Top 7 Credentialing specialist remote Jobs in Irving Tx

Credentialing Specialist- Part Time
Solis Mammography —Addison, TX
- 8 hour shift
- Remote
- Research
- Mid-level
- Bachelor's degree
Sr. Credentialing Specialist
CVS Health —Farmers Branch, TX
- $18.50 - $35.29 an hour
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
Dental Credentialing Specialist
Ideal Dental —Dallas, TX
- $26 - $28 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
Quick Apply
7d
Provider Enrollment Specialist
NATIONAL PARTNERS IN HEALTHCARE —Richardson, TX
- $20 - $25 an hour
- Full-time
- Remote
- Mid-level
- Residential
- Business Administration
- Opportunities for advancement
Quick Apply
12d

Discover related jobs

Based on your search for credentialing specialist remote jobs.

Spanish Bilingual Licensed Healthcare Insurance Agent – Remote USA
TTEC —Texas
Current Health insurance license in your state of residence. Whether it's getting answers for customers quickly, consulting on health-related products with…
$24 an hour
Licensed Insurance Sales Representative (Remote / Home-Based)
Allstate —Dallas, TX
Eligible licensed external candidates who complete licensing prior to hire or bring an active Property & Casualty or Personal Lines license before start date…
$18 an hour

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Credentialing & Payor Enrollment Supervisor
Ensemble RCM LLC —Columbus, OH
Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
$69,400 - $104,100 a year
4d
Medical Billing Specialist for Gastroenterology Practice
Gastro Office LLC —Hilliard, OH
Patient communication: Answer billing questions by phone and in person (beyond front-desk scope). Join our growing, highly rated independent clinic in Hilliard,…
$18.50 - $20.00 an hour
Quick Apply
7d

Show more jobs in cities nearby

I want to receive the latest job alert for credentialing specialist remote in irving tx

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

credentialing specialist remote jobs near irving tx

Compliance Officer jobs in Addison, TX

Credentialing Specialist jobs in Farmers Branch, TX

Credentialing Specialist jobs in Dallas, TX

Compliance Officer jobs in Sacramento, CA

Correctional Officer jobs in Baltimore, MD

Non Certified Police Officer jobs in Georgia

Compliance Officer jobs in Nassau County, NY

Probation Officer jobs in Boston, MA

Compliance Officer jobs in Albuquerque, NM

Compliance Officer jobs in Stockton, CA

Sourcing Specialist jobs in Orlando, FL

Credentialing Specialist jobs in Lafayette, LA

Credentialing Specialist jobs in Cedar Park, TX

Denial Specialist jobs in Atlanta, GA

License Permit Specialist jobs in Texas

Youth Development Specialist jobs in Brooklyn, NY

Credentialing Specialist jobs in Miami, FL

Credentialing Specialist jobs in Milwaukee, WI

Dental Clinical Review Specialist jobs in Remote

Enrollment Specialist jobs in Hackensack, NJ

Credentialing Specialist- Part Time

Solis Mammography -
Addison, TX

Apply Now

Job Details

Part-time

Qualifications

Data entry
Office record organization

Full Job Description

Compliance Specialist

Looking to elevate your career? Join us!

Work Location: Remote

Work Hours: Flexable- Can be 4- 4hour days or two 8 hour days

RESULTS DESCRIPTION:

Manages a database of certifications, credentials, and continuing education and requirements for Radiologists reading images according to MQSA and ACR standards. Plan, organize and coordinate credentialing activities. Communicate with payors to ensure that physicians are on contracts.

RESULTS MEASURED BY THE FOLLOWING RESPONSIBILITIES:

. Resolves credentially issues through proactive measures and follow through.

. Researches and verifies on engagement, the competence, medical and/or professional education, residency, internships, fellowships, additional formal training, relevant board certifications, health care affiliations, work history, military experiences, professional references, licensure and certifications, DEA certificates, malpractice coverage and privileges the applicant is requesting according to MQSA requirements

. Confirms in the OIG database, queries the National Practitioner Data Bank at start of engagement

. Ensures process of attestation is in place after Queries the Counsel for Affordable Healthcare (CAQH) database at the start of engagement, and manages expiring documents as appropriate

. Serves as the sole Manager for the credentialing database assuring accuracy and completeness

. Acts as a liaison between the various Radiology Groups and Solis (and its affiliates) to provides assistance in the coordination of the credentialing dates and times for new placements

. Facilitate physician onboarding with Manager of Clinical Training.

. Establishes a working knowledge of the regulatory MQSA and ACR requirements, compliance standards, State and Federal Law pertaining to the Radiologists and apply them to the credentialing process as needed

. Perform OIG Exclusion checks on all Radiologists, Vendors and Referring physicians monthly

. Create and maintain relationships with Medical Director, physician groups, center directors, regional operations directors and VPs of Operations.

. Manages compliance requirements through maintaining MQSA and ACR Certifications for all center locations

. Managers compliance requirements through maintaining insurance documents for all center locations and distribute to center directors

. Distribute MQSA and ACR notices to Director of Quality for follow up and assist in coordinating the effort for investigation

. Liaison with Billing company to ensure that Radiologists are contracted with various payors

. Liaison with Billing company to provide update, legal names, demographic information and national provider numbers for all joint ventures to ensure that they are amended on billing contracts.

. Upholds HIPAA regulations

. Other related responsibilities as required

. Understands, promotes and demonstrates the Solis Way

SKILLS/QUALIFICATIONS:

. Bachelor's degree or equivalent experience preferred.

. Two or more years of credentialing experience working with NCQA standards.

. Minimum of two years of experience in a centralized credentialing office or related health care environment, such as credentialing or file maintenance, preferred with experience in Word and Excel.

. At least two years of data entry experience.

. Working knowledge of managed care and/or credentialing.

. Must be highly organized with meticulous attention to detail for accuracy and completeness of records.

. Must have excellent verbal and written communication skills.

. Work well under pressure with little supervision and juggle multiple deadlines.

. Respect the sensitive nature of the role due to access to confidential data.

Requirements:

At Solis Mammography, we save lives. We shape the future of women's health. We are empowered, appreciated, and part of something bigger. Together, we deliver compassionate, exceptional care. Every patient. Every time.

Our patient-focused culture is at the heart of every interaction. We deliver the care, compassion and high-touch experience that have made us a valued healthcare partner to the generations of women that we serve. As the nation's leader in breast health services, our commitment to providing excellence in patient care is realized at every level of our organization.

Compensation: Depends on Experience

Apply Now

Refine Your Search

credentialing specialist remote jobs in irving tx

Credentialing Specialist- Part Time

Sr. Credentialing Specialist

Dental Credentialing Specialist

Provider Enrollment Specialist

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for credentialing specialist remote in irving tx

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected