Credentialing specialist work from home jobs - 496 jobs

Medical Support Assistant Duration: 1 year contract (strong possibility of extension!) Onsite: Denver, CO Full Time: M-F, Day Shift Overview: We are seeking reliable and mission-driven Medical Support Assistants to support Veterans served by a large healthcare system. MSAs provide critical front-line administration support across outpatient clinics and virtual care services. Responsibilities: • Customer service, appointment scheduling, and records management • Answer phones, greet Veteran patients, schedule appointments and consults • Help determine a clinic's daily needs, and verify and update insurance information Required Qualifications: • Minimum 6+ months of customer service experience • 1+ year of clerical, call center, or healthcare administrative experience • High school diploma or GED required • Proficient with medical terminology • Typing speed of 50 words per minute or more • Ability to pass a federal background check • Reliable internet for a remote work environment

CSI Companies is seeking a Cerner Oncology Scheduler to work with one of our top healthcare clients! Training: 2-weeks onsite training in South Bend, IN Expenses: Travel expenses are reimbursed Type: 100% Remote after training Duration: 3+ Month Contract Pay: $30 - $40/hour W2 Description: Summary: The Cerner Oncology Scheduler will provide staff augmentation support to maintain operational volumes across a high-volume outpatient oncology infusion center, medical oncology clinic, and gynecologic oncology center. This role is critical to ensuring continuity of care while the health system completes permanent hiring efforts. Schedulers will work directly within Oracle Health Scheduling Appointment Book to manage complex oncology scheduling workflows, including patient intake, insurance verification, referral review, ICD 10 diagnosis review, treatment authorizations, orders, infusion appointments, provider visits, and coordinated multi-appointment care. Key Responsibilities: Interact directly with oncology patients. Complete all operational patient intake tasks such as insurance verification, management of authorizations, referral management, and patient registrations. Schedule outpatient oncology appointments using Oracle Health Scheduling Appointment Book, including: Medical oncology clinic visits Infusion appointments Gynecologic oncology visits Multi-visit and multi-resource appointment coordination Accurately manage provider templates, infusion chair availability, and resource constraints Coordinate care across clinics, infusion services, and ancillary departments Apply oncology-specific scheduling rules, sequencing, and timing requirements Communicate effectively with clinical teams, patients, and leadership regarding scheduling needs Support operational throughput and access goals during staffing shortages Adhere to organizational scheduling policies, workflows, and escalation paths Required Qualifications Minimum 2 years of hands-on experience scheduling oncology patients in Cerner Demonstrated proficiency with Oracle Health CPM ambulatory specialist scheduling & Scheduling Appointment Book oncology infusion center scheduling. Experience supporting outpatient oncology environments (medical oncology, infusion, and/or gynecologic oncology) Strong understanding of the complexities and sequencing of oncology appointments Ability to work independently with minimal ramp-up after onboarding Willingness to travel onsite to Indiana for initial onboarding period Preferred Qualifications Experience in high-volume oncology infusion centers Familiarity with oncology operational metrics (access, utilization, chair time optimization) Prior contract or staff augmentation experience in healthcare settings

