12d ago
  • Credentialing Specialist

    Gebbs 4.4company rating

    Remote credentialing specialist job

    operates on an Eastern time zone schedule. Responsible for performing all tasks related to the credentialing, filing, updates and follow up for CPa Medical Billing. Job Type: Full-time Pay: $19.00 - $25.00 per hour Benefits: 401(k) 401(k) matching Dental insurance Employee assistance program Health insurance Life insurance Paid time off Referral program Vision insurance Schedule: Monday to Friday Work Location: Remote Responsibilities ESSENTIAL FUNCTIONS & RESPONSBILITIES Complete credentialing and/or re-credentialing applications for physicians and ancillary providers with third-party payers and governmental programs (Medicare and Medicaid) as requested by the client in an accurate and timely manner Complete, update and maintain Council for Affordable Quality Healthcare (CAQH) profiles for providers Ensure credentialing data needed for enrollment, contracting, and other related purposes is on file. Maintain provider credentialing files electronically Maintain credentialing software with current information Reach out to insurance carriers regarding any outstanding items/applications Resolve issues related to provider participation Respond to various inquiries from participating physicians, staff, hospitals, and managed care companies timely and with professionalism Maintain a strict level of confidentiality for all matters pertaining to provider credentials Communicate client/enrollment issues to management at an early stage Must be able to work on various projects as assigned by Credentialing Manager Other duties as assigned Qualifications EDUCATION: High school diploma or GED equivalent EXPERIENCE: Three to Five years of relevant healthcare experience is required including specialized skills in Credentialing. Experience with Windows applications, proficient use of computer, Microsoft Word, Outlook and Microsoft Excel. Strong communication, verbal and written and interpersonal skills. Ability to analyze and solve problems with limited assistance. LANGUAGE SKILLS: Knowledge and use of the English language, Bi-lingual a Plus MATHEMATICAL SKILLS: Basic math skills REASONING ABILITY: Critical thinking, analytical and problem-solving skills A successful candidate will have the following: Outstanding customer service, interpersonal and written skills. The ability to work independently, as well as, in a team setting Exceptional organization and time management skills to manage priorities and deadlines Strong attention to detail and quality Proficiency with Microsoft Office Suite (Word,Outlook); Excel preferred
    $19-25 hourly Auto-Apply 60d+ ago
  • Licensing and Credentialing Specialist - Remote - Contractor (1099)

    Avel Ecare

    Remote credentialing specialist job

    HOURS: 40 hours/week, Dayshift JOB TYPE: Contractor (1099) REPORTS TO: Manager, Medical Staff, Avel eCare The Licensing and Credentialing Specialist is responsible for gathering and maintaining information needed for licensing, credentialing, and re-credentialing of all Avel eCare providers, distributing information to the appropriate sites/agencies, preparing summaries and reports as requested, and maintaining the provider database and highly confidential personnel files. ESSENTIAL FUNCTIONS: 1. Responsible to work independently in obtaining and supporting licensure/re-licensure, credentialing/re-credentialing, medical staff appointment/re-appointment, and privileging/re-privileging processes of all Avel eCare practitioners, including but not limited to physicians (MD and DO) and non-physician practitioners (CNP and PA), registered nurses, respiratory therapists, social workers, and pharmacists. Reprioritizes work as necessary to meet deadlines. 2. Maintains a working knowledge of and independently ensures compliance with applicable policies and procedures, The Joint Commission standards, Centers for Medicare and Medicaid Services (CMS) standards, and applicable federal and state laws; and applies them to the licensure/re-licensure, credentialing/re-credentialing, medical staff appointment/re-appointment, and privileging/re-privileging process. 3. Maintains a comprehensive electronic and hard copy filing system. Collects and distributes appropriate information regarding each Avel eCare clinical nurse and medical practitioner (with practitioners' assistance, as appropriate) in an accurate and timely manner without deficiency and in a cost-effective manner. Ensures the accuracy and integrity of electronic tools used for tracking and follow up regarding the licensure/re-licensure, credentialing/re-credentialing, medical staff appointment/re-appointment, and privileging/re-privileging processes. Generates Avel eCare practitioner specific reporting including, but not limited to state licensure and hospital affiliation. 4. Establishes and maintains effective working relationships with practitioners, practitioner affiliated clinic managers, Avel eCare customers, state licensure representatives, various Medical Support Services offices, Credentialing and Verification Service, other departments, and other applicable resources. Ensures good communication with all entities to maintain accurate information and alerts upper management of potential issues affecting stakeholder relationships. 5. Provides status information to appropriate stakeholders of nursing or medical licensure/re-licensure, credentialing/re-credentialing, medical staff appointment/re-appointment, and privileging/re-privileging processes in a timely and professional manner. 6. Performs generalized secretarial duties in an accurate and timely manner to include, but not limited to transposes handwritten or verbal communication to a typed format, edits all typing for typos and corrects as necessary, makes copies of products as requested, collates, assembles, and distributes information as directed. Processes mail, faxes, and other types of communications. 7. Maintains competencies in using software programs including credentialing platforms Internet Explorer, Microsoft Outlook and Microsoft Office Products, and Adobe Acrobat, etc. 8. Organizes and executes special projects and other duties as assigned by Avel eCare Credentialing Manager. REQUIRED EDUCATION and/or EXPERIENCE: One year credentialing experience preferably in Telemedicine. CPCS Certification preferred. JOB CODE: 481
    $34k-48k yearly est. 8d ago
  • Credentialing Specialist

