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Credentialing specialist Jobs in Pompano Beach, FL

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Credentialing specialist • pompano beach fl

Last updated: 1 day ago
External Credentialing Specialist

External Credentialing Specialist

All Star Recruiting Locums LLCDeerfield Beach, FL, US
Full-time
All Star Healthcare Solutions is looking for dedicated, energetic, hardworking individuals who want to join a.Our team members provide exceptional service in a people-first.We pride ourselves on ef...Show moreLast updated: 24 days ago
  • Promoted
HSPD-12 : Government Badging & Credentialing Specialist

HSPD-12 : Government Badging & Credentialing Specialist

CitizantPlantation, FL, United States
Full-time
Citizant is a leading provider of professional IT services to the U.We seek to address some of our country's most pressing challenges in the areas of Agile application development, Enterprise Data ...Show moreLast updated: 30+ days ago
  • Promoted
Credentialing Specialist

Credentialing Specialist

NationsBenefitsFort Lauderdale, FL, US
Full-time
Role : Credentialing Specialist.Shift Timing : 9am EST - 6pm EST M-F.The Credentialing Specialist will be responsible for overseeing the credentialing and re-credentialing of providers that participa...Show moreLast updated: 19 days ago
Credentialing Specialist

Credentialing Specialist

Direct RecruitersFL, US
Full-time
Value-based primary care group serving Medicare population for over 10 years.Committed to excellent healthcare with patient's health as top priority. Over 100 wholly owned locations.Focus on providi...Show moreLast updated: 30+ days ago
  • Promoted
Credentialing ManagerDirector

Credentialing ManagerDirector

Integrated DermatologyBoca Raton, Florida, USA
Full-time
Develop implement and enforce policies and procedures for credentialing and payer enrollment across all states and markets. Oversee the full lifecycle of credentialing and recredentialing for provid...Show moreLast updated: 3 days ago
Credentialing Specialists

Credentialing Specialists

Armada LtdFort Lauderdale, FL, US
Full-time
YES, nationwide to support onsite credentialing operations as mission needs require.UPON AWARDING OF GOVERNMENT CONTRACT • • • • • • • •. Credentialing Specialists will provide credentialing service and sup...Show moreLast updated: 12 days ago
  • Promoted
Specialist POD

Specialist POD

Global Medical ResponsePompano Beach, FL, United States
Full-time
On Site : 2500 NW 29th Manor, Pompano Beach, FL 33069.GMR) and its family of solutions are dedicated to delivering compassionate, quality medical care, primarily in the areas of emergency and patien...Show moreLast updated: 30+ days ago
Credentialing Specialist

Credentialing Specialist

OnSpot-FL LLCFort Lauderdale, FL, US
Full-time
This individual will play a vital role in supporting provider onboarding and compliance, ensuring that all practitioners are properly credentialed and contracted with insurance payers.Manage and ma...Show moreLast updated: 30+ days ago
  • Promoted
Credentialing Specialist

Credentialing Specialist

NationsBenefits, LLCPlantation, FL, United States
Full-time
NationsBenefits is recognized as one of the fastest-growing companies in America and a Healthcare Fintech provider of supplemental benefits, flex cards, and member engagement solutions.We partner w...Show moreLast updated: 30+ days ago
  • Promoted
Sales Specialist

Sales Specialist

Home Depot (Retail)Deerfield Beach, FL, US
Full-time
Sales Specialists help customers bring their project ideas to life by offering a range of product options, providing samples, and recommending solutionsincluding installation and related services.S...Show moreLast updated: 30+ days ago
  • Promoted
Merchandiser Specialist

Merchandiser Specialist

Florida StaffingFort Lauderdale, FL, US
Full-time
Bring Brands to Life and Build Your Career.Join Premium Retail Services as a Merchandising Specialist, where you'll bring top brands to life in stores across your community.You'll represent hundred...Show moreLast updated: 17 days ago
Now Hiring : Primary Care Physicians Fast Hiring & Credentialing!