Who We Are: Access TeleCare is the largest national provider of telemedicine technology and solutions to hospitals and health systems. The Access TeleCare technology platform, Telemed IQ, enables life-saving patient care through telemedicine and empowers healthcare organizations to build telemedicine programs in any clinical specialty. We provide healthcare teams with industry-leading solutions that drive improved clinical care, patient outcomes, and organizational health. We are proud to be the first provider of acute clinical telemedicine services to earn The Joint Commission's Gold Seal of Approval and has maintained that accreditation every year since inception. We love what we do and if you want to know more about our vision, mission and values go to accesstelecare.com to check us out. The Opportunity We are seeking a detail-oriented and organized Scheduling Coordinator to join our Neurology Clinical Operations team. As a Scheduling Coordinator, you will support daily operational tasks related to our Neurology providers and assist with the management, development, and implementation of physician schedules in alignment with defined metrics and operational goals. Success in this position requires strong communication and organization skills, as you'll collaborate daily with clinicians, operations leaders, and internal teams to ensure schedule accuracy, efficiency, and seamless coordination across departments. What You'll Work On Collect, analyze, and interpret data from multiple sources to identify opportunities to optimize clinician schedules Quickly get up to speed on Access Telecare's scheduling tool to support the analyses above Generate & post Physician Schedules on a monthly basis utilizing predetermined availability to strategically maximize efficiency and meet/exceed target goal parameters. Maintain real-time schedule changes. Assist with the formation of facility specific physician panels as part of implementation process, depending upon existing & future State licensure/privileges. Create summaries of coverage progress and remaining deficiencies Compile capacity/coverage needs by service line, by physician group, or other criteria Conduct outreach to clinicians to resolve capacity/coverage needs Process shifts changes (extensions, change in start/end time, trades, etc.) in line with parameters set with service line leadership Compile regular reporting on schedule performance Enter monthly scheduling data into the scheduling software Perform other duties and special projects as assigned What You'll Bring Bachelor's degree Minimum of two years physician scheduling/workforce management or related experience preferred Experience with quantitative analysis using tools like Microsoft Excel Highly effective communication skills (written and oral) Excellent organizational and project management skills, with an emphasis on hitting key deliverables/dates Detail-oriented Ability to collaborate across multiple cross-functional teams Proficiency with Microsoft Office Suite and general computer skills Company Perks Remote Work Health Insurance (Medical, Dental, Vision) Health Savings Account Flexible Spending (Medical and Dependent Care) Employer Paid Life and AD&D (Supplemental available) Flexible Vacation, Wellness Days, and Paid Holidays About our recruitment process: We don't expect a perfect fit for every requirement we've outlined. If you can see yourself contributing to the team, we would like to speak with you. You can expect up to 3 interviews via Zoom. Access TeleCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race, age, religion, color, marital status, national origin, gender, gender identity or expression, sexual orientation, disability, or veteran status.

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. The Credentialing Specialist, Professional Staff Affairs, will support the Office of Professional Staff Affairs at Beth Israel Deaconess Medical Center in Boston, MA. Once trained, this role can work remotely. Incumbent will begin training on an 8am - 4:30pm schedule, with some flexibility after trained to start earlier if preferred. Job Description: Beth Israel Lahey Health and the BIDMC Office of Professional Staff Affairs are devoted to consistently promoting a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in our organization's WE CARE values. In this role, you will ensure accurate, reliable, and compliant credentialing, privileging, and peer review processes for medical staff. This role supports regulatory readiness, data integrity, and professional practice evaluation in alignment with Joint Commission, CMS, MA DPH, NCQA, and payer requirements. This position demands exceptional attention to detail and a commitment to high reliability in managing complex privileging requirements across 13 clinical departments and approximately 60 divisions. It encompasses multiple high-acuity programs and specialized disease centers, ensuring full compliance with diverse regulatory standards and program-specific requirements. The Specialist plays a critical role in supporting various medical staff leaders and committees throughout the credentialing and privileging decision-making process by identifying red flags in credentials files, ensuring accurate presentation of information, and validating completeness of reviewer feedback. ESSENTIAL DUTIES & RESPONSIBILITIES (including but not limited to): Credentialing & Data Integrity Perform rigorous quality checks on credentialing files and evaluate completeness of primary source verification conducted by the Credentialing Verification Organization (CVO). Maintain accurate provider data in MD-Staff and ensure integration with Workday for HR and learning management functions. Interpret and apply complex privileging criteria for advanced clinical programs and disease-specific centers, ensuring providers meet all minimum qualifications and program-specific standards. Review requested clinical privileges for appropriateness and minimum qualifications. Track privilege-specific training requirements for individual medical staff members. Regulatory & Accreditation Compliance Navigate and apply requirements from Joint Commission, CMS, MA DPH, NCQA, and delegated credentialing agreements with payers. Support regulatory readiness for Joint Commission disease-specific care certifications (e.g., Stroke, VAD), CMS Conditions of Participation, and other program-specific audits. Collaborate with clinical leadership to ensure credentialing compliance for high-acuity programs such as Level 1 Trauma and Heart Transplant. Prepare and maintain credentialing files to meet regulatory, accreditation, and contractual standards. Support delegated credentialing audits and ensure compliance with payer requirements. Medical Staff Support & Evaluation Review and facilitate Initial Professional Practice Evaluations (IPPE) and Ongoing Professional Practice Evaluations (OPPE). Serve as a key resource for department and division chiefs during credentialing and privileging reviews by identifying red flags, ensuring accurate and complete information is presented, and confirming that reviewer feedback is comprehensive. Assist in preparing documentation and data for surveys and audits related to specialized programs and delegated credentialing requirements. Monitor and track medical staff compliance with administrative requirements. Provide consultative support to applicants, department staff, and medical staff committees regarding credentialing processes and timelines. System Management & Process Improvement Maintain provider records in MD-Staff and ensure accurate integration with other hospital systems. Manage appointment cycles, clinical privileges, and department assignments in the credentialing system. Ensure accurate and appropriate display of provider credentials and clinical privileges in internal and external directories, including Find-a-Doc and ePriv Recommend and implement process improvements to enhance workflow efficiency, data quality, and compliance with complex privileging structures. Additional Duties Demonstrate exemplary professional communication and collaboration with providers, department leaders, and cross-functional teams to foster alignment, build trust, and promote a positive, respectful culture across the organization. Provide coverage and support for other Specialists to ensure uninterrupted process flow. Perform other tasks as assigned to support the medical staff and its committees. REQUIRED QUALIFICATIONS: High School diploma or GED required; Bachelor's degree preferred. 3-5 years of related work experience in credentialing or medical staff services. Strong organizational skills, attention to detail, and ability to prioritize workload. Proficiency with credentialing software (e.g., Cactus) and Microsoft Office applications (Outlook, Word, Excel, PowerPoint). Working knowledge of regulatory and accreditation standards (Joint Commission, CMS, MA DPH, NCQA). Ability to interpret and apply complex privileging requirements. PREFERRED QUALIFICATIONS: Certification from the National Association of Medical Staff Services (CPCS or CPMSM) preferred. Experience supporting delegated credentialing audits and payer compliance. Experience with credentialing for complex privileging structures and high-acuity programs (e.g., trauma, transplant, disease-specific certifications) strongly preferred. Experience working in a high-reliability healthcare environment. OTHER REQUIREMENTS: Consistently promote a culture of Wellbeing, Empathy, Collaboration, Accountability, Respect, and Equity as outlined in the organization's WE CARE values. Demonstrated commitment and actions to valuing diversity and contributing to an inclusive working and learning environment This is a remote position but may require occasional on-site presence for meetings, etc. Sedentary work: May exert up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally. Pay Range: $27.00 - $43.00 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/Disabled

