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Credentialing specialist Jobs in Scottsdale, AZ

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Credentialing specialist • scottsdale az

Last updated: 10 hours ago
Provider Credentialing Specialist

Provider Credentialing Specialist

TriWest Healthcare AlliancePhoenix, AZ
Temporary
The Provider Credentialing Specialist supports the Credentialing Department by managing and maintaining accurate, up-to-date provider data to include updates, changes, additions and terminations in...Show moreLast updated: 4 days ago
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Field Specialist

Field Specialist

BrightStar CareScottsdale, AZ, US
Full-time
Why Youll Love this Field Specialist Job!.Looking to make someone elses day? The Field Specialist job at BrightStar Care in Scottsdale, AZ gives you the opportunity to brighten someones outlook and...Show moreLast updated: 10 hours ago
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Investment Specialist

Investment Specialist

First Citizens BankPhoenix, AZ, US
Full-time
The Investment Specialist works with our Premier Bankers and branch partners to fulfill the investment needs of our clients. The Investment Specialist develops an understanding of each client or pro...Show moreLast updated: 3 days ago
California Credentialing Specialist

California Credentialing Specialist

VirtualVocationsTempe, Arizona, United States
Temporary
A company is looking for a Credentialing Specialist for a temporary contract position.Key Responsibilities Manage the physician credentialing and re-credentialing process Collect and verify docu...Show moreLast updated: 2 days ago
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Inventory Specialist

Inventory Specialist

LHH Recruitment SolutionsTempe, AZ, US
Full-time
We are seeking a detail-oriented and dependable.This role is critical in maintaining accurate vehicle inventory records and ensuring smooth operations across new and used vehicle stock.The ideal ca...Show moreLast updated: 12 days ago
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Sales Specialist

Sales Specialist

Outdoor Living SupplyPhoenix, AZ, United States
Full-time +1
As a Sales Specialist, you will be the face of our business and the primary point of contact with our customers.You will be responsible for accurately handling financial transactions, providing exc...Show moreLast updated: 1 day ago
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HSPD-12 : Government Badging & Credentialing Specialist (Phoenix, AZ - REF1778N)

HSPD-12 : Government Badging & Credentialing Specialist (Phoenix, AZ - REF1778N)

CitizantPhoenix, AZ, US
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
Credentialing Specialist

Credentialing Specialist

LHHPhoenix, Arizona
Full-time
LHH Recruiting is committed to placing talented professionals in roles where they can excel.We are currently seeking a meticulous and organized. If you have an eye for detail and a passion for ensur...Show moreLast updated: 3 days ago
Associate Specialist, Corporate Credentialing

Associate Specialist, Corporate Credentialing

Molina HealthcarePhoenix, AZ, United States
Full-time
JOB DESCRIPTION • • • •Job Summary • • Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria t...Show moreLast updated: 5 days ago
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Psychiatrist with Insurance Credentialing Support

Psychiatrist with Insurance Credentialing Support

Headway - Design & DevelopmentPhoenix, AZ, United States
Full-time
Psychiatrist with Insurance Credentialing Support.Wage : Between $157-$242 an hour.Are you ready to take your private practice to the next level?. Headway is your partner in making it easier to accep...Show moreLast updated: 4 days ago
Regional Credentialing Coordinator Full Time

Regional Credentialing Coordinator Full Time

USPIPhoenix, Arizona
Full-time
An exciting opportunity is available for the right person as Full Time Regional Credentials Coordinator.This position requires a highly motivated and detail oriented Credentials Professional.We are...Show moreLast updated: 30+ days ago
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Milieu Specialist

Milieu Specialist

Universal Health Services, Inc.Phoenix, AZ, United States
Full-time
Quail Run Behavioral Health Hospital Phoenix is seeking a dynamic and talented.Challenging and rewarding work environment. Competitive Compensation and Generous Paid Time Off.Excellent Medical, Dent...Show moreLast updated: 18 days ago
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Administrative Specialist

Administrative Specialist

TransdevPhoenix, AZ, US
Full-time
Our team has developed a robust culture of safety, professionalism and commitment to Diversity, Equity and inclusion (DEI). We expect all team members to champion Company standards of conduct and ou...Show moreLast updated: 15 days ago
Clinical Specialist

