Top 66 Remote medical credentialing Jobs in Baltimore, Md

Provider Credentialing Specialist I (Remote) - Dental
CareFirst BlueCross BlueShield —Baltimore, MD
- $38,520 - $70,620 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- 401(k)
Quick Apply
Medical Instrument Technician (GI Technician)
US Veterans Health Administration —Baltimore, MD
- $64,379 - $83,694 a year
- Online Application
- Background check
- Anatomy knowledge
- Current TB test
- Paid parental leave
- Paid holidays
6d
Senior Medical Coding Specialist (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $67,464 - $133,991 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Presentation skills
- 401(k)
Quick Apply
Statistician (Health)
US Centers for Medicare & Medicaid Services —Woodlawn, MD
- $121,785 - $158,322 a year
- Part-time
- Background check
- Customer service
- Pass drug screening
3d
Medical Device Field Engineer (Entry Level) Minneapolis MN
BD —Sparks, MD
- $27.00 - $43.20 an hour
- Monday to Friday
- Computer science
- Computer Science
- Up to 50% travel
3d
Medical Instrument Technician (Echocardiography)
US Veterans Health Administration —Baltimore, MD
- $71,297 - $92,682 a year
- Online Application
- Background check
- Anatomy knowledge
- BLS Certification
- Paid parental leave
- Paid holidays
23h
Office Manager
The Practitioner Provider LLC —Baltimore, MD
- $21 - $25 an hour
- Part-time
- Hybrid work
- Google Workspace
- Computer literacy
- Mid-level
Quick Apply
10d
Social Worker- healthcare for Homeless Veterans Outreach
US Veterans Health Administration —Baltimore, MD
- $78,062 - $112,790 a year
- Online Application
- Background check
- Master of Social Work
- Writing skills
- Paid parental leave
- Paid holidays
7d
Medical Device Field Service Technician, Lafayette LA
BD —Sparks, MD
- $27.00 - $43.20 an hour
- On call
- Computer Science
- Up to 50% travel
- Engineering
- COVID-19 protective measures
Licensed Practical Nurse - Outpatient Specialty Clinic
US Veterans Health Administration —Baltimore, MD
- $53,532 - $87,896 a year
- Online Application
- Background check
- Nursing
- Pass drug screening
7d
Food Service Worker
US Veterans Health Administration —Baltimore, MD
- $19.43 - $22.66 an hour
- Weekends as needed
- Background check
- Pass drug screening
- No experience needed
7d
Psychotherapy Private Practice Provider
Cedar Ridge Counseling Centers —Owings Mills, MD
- $110 - $150 an hour
- Part-time
- Hybrid work
- Private practice
- Psychiatry
- Mid-level
- Profit sharing
- Professional development assistance
Quick Apply
Nursing Assistant
US Veterans Health Administration —Baltimore, MD
- $43,637 - $71,247 a year
- Online Application
- Background check
- Psychiatry
- Pass drug screening
7d
ATTORNEY ADVISER
US Centers for Medicare & Medicaid Services —Woodlawn, MD
- $143,913 - $187,093 a year
- Part-time
- Background check
- Pass drug screening
- Office
3d
Dietitian
US Veterans Health Administration —Baltimore, MD
- $57,736 - $111,087 a year
- Online Application
- Background check
- Pass drug screening
- English
- Loan repayment program
3d
Medical Device Field Service Technician, Kansas City KS
BD —Sparks, MD
- $27.00 - $43.20 an hour
- On call
- Computer Science
- Up to 50% travel
- Engineering
- Wellness program
- COVID-19 protective measures
Remote Mental Health Provider (LPC, LCSW, LMFT, LMHC)
Telemynd —Maryland
- $100,000 - $150,000 a year
- Choose your own hours
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Dental insurance
- Vision insurance
Quick Apply
Licensed Mental Health Therapist - Hybrid/Virtual Contractor
Bon Ridge Wellness, LLC —Windsor Mill, MD
- From $60 an hour
- Part-time
- Hybrid work
- Background check
- Experience working with individuals with disabilities
- Licensed Clinical Social Worker
- Flexible schedule
Quick Apply
Behavior Analyst (BCBA)
Autism Learning Partners —Baltimore, MD
- $84,000 - $93,000 a year
- 8 hour shift
- Hybrid work
- Experience working with individuals with developmental disabilities
- Current TB test
- Mid-level
- Continuing education credits
- Mileage reimbursement
Quick Apply
Value Based Care Practitioner
Chase Brexton Health Care —Baltimore, MD
- $115,202.50 - $140,000.00 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
11d