    Clarity RCM

    Remote credentialing specialist job

    Clarity RCM is the nation's leading revenue cycle platform for dermatology, partnering with independent practices in over 40 states to improve financial performance, streamline operations, and deliver exceptional patient experiences. We are a profitable, fast-growing company with a fully remote U.S. team and a large in-office operation in India. The Role US-Based Candidates only. International applicants will not be considered. We are seeking a highly organized, detail-oriented, and execution-focused Credentialing Specialist who will own provider enrollment, credentialing workflows, and payer setup for dermatology practices nationwide. This is a critical role that requires someone who can make sense of complex, disparate information and turn it into clear, repeatable processes. The ideal candidate thrives in environments that need more structure. You enjoy bringing order to moving parts, synthesizing information from many sources, and building systems where none exist. You take pride in creating workflows, organizing information, documenting steps, and establishing processes that allow the credentialing function to scale. You should be comfortable with complex requirements, persistent follow-up, and maintaining accurate, audit-ready documentation at all times. You are tech savvy, proactive, and committed to delivering clean, reliable work that enables providers to practice without interruption. What You Will Do Credentialing and Provider Onboarding Own the full lifecycle of credentialing for physicians and advanced practice providers, including initial onboarding, primary source verification, re-credentialing, and ongoing monitoring. Verify education, training, licenses, board certifications, malpractice insurance, and work history with complete accuracy. Ensure all credentialing files meet NCQA, TJC, CMS, and payer-specific requirements. Payer Enrollment and Maintenance Prepare, submit, and track enrollment applications with commercial payers including BCBS, UHC, Aetna, and Cigna, as well as Medicare and Medicaid. Manage CAQH ProView including quarterly attestations and document maintenance. Process Medicare enrollments and updates through PECOS. Verify that providers are correctly linked to group tax IDs to prevent out-of-network billing issues. Track effective dates and panel statuses and communicate updates to internal stakeholders. Process Building and Workflow Design Create structure in areas that currently have few or inconsistent processes. Organize credentialing inputs from multiple sources and turn them into clear workflows, trackers, and checklists. Identify bottlenecks, design solutions, and implement improvements that enhance accuracy, speed, and consistency. Document processes and maintain updated SOPs that support ongoing team alignment and scale. Cross-Functional Collaboration Work closely with internal teams to keep credentialing and enrollment workflows moving. Support account managers, operations, and revenue cycle teams by providing accurate status updates and resolving credentialing-related blockers. Partner with billing and AR teams to investigate and resolve claim denials caused by credentialing or enrollment issues. Data Management and Documentation Maintain accurate provider data across CAQH, PECOS, payer portals, and internal systems. Own a master tracker that includes effective dates, expirables, re-credentialing deadlines, panel statuses, and outstanding items. Keep all credentialing records continuously audit-ready with complete and up-to-date documentation. Licensing Support Monitor expiring state licenses, DEA registrations, malpractice insurance, and board certifications. Communicate proactively with providers to ensure renewals are completed well before expiration dates. What You Will Bring Experience: 2 to 3 years of hands-on medical credentialing or payer enrollment experience. Technical Knowledge: Familiarity with CAQH, PECOS, payer portals, and credentialing software. Strong understanding of NCQA, TJC, CMS, and standard credentialing requirements. Structure Building: A track record of bringing order to complex or unstructured environments and building processes that scale. Attention to Detail: Ability to identify inconsistencies instantly and maintain clean, accurate files. Follow-Through: Persistent and professional when gathering documentation or resolving gaps. Communication: Clear, concise, and confident written and verbal communication skills. Technology Mindset: Comfortable navigating multiple systems and adopting new tools. Judgment: Ability to handle PHI and sensitive information with complete discretion. Mindset: Process-driven, organized, proactive, resourceful, and committed to continuous improvement. Additional Details Location: Fully remote role based in the United States. Compensation: Competitive salary with benefits, commensurate with experience. Why Join Clarity RCM At Clarity, you will join a mission-driven, founder-led organization transforming how independent dermatology practices operate. You will help build a credentialing function known for accuracy, speed, and reliability, and you will be part of a culture that values operational excellence, collaboration, and continuous improvement.
    $34k-48k yearly est. 23d ago
  • Licensing and Credentialing Specialist

    Hey Jane

    Remote credentialing specialist job

    Unless otherwise noted, all positions are fully remote with work permitted from the following states: CA, CO, IL, MA, MD, NJ, NY, OR, and WA. We are living through a pivotal moment for reproductive and sexual health-and Hey Jane is uniquely positioned to help. From day one, we've been committed to providing safe, discreet medication abortion treatment-and have helped more than 100,000 people get the care they need. Today, we offer a range of reproductive and sexual health care services from the comfort and convenience of your phone. Our in-house clinical care team, composed of board certified doctors, advanced practice clinicians, nurses, and patient care advocates, is just a text message away. We're committed to helping our patients get safe, discreet, judgment-free virtual health care, from a team that truly cares. Role OverviewWe are seeking a highly organized and detail-oriented Licensing & Credentialing Specialist who thrives in dynamic environments and is motivated by the opportunity to help clinicians deliver high-quality, patient-centered care. In this role, you will manage all aspects of provider licensing, credentialing, and payer enrollment, ensuring our clinical team remains fully compliant, up-to-date, and able to practice without interruption. You will coordinate end-to-end licensing workflows, maintain accurate records across multiple systems, and act as a key liaison between clinicians, state boards, payers, and internal stakeholders. The ideal candidate is comfortable working in the details, managing many moving pieces, and being persistent in communications. You excel at spotting gaps, creating structure where it's needed, and keeping processes running smoothly to help our clinicians care for patients without administrative delays. Why this role matters This isn't your average administrative role: the systems you maintain and improve directly determine how quickly and effectively patients can access safe, timely, and compassionate care. In a moment where access to care is more important than ever, your work will have a tangible impact on clinicians' ability to practice and on the future of accessible healthcare across the U.S.At Hey Jane, we work towards the vision of having equitable healthcare, changing the status quo, and rebuilding the way people experience healthcare-and bring that same vision to our workplace. We're an equal opportunity employer committed to building an inclusive environment, and encourage all applicants from every background and life experience.
    $34k-48k yearly est. Auto-Apply 20d ago
  • Medical Billing & Credentialing Specialist