Clinical Specialist

SevitaGuadalupe, AZ, United States
Full-time
Explore Numerous Nearby Locations for Your Convenience! DISCOVER CAREERS, WELL LIVED.Our mission at Sevita is to create a world where every person has the right to live well.As a Caregiver, you’ll ...Show moreLast updated: 14 days ago
Credentialing Manager

Credentialing Manager

EWINGSPhoenix, AZ
Full-time
Credentialing Manager - Delegated Credentialing and NCQA Compliance.Location : Remote (United States).While this role has been filled we continue to accept resumes in the event additional contractor...Show moreLast updated: 3 days ago
  • Promoted
Proposal Specialist

Proposal Specialist

DudekPhoenix, AZ, US
Full-time
Practice / Department : Marketing.Internal Title : Proposal Specialist III.Dudek's journey began in 1980 with a vision to serve Southern California's water and wastewater agencies.Today, we are a 100% ...Show moreLast updated: 17 days ago
Credentialing Specialist

Credentialing Specialist

American Vision PartnersTempe, Arizona, USA
Full-time
American Vision Partners (AVP).Our practices include Barnet Dulaney Perkins Eye Center Southwestern Eye Center Retinal Consultants of Arizona M&M Eye Institute Abrams Eye Institute Southwest Eye In...Show moreLast updated: 2 days ago
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Provider Credentialing Specialist

Provider Credentialing Specialist

TriWest Healthcare AlliancePhoenix, AZ
4 days ago
Job type
  • Temporary
Job description

Job Summary

The Provider Credentialing Specialist supports the Credentialing Department by managing and maintaining accurate, up-to-date provider data to include updates, changes, additions and terminations in the credentialing, while working under timeline, accuracy and production targets. Performs credentialing activities including primary source verifications, communicating with Providers to request missing information supporting the integrity of Provider data in all downstream systems, and key-entering initial data of potential network Providers into the credentialing system.

Education & Experience

Required :

  • High School Diploma or GED
  • If supporting TRICARE contract, must be a U.S. Citizen
  • If supporting TRICARE contract, must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation
  • 6 months or more of provider credentialing experience

Preferred :

  • 1+ years of credentialing experience
  • Experience using provider credentialing software systems or Provider Data Management Systems
  • Knowledge of URAC or NCQA standards
  • Key Responsibilities

  • Process Provider credentialing inventory within expected timeline, accuracy and production targets.
  • Update outdated provider credentialing and demographic information.
  • Reviews Provider applications and verifies that each meets all credentialing criteria.
  • Reviews Provider applications for accuracy and completeness and follows-up to obtain missing information materials in a timely manner and in accordance with department standards.
  • Queries primary sources, as applicable, to verify Provider credentials and qualifications.
  • Prepares files for review by the Credentialing Committee.
  • Maintains current credentialing, directory status information in a Provider credentialing system (Provider database).
  • Represents the Credentialing Unit at Credentialing Committee meetings as needed.
  • Achieves and maintains required department credentialing timeframe standards.
  • Communicates, though both written and verbal communication, in a professional and concise manner and is able to share information and / or instructions for updating and correcting Provider credentialing databases.
  • Coordinate with internal departments for Provider database related issues.
  • Works with Credentialing Verification Organization(s) as directed.
  • Performs other duties as assigned.
  • Regular and reliable attendance is required.
  • Competencies

    Commitment to Task : Ability to conform to established policies and procedures; exhibit high motivation.

    Communication / People Skills : Ability to influence or persuade others under positive or negative circumstances; adapt to unique styles; listen critically; collaborate.

    Computer Literacy : Ability to function in a multi-system Microsoft environment using Word, Excel, Outlook, TriWest Intranet, the Internet, and department software applications.

    Organizational Skills : Detail-oriented with the ability to organize people or tasks, adjust priorities, learn systems, within time constraints and with available resources.

    Problem Solving / Analysis : Able to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues.

    Technical Skills : Proficient with key databases, including credentialing software systems, Provider Data Management Systems, and Provider Information Management Systems; working knowledge of Provider credentialing policies and procedures, healthcare or managed care experience

    Working Conditions

    Working Conditions :

  • Availability to cover any work shift
  • Works within a standard office environment, with minimal travel
  • Extensive computer work with prolonged periods of sitting