Top 4 Credentialing specialist Jobs in Woonsocket Ri

Credentialing Specialist (Full Time)
Community Care Alliance —Woonsocket, RI
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Continuing education credits
- 403(b) matching
Credentialing Specialist/Coordinator
Family Health Center —Worcester, MA
- $26 - $28 an hour
- Part-time
- Remote
- Customer service
- Medical office experience
- Mid-level
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Enrollment Specialist, BILH Performance Network
Beth Israel Lahey Health —Westwood, MA
- $21.28 - $32.55 an hour
- Full-time
- Mid-level
- Databases
- Bachelor's degree

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Provider Enrollment & Credentialing Specialist
Optum —Boston, MA
Responsible for tracking license, DEA, malpractice face-sheet and other certification renewals as well as keeping current copies on file.
$18 - $32 an hour
Enrollment Specialist- Managed Care Provider Enrollment
Beth Israel Lahey Health —Wakefield, MA
Prior to opening or acquisition of groups/locations submits enrollment applications to appropriate state(s) Medicare/Medicaid programs.
$21.28 - $32.55 an hour

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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…
$23.85 - $28.02 an hour
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14d
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…
$75 - $110 an hour
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Credentialing Specialist (Full Time)

Community Care Alliance -
Woonsocket, RI

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Job Details

Full-time

Benefits

Continuing education credits
403(b) matching
Mileage reimbursement
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Life insurance
Referral program

Qualifications

High school diploma or GED
Office experience

Full Job Description

Credentialing Specialist (Full Time)

POSITION SUMMARY:

Coordinate, administer and maintain credentialing process for all eligible staff. Work with HR team to assist with HR duties as needed, including participation with the agency training committee for processing of CEUs and special trainings.

QUALIFICATIONS:

Must have at least 1 year of credentialing and office experience in a health care setting.
Minimum of high school diploma or equivalent.
Ability to work in a fast-paced environment while remaining organized and handling multiple priorities simultaneously.
Ability to work with a small but dynamic HR team.
Excellent communication skills and ability to build strong relationships with employees from new hires to executive management.
Flexible with strong problem-solving skills.

PRIMARY FUNCTIONS:

Complete all credentialing and re-credentialing duties and applications for agency.
Assume full responsibility for maintaining, tracking and following up on any and all forms of licensure, certification, and credentialing documentation as required.
Work with finance to ensure all specified monetary increases/bonuses for employees with new credential qualifications are processed in a timely manner.
Adhere to the credentialing requirements of all insurance/funding sources for which they qualify and provide Human Resources with the initial required documentation (licenses, liability insurance policies, DEA numbers etc.) and all renewals of these documents thereafter.
Act as liaison between staff and insurance companies with regards to all credentialing correspondence.
Work with billing team to ensure proper reimbursements are in place.
Maintain up to date copies of staff licenses, certifications, DEAs, malpractice insurance and other provider information for credentialing and licensing.
Attend Billing Team meetings to discuss any credentialing changes, updates or issues.
Provide useful reports for management to be able to track where their staff are in the credentialing process

SECONDARY FUNCTIONS:

Participate on Training Committee and work to support CEU processing.
Other HR duties as assigned.

Benefits

Community Care Alliance offers competitive salaries based on experience, skills and performance, a comprehensive benefits package, and great quality of work/life.

Generous vacation, sick time and holidays.
Comprehensive medical and dental coverage as well as voluntary vision and AFLAC supplemental coverage.
403b with matching after 6 months of employment.
Flexible Spending (FSA) and Dependent Care (DCA) accounts.
Agency-paid group life insurance; long-term disability.
Tuition reimbursement and licensure/certification bonuses.
Employee referral program as well as bilingual skills premium.
On-site or nearby parking available at most buildings; mileage reimbursement for client and business related use of your personal vehicle.

To apply for this opening please visit our website www.communitycareri.org and select "Careers" and then "Current Openings" to fill out an application and upload your cover letter and resume.

About Us

Community Care Alliance provides an array of services and supports that are linked together so people can access help for their unique situations. Our goal is to help all members of our community become healthier, more self-reliant and better informed to meet their economic, social and emotional challenges.

Community Care Alliance is an Affirmative Action/Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, sexual orientation, age, national origin, or disability.

Military friendly employer!

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Refine Your Search

credentialing specialist jobs in woonsocket ri

Credentialing Specialist (Full Time)

Credentialing Specialist/Coordinator

Enrollment Specialist, BILH Performance Network

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