Now Hiring : Primary Care Physicians Fast Hiring & Credentialing!

HealthPlus StaffingFort Lauderdale, FL, US
Full-time
HealthPlus Staffing is conducting interviews on behalf of a highly reputable Outpatient Primary Care Group with multiple locations in Florida. If you're a dedicated Family Medicine or Internal M...Show moreLast updated: 8 days ago
Credentialing Specialist

Credentialing Specialist

VirtualVocationsTamarac, Florida, United States
Full-time
A company is looking for a Credentialing Specialist responsible for facilitating the centralized verification office program and serving as the primary credentialing liaison.Key Responsibilities ...Show moreLast updated: 30+ days ago
  • Promoted
Credentialing Specialists

Credentialing Specialists

ArmadaPlantation, FL, United States
Full-time
Type : Full TimeLocation : Plantation, FLOvertime Exempt : YesReports To : ARMADA HQTravel Requirement : YES, nationwide to support onsite credentialing operations as mission needs require.Security Clea...Show moreLast updated: 1 day ago
Quotations Specialist

Quotations Specialist

REXELFort Lauderdale, FL, US
Full-time
Rexel USA is one of the largest distributors of electrical products, data communication, and related supplies in the United States. Rexel USA operates its electrical distribution business in the Uni...Show moreLast updated: 30+ days ago
Credentials Specialist-Credentialing-Pool-BHC-#21343

Credentials Specialist-Credentialing-Pool-BHC-#21343

Broward HealthFort Lauderdale, FL
Full-time
Broward Health Corporate Spectrum.Coordinates the initial credentialing, privileging, and annual / bi-annual reappointment of the medical staff and allied health professional to ensure that only qual...Show moreLast updated: 30+ days ago
  • Promoted
Merchandising Specialist

Merchandising Specialist

Premium Retail ServicesFort Lauderdale, FL, US
Full-time
Bring Brands to Life and Build Your Career.Join Premium Retail Services as a Merchandising Specialist, where you'll bring top brands to life in stores across your community.You'll represent hundred...Show moreLast updated: 30+ days ago
Medical Staff Credentialing Coordinator / Full Time, Day Shift-1656159

Medical Staff Credentialing Coordinator / Full Time, Day Shift-1656159

Florida Medical CenterFort Lauderdale, FL, US
Full-time
Under the direction of the Director, coordinators and provides secretarial support of the Medical Staff's credentialing process of reappointment applications, requests for temporary privileges,...Show moreLast updated: 3 days ago
  • Promoted
Funnel Specialist

Funnel Specialist

Human to Human HubPompano Beach, Florida, USA
LATAM y el mercado hispanohablante.Su academia está en plena expansión y busca a un / a.Kajabi & Funnel Specialist.Si te mueve el aprendizaje continuo las plataformas digitales el servicio al alu...Show moreLast updated: 21 days ago
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External Credentialing Specialist

External Credentialing Specialist

All Star Recruiting Locums LLCDeerfield Beach, FL, US
24 days ago
Job type
  • Full-time
Job description

Job Description

Job Description

All Star Healthcare Solutions is looking for dedicated, energetic, hardworking individuals who want to join a

very successful and growing healthcare staffing company in the North Broward area. Our culture is

professional, fast-paced, and people-centric. Our team members provide exceptional service in a people-first

environment. We pride ourselves on effectively servicing our Providers, Clients, and the Community; while also

focusing on our employees' personal, professional, and financial goals. As a Sun-Sentinel Top Places to Work

recipient, All Star is the team to join if you are looking for specialized development, benefits, competitive pay,

and job expansion, in a fun and collaborative environment.