    Cuyahoga County Board of Health 3.8company rating

    Remote credentialing specialist job

    AVAILABLE Medical Billing & Credentialing Specialist Reports to: Director of Finance January 12, 2026 Position Type: Full-time, Bargaining Starting Salary: $37,599 annually Hours: Mon. - Fri., 8:30 a.m. to 4:30 p.m. Vaccine Policy: All new hires will need to meet vaccination requirements or request an exemption and submit a TB Baseline as outlined in the CCBH Vaccination Policy. Minimum Requirements: Associate's degree in health information management technology or related field or two years of direct experience. Minimum of three years of medical office and medical billing with collection experience. OR five years of experience (with HS Diploma/GED), OR one year of experience (with Bachelor's degree), OR no experience necessary (with Master's degree). Certified Medical Coder and Certified Medical Insurance Specialist credentials. Ability to efficiently multi-task on a daily basis. Strong knowledge of medical terminology, billing/collection processes, and insurance billing and coding (ICD-10 and CPT). Knowledge of local, state, and federal billing regulations and third-party insurance program requirements. Proficiency with use of databases for data querying and reporting. Proficiency with use of PC hardware & basic software (i.e., Microsoft office), email, and office equipment (i.e., copier, fax, scanner, telephone, etc.). Strong customer service, verbal and written communication skills, and organizational skills. Good interpersonal relationship skills including cultural sensitivity & competence. Responsibilities: Maintains up to date knowledge of third-party billing procedures and regulations in accordance with HIPAA, CMS, the ACA, etc. Leads the claims resolution process on behalf of the agency with third party providers. Provides assistance with the development, implementation and/or revision of policies/procedures governing CCBH's medical billing process. Revises, corrects, and codes medical charges into the billing system. Enters/updates medical charges into billing system. Addresses and resolves billing discrepancies with third party providers. · Verifies insurance eligibility and level of benefit coverage for clients. Reviews all medical claims for accuracy prior to submission to the medical claims clearinghouse for payment processing. Collaborates with third party providers to resolve claims issues on agency's behalf. · Assists with the updating and maintenance of the clinic fee schedule utilizing the CPT, HCPCS, and ICD-10 code databases. Maintains up to date knowledge of the latest methods of data collection, coding, billing, collection, and claims submission. Serves as a resource to clinic staff related to the medical coding/billing process. Receives and posts daily revenue from insurance carriers and direct client payments into the billing system and reviews and remedies any denials. Confers with the insurance carrier and/or clinic staff to resolve any discrepancies. Generates invoices to clients for balances owed. Performs periodic reviews of CCBH contracts and agreements to ensure availability of the most current information for all medical insurance carriers, CCBH, and its providers. Consults with CCBH General Counsel for contract approvals and collaborate with the relevant clinic supervisory staff. Completes/updates provider enrollment credentialing and credentialing process. Maintains timely and accurate entry of provider data in CAQH and all other required databases. Monitors expiring licensure, board and professional certifications, and other documents that expire for all providers and ensure timely renewals. Collaborates with internal and external partners on special projects as assigned. Participates on internal and external subcommittees. Develops and extracts reports from databases (i.e., EHR, etc.) for delivery to internal and external customers. Creates and runs regular reports for collections, billing, program statistics, etc. Gathers and organizes documents to satisfy client record audits or other reporting obligations. Participates in public health emergency activities as needed. May be required to operate agency-owned fleet vehicles at offsite service locations. Performs other duties as assigned. Please complete the online application on our website, ***************** All applicants are required to upload a resume and include a cover letter with their application. Deadline to Apply: Posted Until Filled Bilingual Applicants Welcome Benefits offered at CCBH (for employees working at least 40 hours per pay period/Bi-weekly): Medical (full time employees responsible for 10% of premium) Dental (full time employees responsible for 10% of premium) Vision Public Employee Retirement System (PERS) Deferred Compensation FSA Health and Dependent Care Tuition Reimbursement Holidays (14 paid per year) Vacation Time (13 paid days per year for new service PERS members*) Sick Time (15 paid days per year*) Personal Days (up to 3 paid per year) Agency paid Life Insurance Additional Voluntary Life Insurance Voluntary Identity Theft Protection Voluntary Critical Illness Voluntary Accident Insurance Employee Assistance Program Free Parking Onsite Remote work from home available up to two days per week with approval after the completion of a minimum of 60 days of employment. Alternate work schedule or changes in work schedule available after initial training period with approval. Core work hours of 10am to 2pm required of all staff. *Benefit is prorated based on start date Employees hired for a position that is funded in whole or in part by a designated funding source may be laid off when the funding source is reduced or eliminated. THIS AGENCY IS AN EQUAL PROVIDER OF SERVICES AND AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER CIVIL RIGHTS ACT 1964 THIS EMPLOYER PARTICIPATES IN E-VERIFY All employees hired for a position must be legally authorized to work in the United States without requiring sponsorship for employment visa status now or in the future.
    $37.6k yearly 10d ago
  • Credentialing & Privileging Coordinator

