We have other current jobs related to this field that you can find below

  • Credentialing Specialist

    3 months ago

    Montgomery, United States River Region Psychiatry Associates Full time

    Job DescriptionJob DescriptionDescription:The Credential Specialist plays an essential role in ensuring the accurate and timely credentialing of healthcare providers within River Region Psychiatry Associates, its affiliated hospitals, and associated insurance payors. This position is responsible for managing the credentialing process, verifying provider...

  • Provider Credentialing Coordinator

    6 days ago

    Montgomery, Alabama, United States Jackson Hospital Full time

    The Healthcare Provider Enrollment Specialist plays a crucial role in facilitating the enrollment of healthcare practitioners with various health insurance plans, ensuring timely processing and minimizing the risk of claim denials. This position involves the collection and management of provider credentials and necessary documentation for the enrollment of...

  • Respiratory Medicine Specialist

    7 days ago

    Montgomery, Alabama, United States VETERANS HEALTH ADMINISTRATION Full time

    Overview A Respiratory Medicine Specialist is a healthcare professional focused on diagnosing and managing disorders related to the respiratory system. This role encompasses the treatment of various pulmonary conditions such as asthma, chronic obstructive pulmonary disease (COPD), lung malignancies, and sleep-related disorders. The specialist may also...

  • Aircraft Systems Maintenance Specialist

    6 days ago

    Montgomery, Alabama, United States United States Air Force Full time

    ENSURING OPTIMAL PERFORMANCE OF MILITARY AIRCRAFTThe United States Air Force operates a diverse fleet of tactical aircraft, including advanced fighters and attack planes. The role of an Aircraft Systems Maintenance Specialist is crucial in maintaining these sophisticated machines to the highest standards. These professionals are tasked with ensuring that...

  • Radiology Specialist in Body Imaging

    6 days ago

    Montgomery, Alabama, United States AMN Healthcare Full time

    Position Overview:We are seeking a qualified Radiology Specialist in Body Imaging to join our team at AMN Healthcare. This role is essential for providing expert locum tenens support in a dynamic medical environment.Key Responsibilities:- Conduct comprehensive imaging procedures focusing on body and musculoskeletal modalities.- Perform general imaging and...

  • administrative specialist i

    4 weeks ago

    Montgomery, Alabama, United States State of Maryland - DHS - Montgomery County OCSA Full time

    Introduction\r\r\r\r\r\r�\rWhen you join the Maryland Department of Human Services (DHS), you join a team of more than 5,000 employees across the state dedicated to positively changing the lives of more than 1 million Marylanders each year. We do this by providing economic support, preventive services, and caring for children and adults.\r\r�\rWe aim to...

  • Aircraft Fuel Systems

    4 weeks ago

    Montgomery, United States United States Air Force Full time

    KEEPING AIRCRAFT PROPELLED There is little to no room for error during flight, especially when it comes to the fuel system. Responsible for diagnosing and repairing fuel system malfunctions, Aircraft Fuel Systems specialists correct problems before planes are airborne. By completing comprehensive checks on these complex systems, these highly trained...

  • Aircraft Fuel Systems

    2 months ago

    Montgomery, United States United States Air Force Full time

    KEEPING AIRCRAFT PROPELLED There is little to no room for error during flight, especially when it comes to the fuel system. Responsible for diagnosing and repairing fuel system malfunctions, Aircraft Fuel Systems specialists correct problems before planes are airborne. By completing comprehensive checks on these complex systems, these highly trained...

  • Aircraft Fuel Systems

    3 months ago

    Montgomery, United States United States Air Force Full time

    KEEPING AIRCRAFT PROPELLED There is little to no room for error during flight, especially when it comes to the fuel system. Responsible for diagnosing and repairing fuel system malfunctions, Aircraft Fuel Systems specialists correct problems before planes are airborne. By completing comprehensive checks on these complex systems, these highly trained...

  • Aircraft Fuel Systems

    1 month ago

    Montgomery, United States United States Air Force Full time

    KEEPING AIRCRAFT PROPELLED There is little to no room for error during flight, especially when it comes to the fuel system. Responsible for diagnosing and repairing fuel system malfunctions, Aircraft Fuel Systems specialists correct problems before planes are airborne. By completing comprehensive checks on these complex systems, these highly trained...

  • Children's Specialist

    1 month ago

    Montgomery, United States Carastar Health Full time

    Job DescriptionJob DescriptionThis is advanced professional work in the field of mental health. This position is responsible for supervising staff and assisting the Director of Children's Services with a focus on the administration the School Based Services ProgramDESCRIPTION OF DUTIES:Responsible for development and implementation of school-based...

  • Missile and Space Systems Maintenance

    4 weeks ago

    Montgomery, United States United States Air Force Full time

    FORTIFYING OUR DEFENSESMissiles and rockets are critical components of our national defense strategy. Responsible for servicing and maintaining them, Missile and Space Systems Maintenance specialists ensure these assets are fully operational at all times. From missile launchers to space lift boosters, these highly knowledgeable experts plan, organize and...

  • Aircraft Structural Maintenance

    4 weeks ago

    Montgomery, United States United States Air Force Full time

    ENSURING AIRCRAFT INTEGRITYWhen an aircraft suffers damage, it’s essential to fix it and get back in the air. Responsible for repairing physical damage, Aircraft Structural Maintenance specialists maintain the high quality structures of Air Force aircraft. Utilizing various methods, these professionals do everything from installing replacement parts to...

  • Tactical Aircraft Maintenance

    4 weeks ago

    Montgomery, United States United States Air Force Full time

    KEEPING SPECIALIZED AIRCRAFT AIRBORNEThe Air Force employs hundreds of tactical aircraft to complete our missions, including fighters, strike-fighters and attack planes. It’s the responsibility of Tactical Aircraft Maintenance specialists to ensure that every component of these high-performance aircraft is maintained to the most exacting standards. These...

  • Aircraft Structural Maintenance

    2 months ago

    Montgomery, United States United States Air Force Full time

    ENSURING AIRCRAFT INTEGRITYWhen an aircraft suffers damage, it’s essential to fix it and get back in the air. Responsible for repairing physical damage, Aircraft Structural Maintenance specialists maintain the high quality structures of Air Force aircraft. Utilizing various methods, these professionals do everything from installing replacement parts to...

  • Missile and Space Systems Maintenance

    2 months ago

    Montgomery, United States United States Air Force Full time

    FORTIFYING OUR DEFENSESMissiles and rockets are critical components of our national defense strategy. Responsible for servicing and maintaining them, Missile and Space Systems Maintenance specialists ensure these assets are fully operational at all times. From missile launchers to space lift boosters, these highly knowledgeable experts plan, organize and...

  • Aircraft Structural Maintenance

    3 months ago

    Montgomery, United States United States Air Force Full time

    ENSURING AIRCRAFT INTEGRITYWhen an aircraft suffers damage, it’s essential to fix it and get back in the air. Responsible for repairing physical damage, Aircraft Structural Maintenance specialists maintain the high quality structures of Air Force aircraft. Utilizing various methods, these professionals do everything from installing replacement parts to...

  • Missile and Space Systems Maintenance

    3 months ago

    Montgomery, United States United States Air Force Full time

    FORTIFYING OUR DEFENSESMissiles and rockets are critical components of our national defense strategy. Responsible for servicing and maintaining them, Missile and Space Systems Maintenance specialists ensure these assets are fully operational at all times. From missile launchers to space lift boosters, these highly knowledgeable experts plan, organize and...

  • Aircraft Structural Maintenance

    1 month ago

    Montgomery, United States United States Air Force Full time

    ENSURING AIRCRAFT INTEGRITYWhen an aircraft suffers damage, it’s essential to fix it and get back in the air. Responsible for repairing physical damage, Aircraft Structural Maintenance specialists maintain the high quality structures of Air Force aircraft. Utilizing various methods, these professionals do everything from installing replacement parts to...

  • Missile and Space Systems Maintenance

    1 month ago

    Montgomery, United States United States Air Force Full time

    FORTIFYING OUR DEFENSESMissiles and rockets are critical components of our national defense strategy. Responsible for servicing and maintaining them, Missile and Space Systems Maintenance specialists ensure these assets are fully operational at all times. From missile launchers to space lift boosters, these highly knowledgeable experts plan, organize and...

Credentialing Specialist

2 months ago

Montgomery, United States River Region Psychiatry Associates Full time
Job DescriptionJob DescriptionDescription:

The Credential Specialist plays an essential role in ensuring the accurate and timely credentialing of healthcare providers within River Region Psychiatry Associates, its affiliated hospitals, and associated insurance payors. This position is responsible for managing the credentialing process, verifying provider credentials, maintaining compliance with regulatory standards, and facilitating relationships with external stakeholders. The Credential Specialist will leverage their expertise in credentialing, healthcare regulations, and provider relations to support the organization's mission and operational excellence.

  1. Provider Credentialing and Enrollment:
  • Coordinate the credentialing and recredentialing processes for healthcare providers, including psychiatrists, psychologists, and other clinical professionals.
  • Review and verify provider credentials, licensure, education, training, certifications, and professional references in accordance with organizational policies and accreditation standards.
  1. Compliance and Regulatory Oversight:
  • Ensure adherence to state and federal regulations, accreditation requirements, and payer-specific credentialing criteria.
  • Maintain up-to-date knowledge of credentialing standards, industry trends, and regulatory changes to inform best practices and compliance initiatives.
  1. Stakeholder Collaboration:
  • Collaborate with internal departments, affiliated hospitals, insurance payors, and external agencies to facilitate credentialing processes, resolve issues, and ensure timely provider enrollment.
  • Serve as a liaison between providers, payors, and regulatory bodies to address inquiries, submissions, and credentialing-related matters.
  1. Credentialing Database Management:
  • Maintain accurate and comprehensive credentialing files, databases, and electronic records for healthcare providers.
  • Monitor credentialing timelines, expiration dates, and recredentialing cycles to proactively address renewal requirements and compliance obligations.
  1. Quality Assurance and Documentation:
  • Conduct regular audits, reviews, and quality checks to validate the accuracy and completeness of credentialing data, documentation, and processes.
  • Prepare and submit credentialing reports, performance metrics, and compliance documentation as required by internal policies and external stakeholders.
  1. Professional Development and Training:
  • Participate in ongoing professional development, training programs, and credentialing seminars to enhance knowledge, skills, and competencies in the credentialing field.
  • Mentor and support credentialing staff, share expertise, and foster a culture of continuous learning and excellence within the department


Requirements:

POSITION QUALIFICATIONS

Education Bachelor’s degree in healthcare administration, Business, or related field; Certification in Medical Staff Services or Healthcare Credentialing is preferred.

Associates degree or certification in medical billing or related field is preferred

Experience 6 months experience in healthcare credentialing, provider enrollment, or related roles

Skills • Strong understanding of credentialing standards, healthcare regulations, and insurance payer requirements.

  • Proficiency in use of Microsoft Office Programs and Credentialing software, databases, etc.