Job Summary :

The External Credentialing Specialist will be responsible for maintaining the credentialing and re-credentialing

process for All Star Recruiting healthcare providers. Additionally, the External Credentialing Specialist will contact

Medical Staff Offices and facility Payor Enrollment contacts as needed to complete all facility credentialing

requirements, as well as communicate with healthcare personnel to maintain up-to-date files on physicians, and

NP / PAs. The Credentialing Specialist is also responsible for answering inquiries regarding providers' credential

status and working with the locums division to ensure the accuracy of all files by tracking the expiration of licenses

and certifications. In addition, the External Credentialing Specialist will act within the values of All Star Healthcare

Solutions.

Supervisory Responsibilities :

  • None

Duties / Responsibilities :

  • Coordinates and monitors the review and analysis of Physicians and Allied Professionals applications
  • and accompanying documents, ensuring applicant eligibility

  • Compiles and maintains current and accurate data for all providers
  • Conduct thorough research and primary source verification of all components of the application file
  • Identify issues that require additional investigation and evaluation, validates discrepancies and ensures
  • appropriate follow-up

  • Processes and completes provider credentialing and re-credentialing applications; monitors
  • applications and follows-up as necessary

  • Sets up and maintains provider information in company databases
  • Process applications for appointment and reappointment of privileges
  • Tracks licenses, DEA certificates and professional liability expirations and any other required
  • credentialing document for appointed providers

  • Handles telephone calls and assists callers by conveying their issues to the appropriate individual or
  • department and performing follow-up, as required

  • Maintains knowledge of jurisdictional requirements and document credentialing changes as needed.
  • Audit health plan directories for current and accurate provider information
  • Assists with internal file audits
  • Participates in the development of and adherence to department rules and regulations; and policies
  • pertaining to medical staff, practitioner / provider, and the organization

  • Utilizes credentialing databases, optimizing efficiency, and performs query, reports, and document
  • generation; submits and retrieves National Practitioner Data Bank reports in accordance with Health

    Care Quality Improvement Act

  • Communicates credentialing requirements and documents as needed
  • Other duties as assigned
  • Knowledge, Skills / Abilities :

  • Professional, motivated, with pleasant demeanor
  • Excellent organizational and follow- up skills
  • Strong attention to detail
  • Ability to communicate effectively, both orally and in writing
  • Informational research skills
  • Database management skills including querying, reporting, and document generation
  • Knowledge and understanding of the credentialing process
  • Ability to organize and prioritize work and manage multiple priorities
  • Ability to work with general supervision
  • Knowledge of related accreditation and certification requirements and standards
  • Working knowledge of clinical and / or hospital operations and procedures
  • Ability to establish and maintain effective working relationships with providers, management, staff, and
  • contacts outside the organization

  • Displays knowledge of key functions, terminology, and work products of legal, information technology,
  • risk management and performance concepts

    Education and Experience :

  • High school diploma or equivalent required (Bachelor’s Degree Preferred)
  • Minimum one (1) year of experience in provider credentialing or in health care industry preferred
  • Knowledge in managed care / insurance credentialing a plus
  • Proficient use of Microsoft Office applications (Word, Excel, Outlook) and internet resources
  • Any combination of knowledge, skills, abilities, experience and / or education may be considered
  • Physical Requirements :

  • Prolonged periods of sitting at a desk and working on a computer.
  • Disclaimer :

    The above statements are intended to describe the general nature and level of work being performed by

    people assigned to this job. They are not to be construed as an exhaustive list of all responsibilities, duties, and

    skills required of personnel so classified. All personnel may be required to perform duties outside of their

    normal responsibilities from time to time, as needed. All Star Healthcare Solutions reserves the right to amend

    and change responsibilities to meet business and organizational needs as necessary. This job description is

    NOT a contract for employment and does not modify or circumvent the employee’s ‘at-will’ employment

    relationship with the company.

    All Star Recruiting Locums, LLC and affiliates are an equal opportunity employer. All qualified applicants will

    receive consideration for employment without regard to status as a protected veteran or a qualified individual

    with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation,

    gender identity, age or any other category protected by law