Top 10 Credentialing Jobs in Reno, Nv

Practitioner Mgmt Coord (US)
CareMore Health Management Services, LLC —Reno, NV
- $24.20 - $43.56 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Organizational skills
Quick Apply
2d
Credentialing Specialist (Contractual)
Nevada Urban Indians, Inc. —Reno, NV
- From $30 an hour
- Contract
- CPR Certification
- Computer literacy
- Medical office experience
Quick Apply
2d
Medical Staff Services Coordinator - Temporary
Tahoe Forest Health System —Truckee, CA
- $32.82 an hour
- Temporary
- Research
- Mid-level
- Driver's License
Quick Apply
Healthcare Credentialing & Provider Relations Specialist
Reno-Sparks Indian Colony —Reno, NV
- $30.36 - $37.34 an hour
- Full-time
- Mid-level
- 3 years
- High school diploma or GED
- Paid holidays
- 401(k)
Security Officer Enhanced Part Time Credential Verification
Allied Universal —Reno, NV
- $18.95 an hour
- Part-time
- 18 years or older
- Pass drug screening
- High school diploma or GED
- Paid training
- Opportunities for advancement
Quick Apply
3d

Discover related jobs

Based on your search for credentialing jobs.

Global Compliance Specialist
Ormat Technologies —Reno, NV
Advanced knowledge of Microsoft Office tools to include Word, Excel and PowerPoint. Providing analysis and recommendations for improvement to Compliance team.
Part-Time Occupancy Compliance Checker
FAR Inspections —Gardnerville Ranchos, NV
As an independent contractor, you are responsible for providing your own equipment, including: Based in Reno, NV, we have a 12-year track record of excellence…
$25 - $35 an hour

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

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…
$23.85 - $28.02 an hour
Quick Apply
8d
Credentialing Program Manager - Central Verification Office
OhioHealth —Columbus, OH
The CVO PM will complete the credentialing assignment and ensure compliance with regulatory guidelines, including all applicable policies and procedures that…

Show more jobs in cities nearby

I want to receive the latest job alert for credentialing in reno, nv

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 jobs near reno, nv

Credentialing Specialist jobs in Reno, NV

Security Officer jobs in Reno, NV

Chief Of Staff jobs in New Jersey

Private Estate Manager jobs in Phoenix, AZ

Medical Staff Services Manager jobs in Livonia, MI

Medical Staff Services Manager jobs in Daytona Beach, FL

Radiology Manager jobs in North Carolina

Medical Staff Services Manager jobs in Green Bay, WI

Medical Staff Services Manager jobs in Birmingham, AL

Accounts Payable Specialist jobs in San Antonio, TX

Credentialing Specialist jobs in Murrieta, CA

Family Services Specialist jobs in South Dakota

Credentialing Specialist jobs in Tucson, AZ

Quality Improvement Specialist jobs in Atlanta, GA

Credentialing Specialist jobs in Little Rock, AR

License Permit Specialist jobs in Texas

Credentialing Specialist jobs in Bradenton, FL

Credentialing Specialist jobs in Dayton, OH

Credentialing Specialist jobs in Grand Rapids, MI

Credentialing Specialist jobs in Palm Beach Gardens, FL

Practitioner Mgmt Coord (US)

CareMore Health Management Services, LLC
Reno, NV

Quick Apply

Job Details

Full-time
$24.20 - $43.56 an hour
2 days ago

Qualifications

Spreadsheets
High school diploma or GED

Full Job Description

Job Description Summary

‎

The Credentialing & Enrollment Specialist is responsible for coordinating and maintaining provider credentialing and enrollment activities to ensure compliance with organizational, regulatory, and health plan requirements. This role manages initial credentialing and recredentialing inventories, supports provider enrollment processes, conducts outreach for missing documentation, communicates credentialing decisions, and serves as a liaison between providers, network partners, and internal stakeholders. The position requires strong organizational skills, attention to detail, proficiency in Microsoft Excel, and excellent written and verbal communication skills.

‎

How will you make an impact & Requirements

‎

Manage and maintain assigned initial credentialing and recredentialing inventories to ensure timely completion and compliance with established turnaround times.
Review credentialing and enrollment applications for completeness and accuracy.
Conduct outreach to providers, provider groups, and internal stakeholders to obtain missing or required documentation.
Track and monitor credentialing and enrollment status through various systems and reports.
Communicate credentialing approvals, denials, and status updates to providers and internal business partners.
Support provider enrollment activities with government and commercial payers.
Maintain accurate provider records, files, and databases.
Monitor shared departmental email inboxes and respond to inquiries in a timely and professional manner.
Collaborate with network partners, health plans, provider offices, delegated entities, and internal departments to resolve credentialing and enrollment issues.
Prepare and maintain Excel spreadsheets, tracking logs, and reports for operational and audit purposes.
Ensure compliance with NCQA, CMS, state regulatory, and organizational credentialing requirements.
Assist with credentialing audits, data validation, and special projects as assigned.
Escalate complex issues and aging inventory items as appropriate.

Required Education and Experience

High school diploma or equivalent required; Associate's or Bachelor's degree preferred.
Minimum of 2 years of healthcare credentialing and/or provider enrollment experience.
Experience working with health plans, provider groups, or managed care organizations preferred.
Knowledge of provider credentialing, recredentialing, and enrollment processes.

Knowledge, Skills, and Abilities

Strong proficiency in Microsoft Excel, including sorting, filtering, reporting, and data management.
Excellent verbal and written communication skills.
Strong attention to detail and organizational skills.
Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
Experience maintaining shared mailboxes and managing high-volume communications.
Ability to work independently and collaboratively with cross-functional teams.
Customer service oriented with strong problem-solving skills.
Knowledge of credentialing regulations, accreditation standards, and provider data management preferred.

Preferred Experience

Experience with NCQA credentialing standards.
Experience with provider enrollment systems, CAQH, PECOS, NPPES, Availity, and state Medicaid enrollment portals.
Experience supporting delegated credentialing or managed care network operations.

‎

Compensation Range:

$24.20

$43.56

The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.

Quick Apply

Refine Your Search

credentialing jobs in reno, nv

Practitioner Mgmt Coord (US)

Credentialing Specialist (Contractual)

Medical Staff Services Coordinator - Temporary

Healthcare Credentialing & Provider Relations Specialist

Security Officer Enhanced Part Time Credential Verification

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for credentialing in reno, nv

Explore jobs in more locations

Preferred Experience

Job Seeker Tools

Employer Tools

Browse

Stay Connected