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Provider Credentialing Specialist I (Remote) - Dental

CareFirst BlueCross BlueShield -
Baltimore, MD

Quick Apply

Job Details

Full-time
$38,520 - $70,620 a year

Benefits

401(k)

Qualifications

Customer communication
Spreadsheets
Providing information to customers
Employee relationship building
High school diploma or GED
Internal employee customer service
Stakeholder relationship building
Excel data analysis

Full Job Description

Resp & Qualifications

PURPOSE:

This role will credential practitioners for network participation with CareFirst BlueCross BlueShield and accurately maintain all provider data within the enterprise-wide Provider file to supply the organization with provider data, while ensuring compliance with regulatory, accreditation, legal and company requirements and standards.

ESSENTIAL FUNCTIONS:

Analyzes credentialing applications to perform the primary source verification of the appropriate credentials in order for a practitioner to participate in the CareFirst networks. Once verified, accepted and approved, determines the appropriate networks for participation and obtains the appropriate executed contracts to effectuate the professional relationship and structures the provider group accordingly.
Responds to external and internal inquiries regarding provider participation eligibility and criteria, participation status, credentialing, contractual status and provider file updates. Direct focus on the provider experience, providing timely resolution dependable follow-up and proactive measures to ensure successful credentialing is achieved. Professional etiquette, communications and sound decision making is required.
Maintains the provider file, the Provider Information Control (PICS) inventory workflow system and electronic provider files with updated provider information during processes, such as credentialing, recredentialing, demographic updates, terminations and all other provider file maintenance activities.
Responsible for identifying, analyzing and resolving immediate and existing provider file issues. Processes provider file inputs in accordance with applicable state laws and departmental guidelines. Verification of provider data and system release entered into the provider file database, ensuring a successful integration with the other corporate systems.
Prepares written responses to obtain incomplete or missing information and or communicates effectively telephonically.

QUALIFICATIONS:

Education Level: High School Diploma or GED.

Licenses/Certifications Preferred:

Certified Provider Credentialing Specialist (CPCS).

Experience: 3 years physician credentialing experience or health insurance/managed care operations experience in a customer service, claims, billing and enrollment, or call center environment.

Preferred Qualifications:

Bachelor Degree in Business, Healthcare Administration or related field.

Knowledge, Skills and Abilities (KSAs)

Must be proficient in the use of Excel spreadsheets, and an understanding of Pivot tables.
Excellent verbal and written communication and interpersonal skills. Ability to develop and maintain effective relationships with peers, physicians, and medical staff to create confidence, respect and dependability.
Knowledge of medical terminology.
Demonstrated proficiency utilizing reference materials and ability to follow Standard Operating procedures to reduce risk and ensure provider data accuracy and overall quality.
Ability to understand jurisdictional requirements and the legal ramifications of the credentialing and provider file maintenance processes and interpret reasoning for performing verification and/or appropriate actions.

Salary Range: $38,520 - $70,620

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-LJ1

Quick Apply

Refine Your Search

remote medical credentialing jobs in baltimore, md

Provider Credentialing Specialist I (Remote) - Dental

Medical Instrument Technician (GI Technician)

Senior Medical Coding Specialist (Remote)

Statistician (Health)

Medical Device Field Engineer (Entry Level) Minneapolis MN

Medical Instrument Technician (Echocardiography)

Office Manager

Social Worker- healthcare for Homeless Veterans Outreach

Medical Device Field Service Technician, Lafayette LA

Licensed Practical Nurse - Outpatient Specialty Clinic

Food Service Worker

Psychotherapy Private Practice Provider

Nursing Assistant

ATTORNEY ADVISER

Dietitian

Medical Device Field Service Technician, Kansas City KS

Remote Mental Health Provider (LPC, LCSW, LMFT, LMHC)

Licensed Mental Health Therapist - Hybrid/Virtual Contractor

Behavior Analyst (BCBA)

Value Based Care Practitioner

I want to receive the latest job alert for remote medical credentialing in baltimore, md

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