    Communitycare Health Centers 4.0company rating

    Remote credentialing specialist job

    Under the direction of the Credentialing Manager, the Credentialing Coordinator is responsible for coordinating all aspects of the credentialing and/or recredentialing process as well as changes in privileges/specialty or demographic information for health care professionals practicing within CommUnityCare health centers. This position ensures health care professionals are appropriately credentialed and privileged, including ongoing maintenance and verification of current information on file and within the credentialing database, and other duties required to maintain compliance with regulatory and accreditation agencies and CommUnityCare credentialing policies and procedures. Responsibilities Essential Duties (at least 5 that are non-negotiable duties and are absolutely pertinent to successfully completing the job without accommodations):• Reviews, screens, and completes initial credentialing and/or recredentialing, and additional privilege request applications for completeness, accuracy, and compliance with federal, state, local, and CommUnityCare regulations, standards, policies, and guidelines. • Perform and collect primary source verification (PSV) of all credentialing elements and validates the information to ensure accuracy. • Data entry of new applications in the credentialing database.• Communicates clearly with providers, their credentialing representative, and leadership as needed to provide timely updates and responses on day-to-day credentialing and privileging issues as they arise. • Analyzes, identifies, resolves discrepancies, time gaps, and other issues that could impact ability to credential healthcare practitioners. • Report issues in a timely manner to Credentialing Manager for decision making in accordance with credentialing and privileging policy and federal state, local, and government and health plans standards. • Provide consistent and timely follow-up on all outstanding credentialing/re-credentialing files.• Process provider demographic changes ensuring appropriate documentation has been submitted with the changes, update credentialing database and notify health plans of changes.• Prepare and scan credentialing/re-credentialing files and other credentialing documentation into electronic folder. • Maintain knowledge of current requirements for credentialing providers.• Ensure all tasks duties comply with all regulatory and accreditation standards including The Joint Commission, the National Committee Quality Assurance (NCQA) guidelines, and CommUnityCare Standard Operating Procedures and CommUnityCare Policies and Procedures.• Responsible for monitoring and managing credentials/recredentialing requirement to ensure the collection of all required renewals are on file within their required time frame. • Responsible for the timely entry, processing, and tracking of credentialing files. Other Job Responsibilities• Ensure all actions, job performance, personal conduct and communications always represent CommUnityCare in a highly professional manner.• Uphold and ensure compliance, confidentiality and adhere to all HIPAA guidelines, and maintain a strict level of confidentiality for all company policies and procedures, departmental, and healthcare provider information as well as the overall mission and values of the organization.• Ensure that all work is done in a timely and accurate manner.• Works within established credentialing timeframes and notifies manager as to status and barriers preventing work being done in a timely and accurate manner.• Maintain strong working relationships with providers, health plan staff, and other credentialing verification offices.• Develop and maintain favorable internal relationships, partnerships with co-workers.• Responsible for the monthly ongoing monitoring of licenses and sanctions.• Audit disciplinary reports, OIG reports, and other reports as required and initiate the formal complaint procedure, when applicable.• Participates in staff meetings and recommends new approaches, policies and procedures to effect continual improvement in efficiency of the department and services performed. • Respond to emails timely and effectively.• Provide support to physicians, physician office staff, and company departments as necessary.• Assist with annual Health Plan delegated credentialing audits. • Cross train within department to support credentialing operations (back-up support for credentialing files, vacation/PTO).• Participate in various educational/training as required.• Perform other job-related duties as assigned. Knowledge/Skills/Abilities:• Articulates knowledge and understanding of organizational policies, procedures, and systems.• Ability to function effectively and work under pressure in a demanding and fast paced environment.• Ability to manage change, delays, or unexpected events appropriately, and demonstrate sense of urgency and strong time management awareness.• Strong organizational, problem solving, and critical thinking skills, and to proactively prioritizes needs and effectively manages resources.• Excellent interpersonal and customer service skills. • Information research skills.• Ability to communicate effectively both orally and in writing.• Ability to use independent judgment and to manage and impart confidential information. • Ability to function effectively in a remote work environment.• Ability to work in both individual or group environment and multitask as needed.• Demonstrate proficiency in Microsoft Word, Excel and Access.• Knowledge of CAQH (Council for Affordable Quality Healthcare) database and application process.• Knowledge of Medicare and Medicaid provider enrollment systems. Qualifications MINIMUM EDUCATION: High School Diploma MINIMUM EXPERIENCE: 2 years of experience in practitioner credentialing with a working knowledge of federal and state regulatory agencies and accrediting bodies (CMS, TJC, NCQA, etc.) PREFERRED EXPERIENCE: 5 years of experience in credentialing and privileging role with knowledge in either an ambulatory, managed care, or hospital credentialing with strong knowledge of federal and state regulatory agencies and accrediting bodies (CMS, TJC, NCQA, etc.) REQUIRED CERTIFICATIONS/LICENSURE: Certified Professional Credentialing Specialist (CPCS) within first 3 years of employment if not already certified upon hire.
    $31k-38k yearly est. Auto-Apply 20d ago
  • Insurance Credentialing Specialist

