Current jobs related to Credentialing Administrator - Philadelphia - Comhar Inc.

  • Credentialing Administrative Assistant

    4 days ago

    Philadelphia, Pennsylvania, United States American Board of Allergy and Immunology Full time

    The American Board of Allergy and Immunology is seeking a highly organized and detail-oriented Credentialing Administrative Assistant to support the certification process for board certification. As a key member of the team, you will be responsible for ensuring all credentialing requirements are met, and all documentation is received in a timely fashion.Key...

  • Credentialing Administrative Assistant

    1 week ago

    Philadelphia, United States American Board of Allergy and Immunology Full time

    The ABAI was established in 1971 as one of the 24 medical specialty boards (Member Boards) that make up the American Board of Medical Specialties (ABMS). Through ABMS, the boards work together to set and sustain common standards of expertise and professionalism that each uses to evaluate candidates for board certification and specialists to maintain their...

  • Credentialing Specialist

    3 weeks ago

    Philadelphia, United States Cardiolgy Consultants of Philadephia Full time

    Cardiology Consultants of Philadelphia is a professional medical organization committed to the healing mission of Medicine. CCP specializes in providing comprehensive cardiology care and currently has over 35 locations throughout the Philadelphia area. We are currently hiring for a part time Credentialing Specialist to work at our Center City, Philadelphia,...

  • Credentialing Specialist

    4 weeks ago

    Philadelphia, United States Temple University Full time

    Performs complex, diversified administrative, clerical, operational and strategic functions. Responsible for preparing and submitting credentialing applications and supporting documentation for the purpose of medical staff and advanced practice providers credentialing and privileging in accordance with regulatory standards and TUHS guidelines. Ensure...

  • Credentialing Specialist

    4 weeks ago

    Philadelphia, United States Temple University Full time

    Performs complex, diversified administrative, clerical, operational and strategic functions. Responsible for preparing and submitting credentialing applications and supporting documentation for the purpose of medical staff and advanced practice providers credentialing and privileging in accordance with regulatory standards and TUHS guidelines. Ensure...

  • Credentialing Database Coordinator

    3 weeks ago

    Philadelphia, United States Temple University Full time

    Performs complex, diversified administrative, clerical, operational and strategic functions. Oversees and maintains the TUHS Medical Staff Affairs Credentialing Database. Provides reports, administrative support, and manages special projects for Department Leadership, Officers and Committees of the Medical Staff. Develops and maintains a data dictionary for...

  • Credentialing Database Coordinator- Hybrid

    3 weeks ago

    Philadelphia, United States Temple Health – Temple University Health System Full time

    Performs complex, diversified administrative, clerical, operational and strategic functions. Oversees and maintains the TUHS Medical Staff Affairs Credentialing Database. Provides reports, administrative support, and manages special projects for Department Leadership, Officers and Committees of the Medical Staff. Develops and maintains a data dictionary for...

  • Cardiology Consultant Credentialing Professional

    7 days ago

    Philadelphia, Pennsylvania, United States Cardiolgy Consultants of Philadephia Full time

    Cardiology Consultants of Philadelphia is a professional medical organization dedicated to delivering comprehensive cardiology care. We are seeking a part-time Credentialing Specialist to join our team at our Center City, Philadelphia, PA location.Key Responsibilities:Provide administrative support and related clerical functions, including data entry,...

  • Director, Provider Credentialing

    1 day ago

    Philadelphia, United States Jefferson Health Plans Full time

    Why Choose Jefferson Health Plans?We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members. We are committed to creating a community where everyone belongs, acknowledges, and...

  • Director, Provider Credentialing

    17 hours ago

    philadelphia, United States Jefferson Health Plans Full time

    Why Choose Jefferson Health Plans?We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members. We are committed to creating a community where everyone belongs, acknowledges, and...

  • Administrative Supervisor

    1 week ago

    Philadelphia, Pennsylvania, United States Acadia Healthcare Full time

    Key Responsibilities:As an Administrative Specialist at Acadia Healthcare, you will provide administrative supervision, guidance, and feedback to clerical and/or receptionist staff to ensure smooth operations of the facility. This includes maintaining appropriate coverage, scheduling, and training.Key Performance Indicators:Evaluate workflow and reallocate...