The Licensing and Credentialing Specialist is a vital part of Nema's Clinical Operations team, responsible for the essential work of getting our providers ready to see patients. Reporting to the Senior Director of Clinical Operations, you will ensure our clinical team is licensed, credentialed, and enrolled with insurance payers in line with our clinic's growth plans. You are the bridge that connects a new clinician to a patient in need of life-changing trauma care. In this role, you will manage the practical steps of a provider's journey at Nema, from navigating the different requirements of multi-state licensing to the details of insurance enrollment. You'll support clinician onboarding, and work closely with therapists and doctors to obtain and renew state licenses and relevant certifications. You will work closely with the Operations, Clinical, and Revenue Cycle teams to resolve hurdles and make sure there are no gaps in patient care. This role is a great fit for a detail-oriented, persistent problem-solver who understands that behind every intricate step to the process is a clinician ready to help a survivor start their path to healing. Responsibilities: State Licensing Complete initial and renewal applications for clinical state licensure for medical doctors, psychologists and therapists. Conduct follow-up and problem resolution as needed. Work closely with individual clinicians to ensure collection and maintenance of licensing materials. Track license and certification expirations for all providers to ensure timely renewals. Keep management informed of progress and escalate issues as needed related to licenses and other relevant certifications. Completes renewal process for controlled substance registrations and other relevant certifications Organize CE requirements for medical and behavioral health staff, including management of vendor platforms that organize and support CE completion. Credentialing & Payer Enrollment Complete provider credentialing and re-credentialing licensing applications within state guidelines Maintain accuracy of provider data in CAQH and internal databases Ensure strict confidentiality of credentialing licensing files and databases Enroll providers into new and existing health plans Uphold all payer-specific policies and procedures Daily Operations Provide project assistance to clinical, operations and product departments as needed Build and maintain reference materials and standard operating procedures Qualifications Required 3+ years of experience in state licensing applications (submissions, verifications, renewals) for medical and behavioral health providers Experience with CAQH management and primary source verification Experience managing insurance credentialing processes A strength in organization and ability to prioritize multiple, sometimes conflicting, tasks A sharp eye for detail and a level of persistence that matches the needs of this role An ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization Preferred Early stage healthcare start-up experience High School degree or higher Nema Health is an early stage company looking to build and grow nationally. This is a full time, exempt, salaried position reporting to the Clinical Operations Sr. Director. Compensation will be determined by the candidate's experience and qualifications, with a base salary range of $60,000-$75.000. The full-time compensation package will include PTO, a healthcare stipend, a 401(k) with matching, an annual education stipend, an annual “work from home” stipend, and paid parental leave. This role is remote and the candidate can be located anywhere in the United States.

