Current jobs related to Credentialing Support Specialist - Baltimore MD United States - Erickson Senior Living
-
Credentialing Specialist I
2 weeks ago
, MD, United States Three Point Solutions Full timeJob Title: Credentialing Provider Specialist IClient: Health Care Insurance CompanyDuration: 06 MonthsLocation: Baltimore, MDJob OverviewThe Credentialing Provider Specialist I will be responsible for analyzing credentialing applications to perform primary source verification for network participation with the Client. This includes determining the...
-
Credentialing Specialist
2 weeks ago
Baltimore, Maryland, United States nTech Workforce Full timeJob Title: Credentialing SpecialistWe are seeking a highly skilled Credentialing Specialist to join our team at nTech Workforce. As a Credentialing Specialist, you will play a critical role in supporting the credentialing of new practitioners for network participation within our organization's Behavioral Health Network.Key Responsibilities:Verify provider...
-
Credentialing Specialist
3 weeks ago
Baltimore, Maryland, United States nTech Workforce Full timeJob Title: Credentialing SpecialistWe are seeking a highly skilled Credentialing Specialist to join our team at nTech Workforce. As a Credentialing Specialist, you will play a critical role in supporting the credentialing of new practitioners for network participation within our Behavioral Health Network.Key Responsibilities:Verify provider eligibility and...
-
Credentialing Specialist
2 weeks ago
Baltimore, Maryland, United States nTech Workforce Full timeJob Title: Credentialing SpecialistWe are seeking a highly skilled Credentialing Specialist to join our team at nTech Workforce. As a Credentialing Specialist, you will play a critical role in supporting the credentialing of new practitioners for network participation within our organization's Behavioral Health Network.Key Responsibilities:Verify provider...
-
Credentialing Specialist
4 weeks ago
Baltimore, Maryland, United States Charter Global Full timeCredentialing Specialist Job DescriptionJob Title: Credentialing SpecialistDuration: 6 MonthsLocation: Baltimore, MD (Hybrid onsite: 2-3 days in a week)Job Type: W2Job ID: 43094Key Responsibilities:Reconcile data towards enrollmentExperience with Credentialing 2-3 yearsAdvanced level Excel skillsReconcile the spreadsheet and VLOOKUP'sExcellent communication...
-
Credentialing Specialist
7 days ago
Baltimore, Maryland, United States Three Point Solutions Full timeCredentialing Specialist Job DescriptionAt Three Point Solutions, we are seeking a skilled Credentialing Specialist to join our team. The successful candidate will be responsible for analyzing credentialing applications, verifying credentials, and ensuring compliance with regulatory requirements.Key Responsibilities:Analyze credentialing applications to...
-
Credentialing Specialist
3 weeks ago
Baltimore, United States nTech Workforce Full time**** Candidate MUST be local to BALTIMORE, MD to consider onsite work once every 3-4 months Role: Credentialing Specialist W2 Contract: 6 Months (Possible extension/Full-time conversion) Location: remote? This position is primarily remote. That said, candidates must reside a commutable distance to Baltimore, MD (DC, Maryland, Virginia) to consider onsite...
-
Credentialing Specialist
3 weeks ago
Baltimore, United States nTech Workforce Full time**** Candidate MUST be local to BALTIMORE, MD to consider onsite work once every 3-4 monthsRole: Credentialing Specialist W2 Contract: 6 Months (Possible extension/Full-time conversion)Location: remoteThis position is primarily remote. That said, candidates must reside a commutable distance to Baltimore, MD (DC, Maryland, Virginia) to consider onsite work...
-
Credentialing Specialist
3 weeks ago
Baltimore, United States nTech Workforce Full time**** Candidate MUST be local to BALTIMORE, MD to consider onsite work once every 3-4 monthsRole: Credentialing Specialist W2 Contract: 6 Months (Possible extension/Full-time conversion)Location: remoteThis position is primarily remote. That said, candidates must reside a commutable distance to Baltimore, MD (DC, Maryland, Virginia) to consider onsite work...
