Medicaid Credential Specialist
2 months ago
Title:Medicaid Credential Specialist (Remote role) Location: Springfield IL Duration: Full time Salary: USD 35k to 50k Description: The primary functionality of this role includes Verification of provider credentials through various government agencies and license boards, reviewing the accuracy of provider demographic and billing information within the States system, and various data entry functions. Research, verify, and document provider credentialing information through various government agencies and license boards as part of provider enrollment regulations. Document communication notes and resolution outcomes Review the application and update submission in its entirety and confirm that all data is accurate, and all revalidation documents are completed and uploaded, ensuring that all verification documents are complete. Requirements: 3 Years in similar role, vast understanding of Medicaid and Provider enrollment Knowledge of Medicaid provider credentialing standards and requirements Assist Medicaid Providers on the processes, policies, and procedures within the State. Track record of accomplishments and ability to document communication and outcomes effectively Excellent organizational, communication and interpersonal skills Strong customer service experience, preferably in a provider services call center or credentialing department Strong oral and written skills with the ability to participate in webinars and seminars. Ability to effectively interact with leadership. Work with State Management Staff daily to ensure that all Medicaid providers' applications have been submitted and approved. Ability to perform comfortably in a fast-paced, deadline-oriented work environment Proficient in Microsoft Office (PowerPoint, Word, Excel and Outlook) Ability to work as a team member as well as independently Ability to successfully execute many complex tasks simultaneously Experience in a health care environment Understanding of provider billing practices and claim processing is preferred Physical Requirements must be able to remain in a stationary position for an extended period. Education: Bachelor’s degree in business administration, Public Administration, OR equivalent workplace experience equivalent to four (4) years of college. Cogent is an equal opportunity employer. Cogent will not discriminate against applicants or employees based on race, color, religion, national origin, age, sex, pregnancy (including childbirth or related medical condition), genetic information, sexual orientation, gender identity, military status, citizenship, or any other class protected by applicable law CI-21
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Medicaid Credentialing Specialist
4 weeks ago
Springfield, Illinois, United States Cogent Infotech Corporation Full timeJob Title: Medicaid Credential SpecialistLocation: RemoteDuration: Full-timeSalary: $35k - $50kDescriptionThe primary responsibility of this role is to verify provider credentials through various government agencies and license boards, ensuring the accuracy of provider demographic and billing information within the States system. This involves research,...
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Medicaid Credentialing Specialist
1 month ago
Springfield, Illinois, United States Cogent Infotech Corp Full timeJob Title: Medicaid Credential SpecialistLocation: RemoteDuration: Full-timeSalary: $35k - $50kDescription:The primary responsibilities of this role include verifying provider credentials through various government agencies and license boards, reviewing the accuracy of provider demographic and billing information within the States system, and performing...
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Credentialing Specialist
1 week ago
Springfield, Illinois, United States Springfield Hospital Full timeCredentialing Specialist Job DescriptionAt Springfield Hospital, we are seeking a highly skilled Credentialing Specialist to join our team. The successful candidate will be responsible for ensuring the quality and integrity of our healthcare services by conducting, maintaining, and communicating practitioner credentialing and privileging.The ideal candidate...
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Medicaid Programs Coordinator
1 week ago
Springfield, Massachusetts, United States Health New England Full timeJob DescriptionRole OverviewThe Medicaid Special Programs Specialist plays a crucial role in the success of the Medicaid ACO Department. This position is responsible for executing the operational and reporting requirements for both the Mass Health Community Partners (CP) and Flexible Services Programs. The Specialist will work closely with the Medicaid...
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Credentialing Specialist
4 days ago
Springfield, Illinois, United States Springfield Hospital Full timeCredentialing Specialist Job DescriptionThe Springfield Hospital is seeking a skilled Credentialing Specialist to support departmental activities and ensure quality in conducting, maintaining, and communicating practitioner credentialing and privileging. This role is critical in ensuring medical staff functions are compliant with internal bylaws, governing...
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Credentialing Specialist
2 weeks ago
Springfield, Vermont, United States Springfield Hospital Full timeJob Title: Credentialing SpecialistAt Springfield Hospital, we are seeking a highly skilled Credentialing Specialist to join our team. The successful candidate will play a critical role in ensuring the quality and integrity of our healthcare services.Key Responsibilities:Support departmental activities to ensure quality in conducting, maintaining, and...
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Credentialing Specialist
1 week ago
Springfield, Illinois, United States Citizant Full timeCredentialing SpecialistAt Citizant, we are seeking a skilled Credentialing Specialist to join our team. As a Credentialing Specialist, you will play a critical role in ensuring the smooth operation of our Personal Identity Verification (PIV) card enrollment process.Key Responsibilities: Schedule appointments and service walk-ins for PIV card activations,...
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Medical Credentialing Specialist
1 week ago
Springfield, Vermont, United States Springfield Hospital Inc. Full timeJob DescriptionAt Springfield Hospital Inc., we are seeking a highly skilled Credentialing Specialist to join our team. This role is responsible for ensuring the quality and integrity of our healthcare services by properly credentialing and privileging healthcare professionals.The ideal candidate will have a strong background in medical credentialing...