About us Pomelo Care is the national leader in evidence-based healthcare for women and children. We deliver personalized, high-quality clinical interventions from reproductive care and pregnancy, infant care and pediatrics, to hormonal health through perimenopause and menopause, with long-term preventive care and condition management. Our model delivers 24/7 multispecialty care to address the medical, behavioral, and social factors that most significantly impact outcomes for women and children. We partner with payers, employers, and providers to expand access to quality healthcare across the system. 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.

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.

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.

Upstream Rehabilitation is looking for a Provider Credentialing Specialist to join our team! Build Your Career with Us! Upstream Rehabilitation is the country's largest dedicated provider of outpatient physical and occupational therapy services. Our mission is to inspire and empower the lives we touch, to serve our communities, and to lead with purpose-driven passion. We are committed to delivering remarkable experiences and fostering an inclusive workplace where differences are valued and celebrated. With 1,200+ locations nationwide, 26 brand partners, and 8,000+ employees, Upstream operates at scale while leveraging data, technology, and innovation to drive smarter decisions and operational excellence across the organization. The Role: Join the Upstream Rehabilitation team where your work makes a real impact! As a Credentialing Specialist, you will manage the full credentialing and re-credentialing process for medical providers within the Benchmark Rehab Partners network. Ensure all providers are properly credentialed, appointed, and privileged with contracted health plans. Maintain accurate provider data in all systems and oversee timely renewals of licenses and certifications, all in support of Upstream Rehabilitation's mission to inspire and empower the lives we touch. What You'll Do: Maintain provider data accuracy and updated across all credentialing systems. Complete and track credentialing and re-credentialing applications to ensure timely enrollment. Maintain current licenses and required documents for assigned providers. Partner with HR to support a smooth and welcoming onboarding experience for practitioners. Keep clinicians, field leaders, and payers informed throughout the credentialing process. Respond to credentialing questions and updates in a timely and professional manner. Ensure all credentialing work meets federal, state and payer requirements. Crosstrain and support broader team needs as required. Other projects and duties as assigned. Who You Are: High School diploma or equivalent experience. Prior experience in Medical Credentialing Process and Revenue Cycle. Exceptional communication skills, including oral and written. Ability to build and maintain effective working relationships with providers, leadership, staff and external partners. Strong organizational and time management skills. Strong attention to detail, and capacity to multitask effectively. Proven ability to identify and resolve problems in a timely manner. Proficiency in Microsoft Office Suite or similar software applications. Why You'll Love Working Here The chance to directly shape our organization's growth by hiring the talent that drives our mission. Opportunities to stretch your skills-whether you're building pipelines, designing sourcing strategies, or advising leadership. A collaborative team environment where your ideas are valued. Competitive compensation, comprehensive benefits, and ongoing professional development. Benefit Offerings: Annual paid Charity Day to give back to a cause meaningful to you 100% employer paid medical health insurance premium option available Dental and Vision insurance 401(k) with company match Generous PTO and paid holidays Supportive team and leadership invested in your success A Better Place to Build Your Career Upstream Rehabilitation offers meaningful opportunities across corporate and non-clinical roles, both remotely and in corporate offices nationwide. We invest in our people through leadership development programs, ongoing education, and professional growth opportunities. Our corporate teams are critical to Upstream's success-and to the culture that makes this a great place to work. You'll join a group of talented professionals who collaborate, innovate, and know how to have fun while making a real impact. Salary Range: $18/hour - $21/hour Estimated pay ranges listed above are based on several factors including but not limited to your pay class, experience, background and geographic location of the clinic Benefits and eligibility are dependent on employment status and pay class (full-time, part-time, or PRN). Specific details will be provided during the hiring process. #LI-Remote Upstream Rehabilitation is an Equal Opportunity Employer that strives to provide an inclusive work environment where our differences are celebrated for the value they bring to our communities, our patients and our teammates. Upstream Rehabilitation does not discriminate on the basis of race, color, national origin, religion, gender (including pregnancy), sexual orientation, age, disability, veteran status, or other status protected under applicable law.