    Total Care Therapy 4.5company rating

    Credentialing specialist job in Dublin, OH

    (TCT): Total Care Therapy (TCT) is a therapist-owned and operated company specializing in Physical, Occupational, and Speech Therapy services in assisted and independent living settings. Our mission is to empower individuals to regain their independence through compassionate and high-quality care. At TCT, we cultivate a culture that prioritizes flexibility, personal and professional growth, and a collaborative team spirit. Our commitment to fostering a positive and inclusive culture ensures that every member of our team feels valued and motivated to make a meaningful impact on the lives of those we serve. Position Summary The Insurance Credentialing Specialist is responsible for managing and maintaining the credentialing and re-credentialing process for healthcare providers with insurance payers, government programs, and regulatory bodies. This role ensures that all providers meet compliance requirements and are enrolled accurately and efficiently to support timely reimbursement and uninterrupted patient care. Key Responsibilities Complete and submit initial credentialing, re-credentialing, and enrollment applications to insurance companies, Medicare/Medicaid, and other payer systems. Maintain up-to-date provider files, including licenses, certifications, malpractice insurance, CAQH profiles, and other required documentation. Monitor expirables and ensure timely updates to prevent lapses in participation or reimbursement. Track application status, follow up with payers, and resolve delays or discrepancies. Serve as a liaison between providers, practice administrators, billing staff, and insurance representatives. Verify provider credentials and ensure compliance with payer and regulatory requirements. Manage database entries and maintain accurate electronic records. Assist with audits, compliance reviews, and reporting as needed. Communicate changes in payer policies or credentialing requirements to leadership and staff. Support the onboarding process by ensuring new providers are enrolled with all necessary payers in alignment with start dates. Qualifications High school diploma required; associate or bachelor's degree preferred. Prior experience in credentialing, medical billing, or healthcare administration strongly preferred. Knowledge of CAQH, NPPES, PECOS, and payer enrollment processes. Strong attention to detail and organizational skills. Excellent communication and problem-solving abilities. Proficient in credentialing software, practice management systems, and Microsoft Office. Key Competencies Accuracy and compliance focus Ability to manage multiple deadlines Professional and proactive communication Strong analytical and documentation skills Confidentiality and data integrity Why Choose Total Care Therapy? At Total Care Therapy, we offer a rewarding and supportive environment to help you grow both personally and professionally. Here's what you can expect: Competitive Compensation & Benefits: Comprehensive benefits package including medical, dental, and vision insurance. 401(k) retirement plan with company matching. Work-Life Balance & Employee Perks: Paid time off to help you recharge and maintain balance. Exclusive employee perks including reduced Botox rates and a discounted Life Time gym membership. Supportive, Growth-Focused Culture: Join a therapist-owned company with a close-knit, collaborative team. Opportunities for training, mentorship, and career advancement. Ready to Join Us? If you're passionate about making a difference in healthcare and have the skills we're looking for, we'd love to hear from you! Apply now, and one of our recruiters will reach out to discuss the next steps in your journey with Total Care Therapy.
    $35k-54k yearly est. Auto-Apply 17d ago
  • Healthcare Credentialing Coordinator

    Practice Management Resource Group 4.2company rating

    Remote credentialing specialist job

    Job DescriptionBenefits: 401(k) Competitive salary Dental insurance Health insurance Paid time off Profit sharing Vision insurance Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Healthcare Credentialing Coordinator to join our team! As a Healthcare Credentialing Coordinator, you will be collecting and compiling current data on all credentialed providers, verifying existing information, and tracking all expiring or changing credentials. You will also be processing applications for new credentialing or re-credentialing for providers, reaching out to providers whose credentials will be expiring, and maintaining accurate records across the board for every provider. The ideal candidate has an understanding of state regulations and credentialing, excellent organizational skills, and strong attention to detail. Responsibilities Maintain accurate records of all credentials and licensing information for all providers Organize and keep copies of all state licenses held by current providers Track expiration dates for all provider credentials and licensing Process new credentialing applications according to state regulations and requirements Maintain a high level of confidentiality Qualifications Knowledge of credentialing and licensing within the state desired Strong attention to detail Strong organizational skills The ability to multitask, and work well independently This is a remote position.
    $26k-38k yearly est. 16d ago
  • Scheduling Specialist Remote after training

    Radiology Partners 4.3company rating

    Remote credentialing specialist job

    RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position working 9:00AM - 5:30PM CST Mon-Fri, Rotating Saturday 7am-1pm CST. ESSENTIAL DUTIES AND RESPONSIBILITIES: (85%) Scheduling Activities Answers phones and handles calls in a professional and timely manner Maintains positive interactions at all times with patients, referring offices and team members Schedules patient examinations according to existing company policy Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately Ensures all patient data is entered into information systems completely and accurately Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment Communicates to technologists any scheduling changes in order to ensure highest level of patient satisfaction Maintains an up-to-date and accurate database on all current and potential referring physicians Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices Provides back up coverage for front office team members as requested by supervisor (i.e., rest breaks, meal breaks, vacations and sick leave) Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only (10%) Insurance Activities Pre-certifies all exams with patient's insurance company as required Verifies insurance for same day add-ons Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Other Tasks and Projects as Assigned
    $33k-39k yearly est. 2d ago
  • Medical Staff Credentials Coordinator (Remote)

