Negotiations Specialist
TradeJobsWorkForce93650 Fresno, CA, USFull-time
Negotiations Specialist Job Duties: Call providers, navigate call trees to get to the right people Negoti... Show more
Credentialing Specialist, Insurance ServicesCommunity Health System • Fresno, California, USA
Credentialing Specialist, Insurance Services
Community Health System • Fresno, California, USA
9 days ago
Job type
- Full-time
Job description
Employment Type : Full Time
Experience: years
Vacancy: 1
Overview
Opportunities for you!
- Consecutively recognized as a top employer by Forbes and in 2025 by Newsweek
- Free Continuing Education and certification
- Tuition reimbursement educationprogramsand scholarships
- Vacation time starts building on Day 1 and builds with your seniority
- Free money toward retirement with a 403(b) and matching contributions
- Great food options with on-demand ordering
- Free parking and electric charging
Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.
We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.
Responsibilities
The Credentialing Specialist CCH coordinates monitors and performs the credentials verification process for initial appointments temporary privileges provisional reviews and reappointments of physicians and allied health professionals. Through formal and on-the-job training incumbents will develop their skills in all aspects of initial comprehensive credentialing and privileging to include reappointment process and temporary privilege requests in accordance with the Department of Managed Healthcare (DMHC) and NCQA accreditation standards state and federal regulatory requirements bylaws rules and regulations policies and procedures aligned with the Knox-Keene Act.Qualifications
Education High School Diploma High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required Associates Degree preferredExperience 1 year previous Medical Staff experience preferredLicenses and Certifications CPCS - Certified Provider Credentialing Specialist preferredDisclaimers
Pay ranges listed are an estimate and subject to change.
If any bonuses are noted they are only applicable to external hires meeting criteria.
Required Experience:
IC
Employment Type : Full Time
Experience: years
Vacancy: 1
Create a job alert for this search
Credentialing Specialist, Insurance Services • Fresno, California, USA
Similar jobs
Call Center Agent (PT or FT)
American Red CrossHanford, CA, United StatesFull-time
Join the American Red Cross and Be a For for Good! If you are committed to changing the world one community at a time, while enjoying great pay and a flexible work schedule, ARC is for you! Current... Show more
Managing Service Provider
UFW FoundationFresno, CA, United StatesPermanent
The Managing Service Provider position will provide affirmative immigration relief services and work closely with other UFW Foundation programs to drive an organizing culture which influences syste... Show more
Customer Accounting Specialist II
Western GrowersFresno, CA, United StatesFull-time
Customer Accounting Specialist IIAt Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full-suite of comprehensive and customized health benefits admin... Show more
Specialist, Risk and Compliance Services (PC)
DeloitteFresno, CA, United StatesFull-time
Position Summary Join Deloitte's Risk & Brand Protection organization as a Specialist, Risk and Compliance Services, where you will support independence and conflicts processes that help protect o... Show more
NEW IN General Liability - Personal Injury Associate | Up to $160k base | Los Angeles - Hybrid /
We Are Legal RevolutionFresno, CA, United StatesRemote
Full-time
Let's get you in front of a firm where you can thrive.NEW IN ? Insurance Coverage Attorney Up to $160k base Premium Clientele Los Angeles - Hybrid / Remote FlexibilityCompany HighlightsWork on case... Show more
Travel CT Tech - $2433.6 / Week
Ventura MedStaffHanford, CA, USFull-time
Ventura MedStaff is seeking an experienced CT Tech for an exciting Travel Allied job in Hanford, CA.Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $2433.Founded in 2018 and located ... Show more
Virtual Premium Audit Consultant II - Residency in California (Remote)
AF - GroupFresno, CA, United StatesRemote
Full-time
Level II Virtual Premium Auditor.At AF Group, our affiliate brands deliver innovative insurance solutions and exceptional customer experiences.Consistently recognized by Business Insurance as one o... Show more
Travel CT Tech - $2495 / Week
Fusion Medical StaffingHanford, CA, USFull-time
Fusion Medical Staffing is seeking an experienced CT Tech for an exciting Travel Allied job in Hanford, CA.Shift: Inquire Start Date: ASAP Duration: 13 weeks Pay: $2495 / Week.Facility in Hanford, ... Show more
Insurance Sales Representative
Farmers InsuranceFresno, CA, USFull-time
Build Your Insurance Career—and Your Future Agency.Are you a licensed insurance professional looking for more than just another sales job? Join Farmers and gain the experience, mentorship, and supp... Show more
Account Associate - Commercial Insurance
Insurance Office of AmericaFresno, CA, US$60,000.00 yearly
Full-time
Title: Account Associate - Commercial Lines.California residents, Los Angeles County area (strongly preferred).Please note: If this position is posted as either fully remote and/or hybrid, in accor... Show more
Category Sourcing Specialist
Shorr Packaging CorporationFresno, CA, United StatesFull-time
Disabled veteran: A veteran who served on active duty in the U.Secretary of Veterans Affairs, or was discharged or released from active duty because of a service-connected disability.Recently separ... Show more
Commercial Insurance CSR
The Jonus GroupFowler, CA, United StatesFull-time
Job DescriptionJob SummaryWe are seeking a detail-oriented and customer-focused Commercial Insurance Customer Service Representative (CSR) to join our team.The ideal candidate will assist clients w... Show more
PayPal Dispute Resolution Specialist
TradeJobsWorkforce93720 Fresno, CA, USFull-time
Help us succeed as our next PayPal Dispute Resolution Specialist to perform responsibilities as a Dispute Resolution Specialist.Stay adaptable to changing priorities and business needs.Ensure compl... Show more
Life Insurance Agent
Kimbrell AgencyFresno, California, United StatesFull-time +1
Quick Apply
Compensation $50,000 to $100,000 per year (plus commission).If you're reading this and thinking, "Insurance? Really?" I get it.I've thought that too—and I still do.The truth is, I'm not passionate ... Show more
Documentation SpecialistFresno, California, United States
Centria AutismFresno, CA, United StatesFull-time
The Clinical Quality Specialist will assist in reviewing clinical documentation, classifying, and resolving internal incident reports within our reporting system.This position also supports the adm... Show more
Travel CT Tech - $2696.62 / Week
Pulse Healthcare ServicesHanford, CA, USFull-time
Pulse Healthcare Services is seeking an experienced CT Tech for an exciting Travel Allied job in Hanford, CA.Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $2696.About Pulse Healthc... Show more
Travel CT Tech - $2695 / Week
Cynet HealthHanford, CA, USFull-time
Cynet Health is seeking an experienced CT Tech for an exciting Travel Allied job in Hanford, CA.Shift: 3x12 hr nights Start Date: 08/03/2026 Duration: 13 weeks Pay: $2695 / Week.Ranked #5 Best Trav... Show more
Benefit Technology Specialist
SquaremouthFresno, CA, United StatesFull-time
Benefits Technology Specialist.In a rapidly changing world, HUB advises businesses and individuals on how to prepare for the unexpected.As one of the worlds' largest insurance brokers, our focus is... Show more
Border Patrol Agent (BPA) Experienced - New Hire Sign-On and Retention Incentives
U.S. Customs and Border ProtectionLemoore, CA, USFull-time
Border Patrol Agent (BPA) – in the Federal Security and Public Safety Sector Experienced (GL-9 GS-11).You love protecting your community and doing your part to keep our nation safe.But maybe you’re... Show more