-
Credentialing Specialist
3 days ago
Baltimore, Maryland, United States Chase Brexton Health Care Full timeJob SummaryAs a Credentialing Specialist at Chase Brexton Health Care, you will play a critical role in ensuring the accuracy and completeness of provider information. This includes maintaining policy, procedures, and data to support the credentialing and privileging function.Key ResponsibilitiesMaintain and recommend updates to CBHS' credentialing and...
-
Credentialing Specialist
3 weeks ago
Baltimore, United States Charter Global Full timeTitle: Credentialing Specialist (Data Entry / Excel expert)Duration: 6 MonthsLocation: Baltimore, MD (Hybrid onsite: 2-3 days in a week)Job Type: W2Job ID: 43094Required Experience: Should be a Data Driven person.Should have advanced level Excel skillsReconcile the spreadsheet and VLOOKUP’sReconcile the data towards enrollment Experience with Credentialing...
-
Credentialing Specialist
4 weeks ago
Baltimore, United States Charter Global Full timeTitle: Credentialing Specialist (Data Entry / Excel expert)Duration: 6 MonthsLocation: Baltimore, MD (Hybrid onsite: 2-3 days in a week)Job Type: W2Job ID: 43094Required Experience: Should be a Data Driven person.Should have advanced level Excel skillsReconcile the spreadsheet and VLOOKUP’sReconcile the data towards enrollment Experience with Credentialing...
-
Credentialing Specialist I
4 weeks ago
Baltimore, Maryland, United States Three Point Solutions Full timeJob Title: Credentialing Specialist IAt Three Point Solution, we are seeking a highly skilled Credentialing Specialist I to join our team. As a leading contract, contract-to-hire and professional placement firm, we understand the importance of aligning our client with the right resource at the right time.Job DescriptionThe Credentialing Specialist I will be...
-
Provider Credentialing Specialist
4 weeks ago
Baltimore, Maryland, United States Zolon Tech Solutions, Inc. Full timeJob Title: Provider Credentialing Specialist Job Summary: We are seeking a skilled Provider Credentialing Specialist to join our team at Zolon Tech Solutions, Inc. Key Responsibilities: * Credential practitioners for network participation with clients * Maintain accurate provider data within the enterprise-wide Provider file * Ensure compliance with...
-
Healthcare Credentialing Specialist
4 weeks ago
Baltimore, Maryland, United States Zolon Tech Inc. Full timeJob Description:Zolon Tech Inc. is seeking a skilled Provider Credentialing Specialist to join our team.This role will involve Credentialing Practitioners for network participation with clients and accurately maintaining all provider data within the enterprise-wide Provider file.The ideal candidate will have experience in Credentialing / Healthcare industry...
-
Baltimore, Maryland, United States Zolon Tech Solutions, Inc. Full timeJob Title: Provider Credentialing SpecialistLocation: Remote OpportunityJob Type: Temp to Hire, 06 MonthsAbout the Role:We are seeking a skilled Provider Credentialing Specialist to join our team at Zolon Tech Solutions, Inc. As a key member of our healthcare team, you will be responsible for credentialing practitioners for network participation with clients...
-
Provider Credentialing Specialist
4 weeks ago
Baltimore, United States Zolon Tech Solutions, Inc. Full timeTitle : Provider Credentialing Specialist Location : Baltimore, MD Duration : 06 Months ( Temp to Hire) Job Description: Mostly REMOTE - Occasional visit to Office. This role will credential practitioners for network participation with client and accurately maintain....
-
Credentialing Specialist I
2 weeks ago
Baltimore, Maryland, United States Three Point Solutions Full timeJob OverviewWe are seeking a skilled Credentialing Specialist I to join our team at Three Point Solution. As a key member of our team, you will be responsible for credentialing practitioners for network participation with our clients, ensuring compliance with regulatory, accreditation, legal, and company requirements and standards.Key ResponsibilitiesAnalyze...