    Scionhealth

    Remote credentialing specialist job

    At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary * Coordinates the effective functioning of the credentialing process within assigned facility(ies) to ensure compliance with State and Federal requirements, accreditation standards, Medical Staff Bylaws, Rules and Regulations, and applicable policies and procedures Essential Functions * Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards * Performs all aspects of credentialing, including appointment, reappointment, privileging, and proctoring * Monitor and maintain practitioner license expiration for State, DEA, Malpractice Insurance, and other regulatory bodies * Responsible for the coordination and effective functioning of Medical Staff clinical department and committee meetings to ensure compliance with the Medical Staff Bylaws, Rules and Regulations, and applicable policies and procedures * Maintains confidential credentials files and electronic medical staff database * Exhibits a high degree of responsibility for confidential matters * Skilled in the development and use of spreadsheets and word processing applications * Ability to communicate effectively with patients and their family members, and at all levels of the organization * Ability to organize, prioritize and follow-up Knowledge/Skills/Abilities/Expectations * Approximate percent of time required to travel: up to 10% * Knowledge of State and Federal regulations, and Joint Commission Accreditation Standards * Must read, write and speak fluent English * Must have good and regular attendance * Performs other related duties as assigned Qualifications Education * High school graduate or equivalent Licenses/Certifications * CMSC certification preferred Experience * Experience with credentialing initial appointment and reappointment applications in an acute care hospital * Experience with preparing medical staff department/committee meetings and composing minutes * Experience with or direct involvement in a combined accreditation and licensing survey at an acute care hospital
    $43k-65k yearly est. 60d+ ago
  • Ministry Staff Coordinator, Africa - Link

    Intervarsity USA 4.4company rating

    Remote credentialing specialist job

    Job Type: Full time ATTENTION: Please do not apply here for this position without first reaching out to InterVarsity Link by writing ********************* to receive guidance on how to apply. InterVarsity Link exists to connect the US-based ministry of InterVarsity Christian Fellowship/USA with the global network of college fellowships in the IFES (International Fellowship of Evangelical Students). In Africa alone, there are 80 countries where there is a Christ-focused presence on college campuses. The Ministry Staff Coordinator for Africa is a vital position that trains and equips Link Staff to serve in Africa. In addition, you listen and learn from local ministry leaders, deepening the partnership we have in the Gospel.Job Description To advance the purpose of InterVarsity Christian Fellowship/USA, this position will: Recruit, select, train, and provide member care for InterVarsity Link field staff - Student Ministry Leaders, Ministry Team Leaders, and Senior Ministry Specialists, Develop a sense of Christian community and ministry partnership with leaders in the IFES region(s) to which they are assigned, Facilitate specific ministry partnerships and exchanges between IFES regions or national movements with InterVarsity Christian Fellowship/USA MAJOR RESPONSIBILITIES Spiritual Growth: Be a maturing disciple of Jesus Christ, growing in love for God, God's Word, God's people of every ethnicity and culture, and God's purposes in the world by: Practicing daily spiritual disciplines Pursuing spiritual relationships and involvement in a worshiping community Continuing learning and growth in spiritual understanding, biblical knowledge, ministry experience and skills Engage in spiritual leadership through teaching, preaching, discipling, leading Bible studies, and/or prayer and worship services in a local church or worshiping community Experience and live out an ongoing call to ministry service with InterVarsity and its mission Provide Member Care: Provide spiritual and vocational support and direction to ministry staff by: Providing for the pastoral care and spiritual development of Link staff in collaboration with IFES supervisors Providing for the ministry training and professional development of Link staff in collaboration with IFES supervisors Intervening in personal and team conflicts in collaboration with IFES supervisors as requested Visiting the supervisory region annually, personally visiting new Link staff within their first year on the field Oversee the MPD work of Link staff Provide regular feedback and evaluation of the ministry and spiritual growth of Link staff Administration: Provide administrative services and financial management that enables Link staff to flourish in their ministry placements Interface with InterVarsity departments to serve Link staff's needs Ensure adherence to InterVarsity and InterVarsity Link policies, procedures, reporting requirements and financial guidelines Partnering with the International Fellowship of Evangelical Students (IFES): Build strong, trusting relationships with IFES leaders in the region to which the LSC is assigned Work with IFES leaders to develop Seconding Agreements Attend Regional and national conferences (at the request of IFES leaders) to lead in Bible study, worship, prayer, and ministry training Be in contact with the IFES Regional Secretary regarding supervisory or pastoral care visits made to the region by the LSC or other representative of InterVarsity Link Recruiting, Selecting, Placing, and Orienting: Develop strong, trusting relationships with InterVarsity/USA staff directors and staff Be available to InterVarsity regions to serve at staff and student meetings and conferences to lead in Bible study, worship, prayer, and ministry training Participate in InterVarsity Link recruiting programs Work with the Link Leadership Team (LLT) to review applications, interview applicants, make the final hiring decision, and, in collaboration with the IFES and the applicant, identify placement possibilities Work with the Link Training Coordinator on the Link Orientation event and other orientation and debriefing resources for the new Link staff as needed The Link Leadership Team (LLT): Participate and be fully engaged as a member of the LLT and Link Staff Coordinator (LSC) Teams, to contribute to the accomplishment of the teams' plans Actively engage in prayer for Link field staff personally and in team prayer meetings Engage positively with the supervision you receive Minstry Partner Development (MPD): Raise 100% of salary and benefits Communicate regularly and frequently with ministry partners Adhere to InterVarsity/USA and InterVarsity Link MPD and Deficit Policy guidelines Represent InterVarsity Link within InterVarsity/USA, with the IFES, and in the broader Christian community QUALIFICATIONS Annually affirm InterVarsity's Statement of Agreement (Doctrinal Basis and Purpose Statement). Abide by InterVarsity's Code of Conduct. Believe and behave consonantly with InterVarsity's Human Sexuality Theological Paper. Affirm and behave consonantly with InterVarsity's “Women in Ministry Statement of Affirmation” Ongoing call to InterVarsity and the mission of the IFES Bachelor's degree 2+ years living overseas or its equivalent Ministry/missions experience including the ability to communicate spiritual vision, teach spiritual and biblical principles, plan ministry programs, and spiritually disciple, coach and mentor Demonstrated cross-cultural skills Demonstrated gifts in coaching, pastoral care, and training Ability to supervise staff who are long distances away and living in high stress environments Ability to organize ministry and training events Ability to take charge of tasks and work independently without close supervision Strong oral and written communication skills Ability to work under the pressure of deadlines Ability to maintain accurate records and files Open to learn new concepts, methods and skills A demonstrated ability and commitment to work collaboratively in a diverse, distributed team environment A working knowledge of Microsoft software applications (Word, Access, Excel, and PowerPoint) Pay Range: $53,328.00 - $71,112.00 per year Pay: This position is funded through personal fundraising. Accordingly, compensation will vary based on the ability of the individual to secure a donor team to fund the cost of his/her salary. The anticipated salary range for this position on a full-time basis (40 hours/week) is dependent on a variety of factors, including location and cost of living. The actual salary received, including any geographic adjustment to account for location and cost of living, is subject to the individual's ability to raise funds necessary to cover the full amount of such salary within the range set forth in the job posting details. Benefits: We offer a competitive benefits package, including health care and retirement savings with a match. Eligibility is based on employee type and hours worked. Benefits include the following: 403(b) Retirement Savings Plan 403(b) matching contributions Dental insurance Employee assistance program Employee discounts Flexible work schedule Flexible spending accounts Health insurance Health savings account Life insurance Paid time off Parental leave Professional development assistance Vision insurance Equal Employment Opportunity: InterVarsity Christian Fellowship/USA is both an equal opportunity employer and a faith-based religious organization. We conduct hiring without regard to race, color, ancestry, national origin, citizenship, age, sex, marital status, parental status, membership in any labor organization, political ideology, or disability of an otherwise qualified individual. The status of InterVarsity Christian Fellowship/USA as an equal opportunity employer does not prevent the organization from hiring staff based on their religious beliefs so that all staff share the same religious commitment. Pursuant to the Civil Rights Act of 1964, Section 702 (42 U.S.C. 2000e 1(a)) InterVarsity Christian Fellowship/USA has the right to, and does, hire only candidates who agree with InterVarsity's Statement of Agreement: Purpose and Doctrinal Basis because InterVarsity believes that each and every staff plays a vital role in advancing InterVarsity's mission and purposes.
    $53.3k-71.1k yearly Auto-Apply 60d+ ago
  • Clinical Scheduling Specialist

