Top 9 Credentialing specialist Jobs in Allen Park Mi

Credentialing Specialist - Full time - Detroit
Henry Ford Health —Detroit, MI
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
Compliance and Credentialing Support Specialist
JVHL —Allen Park, MI
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
7d
Credentialing Specialist
Metro Vein Centers —West Bloomfield Township, MI
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Communication skills
- Paid holidays
- Disability insurance
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HSPD-12: Government Badging & Credentialing Specialist (Detroit, MI*)
Citizant Inc —Detroit, MI
- $43,000 - $49,100 a year
- Full-time
- Administrative experience
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
Quick Apply
Credentialing Specialist
One Federal Solution —Detroit, MI
- Customer service
- Mid-level
- Administrative experience
Quick Apply
4d
Credentialing Specialist
Judson Center —Farmington Hills, MI
- Full-time
- Research
- Mid-level
- Ability to sit for extended periods
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Medical Professional Services Credentialing Coordinator
Corewell Health —Royal Oak, MI
- Full-time
- Hybrid work
- Hospital
- Research
- Mid-level
Credentials Specialist
Detroit Medical Center Shared Services —Detroit, MI
- Full-time
- Hospital
- Medical office experience
- Mid-level
- Health savings account
- Health insurance
6d
HSPD-12: Government Badging & Credentialing Specialist
Electrosoft —Detroit, MI
- $30,000 - $40,000 a year
- Mid-level
- Administrative experience
- High school diploma or GED
Quick Apply
9d

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Full-time Payer Credentialing Manager - Remote (US)
Theoria Medical —Novi, MI
Bachelor's degree in healthcare administration, business, or related field. Oversee the processing of initial payer applications for health professionals,…
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5d
Credentialing Specialist
Metro Vein Centers —West Bloomfield Township, MI
Self-starter mindset with ownership and follow-through in a remote setting. This is a remote role; we're looking for a self-starter with strong ownership and…
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Credentialing Specialist
Kyo —Columbus, OH
Managing credentialing, recredentialing, and licensure process for clinical staff with health insurance plans, certification boards and other agencies.
$27.88 - $31.25 an hour
Quick Apply
6d
Credentialing Specialist-(Day)FT
Adena Health System —Chillicothe, OH
Must possess a valid National Association Medical Staff Services (NAMSS) Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified…

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Credentialing Specialist - Full time - Detroit

Henry Ford Health -
Detroit, MI

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Job Details

Full-time

Benefits

Health insurance
Dental insurance
Tuition reimbursement

Qualifications

Customer communication
Medical law
Regulatory compliance
High school diploma or GED
Health information regulatory compliance

Full Job Description

GENERAL SUMMARY:

Under general supervision, responsible for all functions relating to the credentialing and recredentialing of practitioner applicants. Responsibilities include data entry, data collection, and verification of credentials from primary source and analyzes information collected for presentation to medical staff leadership.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Responsible for verifications for medical staff and allied health professionals initial appointments, provisional reviews, reappointments and privilege delineation; a. Coordinates the processing of applications. Assure all applications are processed completely and in a timely manner;
- Verifies required primary source credentialing documentation to ensure medical staff and allied health professional files are current and policies and procedures have been followed to obtain required documentation and verification;
- Coordinates activities and explains procedure to facilitate the reappointment process;
- Request confidential information such as case logs, procedures and other sensitive matters;
- Tracks responses and follows-up on items not received within established time frames;
Maintains credentialing software database by ensuring that data entered is complete and accurate;
Submit completed files to MSO offices and delegated entities;
Acts as a liaison between Henry Ford Health System facilities and the CCS.
Communicates with internal and external customers in a clear, concise manner to obtain or provide necessary information;
Assist in compliance with the accrediting and regulatory agencies (i.e. The Joint Commission, NCQA, URAC, HFAP) in regards to credentialing while developing and maintaining a working knowledge of the statutes and laws;
Improves professional growth, knowledge of job to maintain efficiency and effectiveness of the CCS by participating in professional organizations, attending seminars and reading journals and publications addressing medical staff services activities and trends;
Participates in system integration and continuing quality improvement efforts;
Receives, evaluates and answers customer inquiries and provides customer support in accordance with corporate standards of excellence;
Performs other duties as required which are subject to change at the discretion of management.

EDUCATION/EXPERIENCE REQUIRED:

High School Diploma required. Associate’s Degree, preferred.
1 year of credentialing, provider enrollment, or background/verification specialist experience required.
High level of energy to work in a fast paced environment often including time deadlines, frequent interruptions, multiple demands and multi-tasking.
Working knowledge of State and Federal law relating to due process and provisions of the Health Insurance Portability and Accountability Act if 1996 and all applicable standards.

PHYSICAL DEMANDS/WORKING CONDITIONS:

Normal office environment with minimal exposure to noise, dust, or extreme temperatures.
Must meet or exceed core customer service responsibilities, standards and behaviors as outlined in the HFHS’ Customer Service Policy
Must practice the customer skills as provided through on-going training and in-services.

PHYSICAL DEMANDS/WORKING CONDITIONS:

Normal office environment with minimal exposure to noise, dust, or extreme temperatures.

Additional Information

Organization: Corporate Services
Department: Central Verification Office
Shift: Day Job
Union Code: Not Applicable

Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.

Benefits

The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.

Apply Now

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credentialing specialist jobs in allen park mi

Credentialing Specialist - Full time - Detroit

Compliance and Credentialing Support Specialist

Credentialing Specialist

HSPD-12: Government Badging & Credentialing Specialist (Detroit, MI*)

Credentialing Specialist

Credentialing Specialist

Medical Professional Services Credentialing Coordinator

Credentials Specialist

HSPD-12: Government Badging & Credentialing Specialist

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Additional Details

Overview

Benefits

Equal Employment Opportunity/Affirmative Action Employer

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