The Credentialing Coordinator is responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process. Facilitates all aspects of credentialing, including initial appointment, reappointment, as well as clinical privileging for providers. Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing. Responsible for the accuracy and integrity of the credentialing database system and related applications. Key Duties & Responsibilities: Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility. Research and primary source verification of all components of the application file. Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up. Prepares credentials file for completion and presentation to Health System Entity Medical Staff Committees, ensuring file completion within time periods specified. Processes requests for privileges, ensuring compliance with criteria outlined in clinical privilege descriptions. Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise. Assists with managed care delegated credentialing audits; conducts internal file audits. Utilizes the Cactus credentialing database, optimizing efficiency, and performs query, report and document generation; submits and retrieves National Practitioner Database reports in accordance with Health Care Quality Improvement Act. Monitors the initial, reappointment and expired process for all medical staff, Allied Health Professional staff, Other Health Professional staff, and delegated providers, ensuring compliance with regulatory bodies (federal and state), as well as Medical Staff, Rules and Regulations, policies and procedures, and delegated contracts. Performs miscellaneous job-related duties as assigned. Required Skills/Abilities: Excellent verbal and written communication skills. Excellent customer service and phone skills. Excellent organizational skills and attention to detail. Excellent time management skills with a proven ability to meet deadlines. Proficient with Microsoft Office Suite or related software. Knowledge of related accreditation and certification requirements. Knowledge of medical credentialing and privileging procedures and standards. Ability to analyze, interpret and draw inferences from research findings, and prepare reports. Working knowledge of clinical and/or hospital operations and procedures. Informational research skills. Ability to use independent judgment to manage and impart confidential information. Database management skills including querying, reporting, and document generation. Ability to make administrative/procedural decisions and judgments. Supervisor Responsibilities: None Education and Experience: High school diploma or GED; at least 3 years of experience with 1 year directly related to medical office staff or managed care credentialing. Certification/Licensure NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS) or actively pursuing certification is preferred. Physical Requirements: Prolonged periods of sitting at a desk and working on a computer. Must be able to lift up to 10 pounds at times. This is a Remote position. Palm is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm makes hiring decisions based solely on qualifications, merit, and business needs at the time.

Job Type: Regular Scheduled Hours: 32 Reports to the Credentialing Manager, the Credentialing Specialist verifies and maintains healthcare providers' qualifications (licenses, education, certifications, work history) to ensure compliance with regulations, payer requirements, and organizational standards, managing the end-to-end process from initial application to ongoing recredentialing for accurate documentation, timely onboarding, and proper reimbursement. Job Description: Job Title: Credentialing Specialist Hours: Full Time (32 Hours) BENEFITS: Work from home after training, equipment provided Paid Time Off Medical, Dental, and Vision 403b with Match Opportunity for Career Growth- Career Ladder Program Tier I-Tier III DUTIES AND RESPONSIBILITIES: Comply with all applicable laws and regulations. Accurate and timely completion of all new provider applications and re-credentialing applications. Track and enter provider data into the system. Electronic files should be complete, current and accurate. Maintain provider files of credentials, provider numbers and signed contracts. Paper files should be complete current and accurate. Accurate and timely information is provided to contract carriers. Maintain network and billing systems files for provider status. Effective and timely communication with site and CBO for addressing credentialing issues. Responsible for submitting Medical License and DEA invoices. Maintain an accurate and up to date log to ensure timeliness of renewals. Answer telephones within 3 rings and is friendly and helpful. Other duties as assigned. EDUCATION: Minimum: High School Diploma YEARS OF EXPERIENCE: Minimum 1-year experience in provider credentialing, revenue cycle or other related field LICENSES AND CERTIFICATIONS: N/A REQUIRED SKILLS AND KNOWLEDGE: Ability to manage and prioritize multiple tasks, knowledge of Excel, Word, Outlook and PowerPoint and the ability to learn other computer skills. Must have good organizational skills and work professionally with doctors, hospital administration and management, SEP employees and the public. OTHER REQUIRED SKILLS AND KNOWLEDGE: Understanding and knowledge of insurance credentialing application procedures. Strong organizational skills. Ability to maintain strict confidentiality, per corporate policies. Knowledge of computer skills and applications. Excellent communication skills. Demonstrated ability to work successfully in a team-based decision-making culture. Demonstrated ability to work independently resulting in effective outcomes and on-time performance. Experience in planning and coordinating multi-disciplinary communications strategies, strategic initiatives, and events. Must respond and follow through to requests from customers promptly. Must work carefully and precisely with attention to detail. Must utilize resources wisely. Performs duties willingly and with initiative. Shares necessary information so co-workers can do the same. Cooperates with other departments and work groups. FLSA Status: Non-Exempt Right Career. Right Here. If you have a passion for taking care of the community and are interested in Healthcare, you will take pride in the level of care we provide at St. Elizabeth. We take care of patients and each other. St. Elizabeth Physicians is an equal opportunity employer and will not discriminate on the basis of race, color, sex, religion, national origin, ancestry, disability, age or any other characteristic that is protected by state or federal law.