    Midi Health

    Remote credentialing specialist job

    Master Clinical Scheduler @ Midi Health: 👩 ⚕️💻 Midi is seeking an experienced Master Scheduler to join our cutting edge healthcare start-up. This is a rare opportunity to start at the ground level of a fast-growing healthcare practice! We offer a flexible work schedule and 100% remote environment with a competitive salary, benefits and a kind, human-centered environment. Business Impact 📈 Sole responsibility for creating every Midi clinician's schedule in Athena Daily monitoring of clinician schedules Management of patient waiting list to backfill patients as times become available Rescheduling of patients as needed Adjustment of clinician schedules as needed Cross-coverage of Care Coordinator Team responsibilities as assigned What you will need to succeed: 🌱 Availability! 5 days per week, 8 hour shift + 30 min unpaid lunch - 9:30 AM to 6 PM PST Minimum of five (3) years as a Clinical Scheduler building clinician schedules (preferably in AthenaHealth) Minimum of 1 year experience working for a digital healthcare company Proficiency in scheduling across multiple time zones Self-starter with strong attention to detail What we offer: Compensation: $30/hour, non-exempt Full Time, 40-hour work-week Fully remote, work from home opportunity! Benefits (medical, dental, vision, 401k) The interview process will include: 📚 Interview with Recruiter (30 min Zoom) Interview with Scheduling Supervisor + Lead Scheduler (30 min Zoom) Final Interview with Practice Manager (30 min Zoom) ***Scheduled Shift Time is M-F 9:30am-6pm PST*** Thanks for your interest in Midi 👋While you are waiting for us to review your resume, here is some fun content to check out! Check us out here and here. Trust that our patients love❣️us! #Menopauseishot #LI-DS1 Please note that all official communication from Midi Health will come from **************** email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at ********************. Midi Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Please find our CCPA Privacy Notice for California Candidates here.
    $30 hourly Auto-Apply 13d ago
  • Orthopedic Practice Scheduling Specialist