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Credentialing and Verification Specialist
2 weeks ago
Springfield, Illinois, United States Memorial Health University Medical Center Full timeJob SummaryWe are seeking a highly skilled Credentialing and Verification Specialist to join our team at Memorial Health University Medical Center.Key ResponsibilitiesAssist the Manager, Credentialing and Medical Staff Services, in the credentialing and verification process for initial applicants and reapplicants to Memorial Health Hospitals.Support Memorial...
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Medical Staff Credentialing Specialist
2 weeks ago
Springfield, Illinois, United States HexaQuEST Health, Inc. Full timeJob Title:Medical Staff Credentialing SpecialistJob Summary:We are seeking a highly skilled Medical Staff Credentialing Specialist to join our team at HexaQuEST Health, Inc. The successful candidate will be responsible for credentialing medical staff initial applicants and reapplicants to our hospitals under the oversight of the System Director,...
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Medical Facility Credentialing Specialist
2 weeks ago
Springfield, Massachusetts, United States Behavioral Health Network Full timeThe Medical Facility Credentialing Specialist is a key member of the Behavioral Health Network team, responsible for ensuring the smooth operation of facility credentialing processes. This role requires strong organizational and communication skills, as well as the ability to interpret complex regulations and guidelines. The ideal candidate will have a...
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Credentialing and Verification Office Specialist
2 weeks ago
Springfield, United States HexaQuEST Health, Inc. Full timeTitle: Med Saff Credentialing and Verification Office Specialist Years of Experience: 3 years min, ideally 5+ years Certification: Medical Services Management (CPMSM) and/or Provider Credentialing Specialist (CPCS) certifications or equivalent of 3 years experience Remote position - May be required to come onsite if does not hold Medical Services...
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Medical Staff Credentialing Specialist
2 weeks ago
Springfield, Illinois, United States HexaQuEST Health, Inc. Full timeJob SummaryWe are seeking a highly skilled and experienced Medical Staff Credentialing Specialist to join our team at HexaQuEST Health, Inc. The successful candidate will be responsible for credentialing medical staff initial applicants and reapplicants to Memorial Health Hospitals under the oversight of the System Director, Credentialing and Medical Staff...
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Medical Staff Credentialing Specialist
4 weeks ago
Springfield, Illinois, United States Memorial Health University Medical Center Full timeJob SummaryWe are seeking a highly organized and detail-oriented Credentialing and Verification Specialist to join our team at Memorial Health University Medical Center. The successful candidate will be responsible for credentialing medical staff initial applicants and reapplicants, as well as supporting managed care credentialing needs.Key...
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Medical Facility Credentialing Specialist
1 week ago
Springfield, Massachusetts, United States Behavioral Health Network Full timeJob SummaryThe Medical Facility Credentialing Specialist is responsible for managing facility credentialing applications and maintaining a historical database of these applications for all payers contracting with BHN. This role requires strong analytical and communication skills to effectively execute responsibilities and meet established deadlines.Key...
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Springfield, Illinois, United States Memorial Health System Full timeJob SummaryWe are seeking a skilled Credentialing and Verification Specialist to join our team at Memorial Health System. The successful candidate will assist the Manager, Credentialing and Medical Staff Services, in the credentialing and verification process for initial applications and reapplications to our hospital medical staff.Key...
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Medical Facility Credentialing Specialist
1 month ago
Springfield, Illinois, United States Behavioral Health Network Full timeJob SummaryThe Medical Facility Credentialing Specialist is a critical role within our organization, responsible for ensuring the smooth operation of facility credentialing processes. This position requires a high degree of attention to detail, strong organizational skills, and excellent communication abilities.Key ResponsibilitiesManage a portfolio of...
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Medical Facility Credentialing Specialist
2 weeks ago
Springfield, Massachusetts, United States Behavioral Health Network Full timeJob SummaryThe Medical Facility Credentialing Specialist is a key member of our team at Behavioral Health Network, responsible for ensuring the smooth operation of facility credentialing processes. This role requires strong organizational skills, attention to detail, and effective communication with various stakeholders.Key ResponsibilitiesManage a portfolio...
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Medical Facility Credentialing Specialist
4 weeks ago
Springfield, Massachusetts, United States Behavioral Health Network Full timeJob SummaryThe Medical Facility Credentialing Specialist is a key member of our team at Behavioral Health Network, responsible for ensuring the smooth operation of our facility credentialing process. This role requires strong organizational skills, attention to detail, and effective communication with various stakeholders.Key ResponsibilitiesManage a...
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Springfield, Illinois, United States Humana Full timeJob SummaryHumana is seeking a highly skilled Lead, Medicaid Provider Services Implementation to support the implementation of provider services business functions in new Medicaid markets. The successful candidate will be responsible for creating and implementing processes and solutions for non-standard contract requirements, resolving complex technical and...