Centerprise Inc. is seeking to hire an Enrollment and Credentialing Specialist to join our team. This is a hybrid-remote position that requires 30-days in office training. After 30 days, may be eligible to work a hybrid-remote schedule which will include 2-3 in office days per week. Responsible for all aspects of the credentialing, re-credentialing, and provider enrollment processes for the providers of Centerprise's clients. Responsible for ensuring providers are credentialed and enrolled with health plans. Maintain up to date data for each provider in credentialing databases and online systems. Responsible for maintaining Centerprise's credentialing database. Communicates with Centerprise clients regarding credentialing and re-credentialing terms and changes. Assists operational and billing staff with health plan coverage issues. About the Company: Centerprise is a professional services organization providing consulting and Revenue Cycle Management services to Federally Qualified Health Centers (FQHCs). We are located outside Cincinnati, Ohio, and conduct business nationally. Centerprise is a company on the rise! We are very excited to say that we currently employ 25 staff members, and we are steadily growing! We take great pride in focusing on employee satisfaction. Happy employees; means happy customers! At Centerprise we offer our clients a wide variety of services, therefore, we require a large range of skill sets within our company. We would love to hear from dynamic individuals who are seeking an opportunity to grow their skills in an upbeat, fast paced, and team-based environment. Centerprise has a small company feel, with larger company resources. Please refer to our website for more information, *************** ESSENTIAL DUTIES AND RESPONSIBILITIES: * Facilitate provider credentialing and re-credentialing, obtaining required information as needed. Coordinates procurement of DEA, licensure, malpractice insurance information, and other required information to process applications. * Completes provider credentialing and re-credentialing applications; monitors applications and follows- up as needed. Ensures timely processing of all credentialing requests. * Maintains knowledge of current health plan and agency requirements for credentialing and enrolling providers. * Sets up and maintains provider information in online credentialing databases and systems, including CAQH and PECOS, to assure all credentialing information is accurate and up to date. * Maintain and update credentialing reports. Keeps an updated log of all pending and completed work. * Ensures practice addresses are current with health plans, agencies, and other entities. * Audits health plan directories for current and accurate provider information. * Communicates health plan coverage changes, additions, deletions across Centerprise and its clients. * Acts as liaison with health plans and assists operations and billing staff on issues. * Other duties as assigned QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty completely. The requirements listed below are representative of the knowledge skill and/or ability required. Minimum Qualifications: * To be eligible for remote portion, must have reliable Internet connection with a minimum download speed of at least 5Mbps, and upload speed at least 1 Mbps. Must have a dedicated work area with a door. * High School Diploma or Equivalent (GED), Associate Degree preferred. * Certified Provider Credentialing Specialist (CPCS) preferred. * Knowledge and understanding of the credentialing process. 2+ years of enrollment and credentialing experience required. FQHC experience is a plus. * Ability to organize and prioritize work and manage multiple priorities. * Excellent attention to detail. * Ability to research and analyze data. * Ability to work independently with minimal supervision. * Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization. * Proficiency with Microsoft Office Suite. Must be able to use Excel spreadsheets. * Familiarity and experience with CAQH and NCQA * Excellent written and oral communication skills Benefits: * Competitive benefits package, including options to enroll in the following programs: Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Flex Savings Accounts * 401 (k) Program with competitive company match * Courtesy Plan, full time staff and their immediate family members are eligible for courtesy treatment at any HealthSource of Ohio office up to $500.00 per family * PTO and Long-Term Sick Bank, full time employees earn up to 25 days per year in first calendar year: 15 days of Paid Time Off (PTO), and 10 days of Long-Term Sick Bank (LTSB) * Credit Union Privileges, Sharefax Credit Union * Quarterly Bonus Incentive Program Schedule: * Monday to Friday; no evenings, or weekends * 30-days in office training required. After 30 days, eligible to work a hybrid-remote schedule which will include 2-3 in office days per week. Work Location: Hybrid remote in Loveland, OH 45140. Must be able to commute or planning to relocate before starting work. Centerprise Inc. would love to hear from people who are seeking an opportunity to grow their skills in an upbeat, fast paced, and team-based environment. Centerprise Inc. is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran

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

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.

The Central Scheduling Specialist coordinates the verification, scheduling, pre-registration, and authorization for medical services. Responsibilities include the accurate collection and entry of required financial and demographic patient information, scheduling management to maximize the efficiency of the visit, communicating preparatory instructions, and collection of payment. This role requires a high level of independent judgment in order to successfully coordinate and obtain authorization requests for governmental and complex managed care patients in a timely and efficient manner. Utilizing telecommunications and computer information systems, this individual will be responsible for handling inbound and outbound calls with a focus on exceptional service to patients, employees, and providers. In order to ensure an extraordinary patient experience, multitasking between different patient care areas will be required. The Central Scheduling Specialist is best defined as a highly independent and flexible resource that functions in alignment with the patient experience initiative. Performs all job duties and responsibilities in a courteous manner according to the Hurley Family Standards of Behavior.Works under the supervision of the department director or designee who assigns and reviews conformance with established procedures and standards. High school graduate and/or GED equivalent. Associate's degree in Business Administration or equivalent degree. -OR- Two (2) years of experience working in a call center or experience performing scheduling, registration, billing or front-desk responsibilities in a medical (hospital or physician office/clinic) setting Knowledge of a call center environment and capable of handling a high call volume while maintaining high performance. Knowledge of registration, scheduling, authorization, and referral policies and procedures relative to an outpatient clinic and surgical setting. Demonstrates extensive knowledge of insurance plan pre-certification/referral requirements and processes. Working knowledge of medical terminology, procedure and diagnosis coding, and billing procedures. Proficient in business office information systems & software such as Google Suite & Microsoft Office containing spreadsheet and database applications. Manage multiple, changing priorities in an effective and organized manner, under stressful demand while maintaining exceptional service. Maintain composure when dealing with difficult situations and responding professionally. Independently recognize a high priority situation, taking appropriate and immediate action. Make decisions in accordance with established policies and procedures. Knowledge of hospital operations and / or Ambulatory Clinic operations. Excellent verbal and written communications skills and a pleasant and professional phone demeanor. Ability to develop effective relationships with colleagues, physicians, providers, leaders, and other across the organization. Demonstrates a genuine interest in helping our patients, providers, and other employees by using excellent communication skills, being polite, friendly, patient and calm under pressure. PREFERRED QUALIFICATIONS: Working knowledge of Epic Revenue Cycle applications: Resolute Hospital Billing, Resolute Professional Billing, Single Business Office, Cadence, or Grand Central. Schedules, cancels, reschedules appointments / services for designated departments. Manages scheduling to maximize the efficiency of the visit / provider. Monitors appointment schedules daily for cancellations, rescheduling, and no shows as well as other stats or changes; communicates timely with all departments impacted. Generates daily-weekly-monthly reports in order to manage schedules and distributes information as needed. Performs pre-registration functions within designated time frame in advance of the patient appointment (including, but not limited to) obtaining and / or verifying demographic, clinical, financial, insurance information, and eligibility for scheduled service / procedure. Confirms Primary Care Provider making necessary updates as appropriate. Identifies insurance companies requiring prior authorization and / or referrals for services and obtains authorization / referral for all services. Coordinates incoming / outgoing authorizations for procedures and testing requested by providers for all government and third-party payers, including emergent authorizations due to walk-in patients. Informs the patient of their visit-specific preparatory instructions and ensures notification about their upcoming appointments. Schedules pre-admission testing when needed and assists in arranging necessary lab orders. Obtains all necessary information required by third-party payors for treatment authorization requests. Courteously accepts and places telephone calls, and interacts with physicians and associates while providing services. Resolves or tactfully directs complaints, problems; obtains information and responds to inquiries within 24-48 hours. Frequently communicates with patients/family members/guarantors, physicians/office staff, medical center, and payors via telephone, email, enterprise EMR or other electronic services. Escalates issues that cannot be resolved in accordance with departmental guidelines. Performs price estimates upon patient request in order to assist the patient in identifying their expected full patient liability and / or residual financial responsibility. Educates the patient relative to their insurance policy / benefits. Collects patient / guarantor liabilities and refers patients who are uninsured / underinsured to Insurance Services Specialists for financial assistance or governmental program screening and application processes. Refers patients to the Financial Customer Service Specialist to resolve outstanding self-pay balances. Maintains a log / guide with up-to-date information related to services in need of pre-certification or require referrals per insurance carrier. This includes compliance with regulatory requirements and ensuring all changes are incorporated into daily job functions. Works with the coding department to validate the accuracy of the authorized service in comparison to the procedure performed. Discrepancies are addressed immediately within timelines set forth by the specific payer's guidelines for correction. Reports procedural updates to leadership. Triages misrouted telephone and patient portal inquiries promoting an exceptional patient and provider experience. Makes follow-up calls to provider offices and / or testing sites to ensure receipt of all necessary information for the patient's visit. Recommends modifications to existing policies or workflows that support the values of Hurley Medical Center and will increase efficiency and promote data integrity. Maintains thorough knowledge of policies, procedures, and standard work within the department in order to successfully perform duties on a day-to-day basis. Able to work in a fast-paced call center environment while maintaining efficiency and accuracy. Performs other related duties as required. Utilizes new improvements and/or technology that relate to job assignment. Involvement in special projects as needed.