-
Provider Credentialing Specialist
4 weeks ago
Baltimore, United States Zolon Tech Solutions, Inc. Full timeTitle : Provider Credentialing Specialist Location : Baltimore, MD Duration : 06 Months ( Temp to Hire) Job Description: Mostly REMOTE - Occasional visit to Office. This role will credential practitioners for network participation with client and accurately maintain all provider data within the enterprise-wide Provider file to supply the organization with...
-
Credential Specialist
4 weeks ago
Baltimore, United States Lumen Solutions Group Inc. Full timePURPOSE: This role will credential practitioners for network participation and accurately maintain all provider data within the enterprise-wide Provider file to supply the organization with provider data, while ensuring compliance with regulatory, accreditation, legal and company requirements and standards. ESSENTIAL FUNCTIONS: 40% Analyzes credentialing...
Credentialing Support Specialist
2 months ago
Location:
Erickson Senior Living
Erickson Senior Living, headquartered in Baltimore, Maryland is a national provider of senior living and health care with campuses in 11 states-and growing. Erickson Senior Living develops and manages senior living communities and health services across the country. We achieve industry-leading results in customer satisfaction, driving high occupancy, and positive health outcomes.
We are seeking a detail-oriented Credentialing Support Specialist who supports Medical Staff Services in the completion of duties related to credentialing; re-credentialing; provider maintenance and payer enrollment utilizing software. The ideal candidate will be highly flexible in his/her duties as they will vary from day to day. This individual will maintain customer-focused relationships with internal departments partnering with medical professionals and leadership.
Compensation: Starting $22.00 per hour, commensurate with experience.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Credentialing
- Assist in credentialing needs by determining the provider's initial eligibility for membership/participation.
- Analyzes application and supporting documents for completeness and informs supervisor of the application status, including the need for any additional information.
- Aid in completing initial or re-credentialing for eligible practitioners in partnership with the Medical Staff Services team.
- Verifies and track expiring documents using acceptable verification sources to ensure compliance with accreditation and regulatory standards as requested.
- Obtains and evaluates information from primary sources in partnership with supervisor.
- Responds to queries regarding practitioners' status to internal and external parties.
- Perform tracking to ensure provider numbers are established and linked to the appropriate group entity promptly in partnership with the supervisor.
- Perform a detailed review of the information used to submit the enrollment applications.
- Maintain and update CAQH profiles for required providers in partnership with supervisor.
- Attend and participate in weekly meetings with the team to discuss progress and feedback.
- Communicates findings and/or resulting actions to supervisor and department peers.
- Conduct internal and external audits of credentialing files to maintain current status.
- Complete group and provider attestations as required.
- Complete research on enrollment and credentialing for discipline/state and report findings as requested.
- Communicate via telephone and written correspondence with insurance companies, patients, and physicians.
- Completes data entry for providers information as necessary tools and reports.
Medical Staff Services Report Maintenance
- Assist with special projects as assigned in partnership with the Medical Staff Services team.
- Compile data and prepares reports in an organized manner.
- Conduct on-line research and compile statistical and other reports.
- Reads and routes incoming mail.
- Locates and attaches appropriate file to correspondence to be answered by the department being supported.
- Prepares outgoing mail and correspondence, including e-mail and faxes.
- Fax documents and copy material as needed for the department being supported.
- Handle other administrative duties as requested.
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Must possess above average computer skills
- Must be knowledgeable of Microsoft Office
- Must be willing to learn other application software relating to administrative functions.
EDUCATION and/or EXPERIENCE:
High School or GED is required. One - two years healthcare administrative experience preferred. Bachelor's degree in healthcare or equivalent years of work related experience required.
LANGUAGE SKILLS:
Must be able to read, write, understand and communicate in the English language.
Erickson Senior Living, its affiliates, and managed communities are Equal Opportunity Employers and are committed to providing a workplace free of unlawful discrimination and harassment on the basis of race, color, religion, sex, age, national origin, marital status, veteran status, mental or physical disability, sexual orientation, gender identity or expression, genetic information or any other category protected by federal, state or local law.