    Hand and Microsurgery Associates

    Credentialing specialist job in Columbus, OH

    The Scheduling Specialist serves as the primary point of contact for patients seeking orthopedic care. This role is responsible for accurately scheduling appointments, managing referrals, gathering required demographic and insurance information, and ensuring timely access to providers while delivering a high level of patient service. Accuracy, efficiency, and professionalism are essential to support clinic flow and revenue cycle success. Summary Primary Responsibilities- Communications: Patient Scheduling & Access Answer high-volume inbound calls in a professional, courteous manner Schedule new and established patient appointments according to provider templates, urgency, and practice protocols Appropriately triage appointment requests (routine, urgent, post-op, imaging follow-up, etc.) Coordinate appointments across multiple providers, locations, and services (clinic, imaging, therapy, procedures) Manage rescheduling, cancellations, and waitlists to optimize provider availability Referrals & Documentation Receive, review, and process referrals from external providers Ensure required referral documentation is complete prior to scheduling Communicate with referring offices as needed to obtain missing information Document all patient interactions accurately in the electronic medical record (EMR) Insurance & Demographics Collect and verify patient demographics and insurance information at the time of scheduling Confirm reason for visit, affected body part, laterality, and prior imaging or treatment Demonstrates working knowledge of common insurance plans, referral requirements, and benefit limitations to ensure appropriate scheduling and minimize downstream billing issues Customer Service & Communication Provide clear, compassionate communication to patients who may be in pain or distressed Set appropriate expectations regarding appointment availability, arrival time, and visit preparation Collaborate closely with clinical staff, billing, referrals, and leadership to ensure smooth patient flow Escalate concerns or complex scheduling issues to leadership when needed Performance & Compliance Follow HIPAA and practice policies at all times Participate in training, process improvement initiatives, and team meetings Train and mentor incoming staff Special projects and other duties as assigned Qualifications: Two or more years' experience in patient scheduling in a private practice Orthopedic office patient care and scheduling experience preferred Five years customer service/ communication experience in health care setting preferred Health care insurance and medical terminology preferred Proven ability to adhere to deadlines Critical thinking and decision-making skills Strong communication skills Solid software skills related to learning third party programs Microsoft Office and Windows fluency Detail oriented and highly dependable Ability to type 30 words per minute Physical Demands by Position: This position regularly requires the employee stand, walk, use hands, talk, and hear. Bending and lifting may be to complete certain tasks in regarding to filing or equipment troubleshooting. Specific vision requirements consist of close vision, distant vision, color vision, and the ability to adjust focus. Work Environment: The selected candidate will be required to wear employer-purchased scrubs while on duty. Noise level is moderate OSHA Blood Borne Pathogen Employee Exposure Categories - (One Category must be checked) Category 1:______ Employees whose job functions involve routine or potential exposure to blood, body fluids or tissues (Direct patient care jobs) Category 2:______ Employees whose job functions involve no routine exposure to blood, body fluids or tissues, but employment may require performing unplanned Category 1 tasks. (Indirect patient care jobs, i.e. Intake Specialist or Greeter) Category 3:___X____ Employees whose job functions involve no exposure to blood, body fluids or tissues, and Category 1 and 2 tasks are not a condition of employment (back office, administrative) Sensitive Information Qualifications: Access to NextGen EHR Access to patient records, surgical notes, and various health insurance websites Acknowledges understanding of HIPAA Regulations and Guidelines Access to patient credit and personal information, credit cards and cash
    $28k-41k yearly est. 4d ago
  • V104 - Intake and Scheduling Specialist

    Flywheel Software 4.3company rating

    Remote credentialing specialist job

    For ambitious, culturally diverse, curious minds seeking booming careers, Job Duck unlocks and nurtures your potential. We connect you with rewarding, remote job opportunities with US-based employers who recognize and appreciate your skills, allowing you to not just survive but thrive. As a lifestyle company, we ensure that everybody working here has a fantastic time, which is why we've earned the Great Place to Work Certification every year since 2022! Job Description: This role at Job Duck offers the opportunity to support a fast‑paced professional environment where responsiveness and smooth communication truly make a daily impact. The position centers around assisting clients with care, managing incoming calls with a warm and engaging presence, and ensuring that follow‑ups and intakes are handled with clarity and consistency. You will contribute by preparing polished templates, maintaining accurate spreadsheets, and coordinating schedules so operations run seamlessly. A candidate who thrives in this role enjoys interacting with others, communicates with confidence, and stays organized even when navigating multiple software tools at once. If you bring strong English skills and a naturally outgoing approach to your work, you will excel here. • Salary Range: 1,150 USD to 1,220 USD Responsibilities include, but are not limited to: Answering phone calls (approximately 10/day), it can vary Handle scheduling and calendar coordination Support general administrative functions Create and maintain spreadsheets Templates drafting. Client intake and follow-up. Requirements: Strong written and spoken English Excellent grammar and communication skills Responsive and detail‑oriented Comfortable using multiple software platforms simultaneously Outgoing communication style Ability to stay organized while handling varied administrative tasks CRM: Lawmatics VoIP: RingCentral Internal communication: Microsoft Teams Channel, Slack Outlook Work Shift: 9:00 AM - 6:00 PM [EST][EDT] (United States of America) Languages: English, Spanish Ready to dive in? Apply now and make sure to follow all the instructions! Our application process involves multiple stages, and submitting your application is just the first step. Every candidate must successfully pass each stage to move forward in the process. Please keep an eye on your email and WhatsApp for the next steps. A recruiter will be assigned to guide you through the application process. Be sure to check your spam folder as well.
    $30k-43k yearly est. Auto-Apply 11d ago

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