Top 6 Credentialing specialist Jobs in Lake Forest Ca

Credentialing Specialist
Kyo —Irvine, CA
- $27.88 - $31.25 an hour
- Remote
- Mid-level
- Children
- Ability to sit for extended periods
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HSPD-12: Government Badging & Credentialing Specialist
Electrosoft —Lake Forest, CA
- $30,000 - $40,000 a year
- Mid-level
- Administrative experience
- High school diploma or GED
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Credentialing Specialist
One Federal Solution —Lake Forest, CA
- Customer service
- Mid-level
- Administrative experience
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HSPD-12: Government Badging & Credentialing Specialist (Lake Forest, CA.*)
Citizant Inc —Lake Forest, CA
- $20.21 an hour
- Full-time
- Office
- Administrative experience
- High school diploma or GED
- Disability insurance
- Health insurance
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Billing and Credentialing Specialist
Clinivoy LLC —Irvine, CA
- $23 - $28 an hour
- Full-time
- HIPAA
- Clinic experience
- Research
- Health insurance
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Credentialing & Enrollment Associate (Remote)
Rula —Los Angeles, CA
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Credentialing Specialist
Integrated Services for Behavioral Health —Columbus, OH
A valid driver's license and the ability to operate a motor vehicle is required. A bachelor’s degree in accounting, credentialing, or a related field is…
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13d
Provider Enrollment & Credentialing Subject Matter Expert (SME)
Brittany Wyche, LLC —Columbus, OH
Review current-state and future-state process designs. Support assessment of intake, validation, credentialing, approval/certification, monitoring, and…
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6d

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Credentialing Specialist

Kyo -
Irvine, CA

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Job Details

$27.88 - $31.25 an hour

Qualifications

Mid-level
Organizational skills
Communication skills

Full Job Description

Kyo is a leading provider of Applied Behavior Analysis (ABA) therapy, dedicated to empowering children with autism and their families to achieve meaningful outcomes. Since 2005, we have partnered with thousands of families across 11 states, delivering effective, convenient, and child-centric ABA therapy designed around each child's unique strengths, needs and goals. At Kyo, our mission is rooted in a commitment to making every moment count for the children and families we support.

Pay Range: $27.88 - $31.25

Candidates must reside in one of the following states: AZ, CA, CO, FL, GA, OR, TX, UT, TN, TX, WA

Primary job responsibilities may include, but are not limited to:

Managing credentialing, recredentialing, and licensure process for clinical staff with health insurance plans, certification boards and other agencies
Ensuring compliance with various state, federal and payer requirements
Responsible for pre-application intake, monitoring, application submission and follow up
Maintaining an efficient and compliant on-boarding process
Inputing/Updating provider credential databases CAQH and NPPES
Ongoing monitoring of clinical staff's credentials to ensure licenses and certifications are current and active
Working closely with internal departments to exchange provider information and follow up on inconsistencies
Assisting with other miscellaneous duties in the Revenue and Contracting department

Qualifications:

Bachelor's Degree required
Demonstrated proficiency with productivity software and project management software (Microsoft Office, G Suite, Asana)
Database management skills including querying, reporting, and document generation
Ability to work independently and as part of a team
Ability to work in a fast paced, expanding organization
Strong knowledge of the credentialing process and accreditation and regulatory standards. Ability to lead and facilitate processes through influence and collaboration
Working knowledge of Medical Terminology
Strong organization and verbal communication skills, attention to details required
Ability to use independent judgment to manage and impart confidential information
Demonstrated problem-solving skills and initiative to analyze and disseminate relevant credentialing data across internal company departments
Ability to make priority determinations without direct supervision
Preferred: Experience with provider credential databases CAQH, NPPES
Preferred Experience with JIRA
Preferred: Experience with HIPAA and compliance-sensitive environments
Willingness and ability to provide proof of completed COVID-19 vaccination and booster (if eligible), no later than your scheduled start date. If you believe you are entitled to either a medical or religious exemption to our vaccination requirement, please notify your Kyo interviewer immediately so that your situation can be evaluated by Human Resources

Physical Requirements:

Must be able to sit and use a computer for extended periods of time
Exhibit manual dexterity to regularly use and enter data into a computer/tablet/phone
Ability to read and interpret documents in the English language such as employee handbooks, training materials and procedure manuals
No or very limited exposure to physical risk
No or very limited physical effort required
Ability to perform data entry, operate standard office equipment e.g. copiers, fax
Willingness and ability to provide proof of completed COVID-19 vaccination and booster (if eligible), no later than your scheduled start date. (If you believe you are entitled to either a medical or religious exemption to our vaccination requirement, please notify your Kyo recruiter immediately so that your request may be reviewed by HR.)

Apply today to meet with our Talent team and learn more!

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credentialing specialist jobs in lake forest ca

Credentialing Specialist

HSPD-12: Government Badging & Credentialing Specialist

Credentialing Specialist

HSPD-12: Government Badging & Credentialing Specialist (Lake Forest, CA.*)

Billing and Credentialing Specialist

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