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.

We're seeking a reliable and detail-oriented Booking & Scheduling Planner to support clients by coordinating schedules, managing bookings, and ensuring a seamless experience from start to finish. This fully remote role is ideal for someone who enjoys organization, client communication, and keeping details running smoothly. This is perfect for individuals who can work independently while using the resources and tools provided. What Youll Do: Manage bookings, schedules, and confirmations Communicate with clients to gather details and provide updates Ensure accuracy and timely follow-ups Deliver professional, friendly support throughout the process What Were Looking For: Strong organizational and communication skills Customer service or administrative experience (preferred, not required) Comfortable working independently in a remote setting Detail-oriented, dependable, and tech-comfortable Must be able to book, plan and create itineraries for clients and deliver quotes from start to finish Must be a citizen of the US, UK, Australia, Mexico, Spain and LATAM Why This Role Stands Out: 100% remote flexibility Training and ongoing support provided Opportunity for growth within a supportive team

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: Client intake and follow-up. Templates drafting. Create and maintain spreadsheets Support general administrative functions Handle scheduling and calendar coordination Answering phone calls (approximately 10/day), it can vary 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.

Job Description Candidates must reside within a reasonable driving distance of Lombard, IL. Hours Scheduled: Mon-Thurs 9:30am-6pm/Fridays 8am-5pm QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S., with over 150 locations across 17 states. Our commitment is to educate, protect, and care for your skin while delivering the highest quality dermatological services. We strive to make skin health accessible to all while fostering a rewarding work environment for both our patients and employees. Position Summary: The Remote Central Scheduling Specialist will be responsible for managing and coordinating the scheduling of patient appointments across our various practice locations. This role requires exceptional customer service skills and the ability to handle a high volume of calls while ensuring that each patient feels valued and supported throughout their scheduling experience. Requirements High School Diploma required; Associate's Degree preferred. Minimum of 1 year customer service experience in a healthcare setting preferred. Strong communication and interpersonal skills. Ability to manage multiple tasks efficiently in a fast-paced environment. Proficiency in scheduling software and Microsoft Office applications. Understanding of HIPAA regulations is a plus. Benefits Competitive Pay Medical, dental, and vision 401(k) - The company match is 100% of the first 3%; and 50% of the next 2%; immediately vested Paid Time Off - accrual starts upon hire, plus 6 Paid Holidays and 2 floating days Company paid life insurance and additional coverage available Short-term and long-term disability, accident and critical illness, and identity theft protection plans Employee Assistance Program (EAP) Employee Discounts Employee Referral Bonus Program QualDerm Partners, LLC is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Compensation Range: $17.00 - 19.50 per hour. Final offer will be based on a combination of skills, experience, location, and internal equity.