  • Hospital Manager of Medical Staff Credentialing and Operations

    1 week ago

    Philadelphia, Pennsylvania, United States Children's Hospital of Philadelphia Full time

    Job Summary: We are seeking a highly skilled and experienced Hospital Manager of Medical Staff Credentialing and Operations to join our team at the Children's Hospital of Philadelphia. This is a unique opportunity to lead and manage all administrative, financial, and operational aspects of the EKG Lab within the Cardiac Center. Key Responsibilities: - Plan,...

  • Administrative Supervisor

    1 month ago

    Philadelphia, Pennsylvania, United States Acadia Healthcare Full time

    Job SummaryWe are seeking an experienced Administrative Specialist to join our team at Acadia Healthcare. The successful candidate will provide administrative supervision, guidance, and feedback to clerical and/or receptionist staff, ensuring smooth operations of the facility while maintaining appropriate coverage, scheduling, and training.Key...

  • Administrative Assistant

    1 month ago

    Philadelphia, Pennsylvania, United States Philadelphia Corporation for Aging Full time

    Job Title: Administrative Assistant/ReceptionistJob Summary:We are seeking a highly organized and detail-oriented Administrative Assistant/Receptionist to provide administrative support to the Human Resources department at the Philadelphia Corporation for Aging. The successful candidate will be responsible for providing exceptional customer service, managing...

  • Administrative Supervisor

    2 weeks ago

    Philadelphia, Pennsylvania, United States Acadia Healthcare Full time

    Job Summary:We are seeking an experienced Administrative Specialist to join our team at Acadia Healthcare. The successful candidate will provide administrative supervision, guidance, and feedback to clerical and/or receptionist staff to facilitate smooth operations of the facility while maintaining appropriate coverage, scheduling, and training.Key...

  • Administrative Specialist

    1 day ago

    Philadelphia, United States Acadia Healthcare Full time

    ESSENTIAL FUNCTIONS:Provide administrative supervision, guidance and feedback to clerical and/or receptionist staff to facilitate smooth operations of the facility while maintaining appropriate coverage, scheduling and training. Evaluate workflow and reallocate resources and/or redesign processes to meet office needs and high level of customer service....

  • Administrative Support Specialist

    2 months ago

    Philadelphia, Pennsylvania, United States Philadelphia Corporation for Aging Full time

    Job Summary:The Philadelphia Corporation for Aging seeks a highly organized and detail-oriented Administrative Support Specialist to provide administrative support to the Human Resources department. This role will be responsible for a variety of tasks, including providing administrative support to the Director of Human Resources and HR staff, receiving and...

  • Administrative Support Specialist

    2 weeks ago

    Philadelphia, Pennsylvania, United States Philadelphia Corporation for Aging Full time

    Job Title: Administrative Assistant/ReceptionistJob Summary:We are seeking an experienced Administrative Assistant/Receptionist to join our Human Resources team at the Philadelphia Corporation for Aging. The successful candidate will provide administrative support to the Director of Human Resources and HR staff, ensuring the smooth operation of the...

  • Division Administrator Director

    1 week ago

    Philadelphia, Pennsylvania, United States Pennsylvania Medicine Full time

    Penn Medicine is dedicated to its tripartite mission of delivering exceptional patient care, conducting innovative research, and educating future leaders in the field of medicine.As a Division Administrator Director, you will play a critical role in supporting the Division Chief of Gastroenterology and Hepatology in achieving the division's goals and...

  • Clinical and Administrative Program Manager

    4 weeks ago

    Philadelphia, Pennsylvania, United States Comhar Inc. Full time

    Job SummaryWe are seeking a highly skilled and experienced Clinical and Administrative Program Manager to join our team at COMHAR, Inc. as an Assistant Director of Clinical Services. The successful candidate will provide clinical and administrative oversight and support to our Latino Treatment Program (LTP), an outpatient behavioral health clinic serving a...

Credentialing Administrator

2 months ago

Philadelphia, United States Comhar Inc. Full time

At COMHAR, our commitment is to deliver health and human services that empower individuals, families, and communities to achieve healthier, self-directed lives. We offer a comprehensive range of recovery-oriented and quality-focused services, including outpatient treatment and residential support, tailored to meet the unique needs of our members.

Position Overview:

The Credentialing Coordinator plays a crucial role in ensuring that all employees, contractors, and service providers at COMHAR, Inc. comply with the necessary credentialing standards in delivering services. This position is tasked with the development, implementation, and maintenance of efficient processes for credentialing and re-credentialing. The Credentialing Coordinator is responsible for leading, coordinating, and overseeing the documentation and records management for effective credentialing and re-credentialing of all behavioral health professionals, ensuring adherence to funding source requirements and contractual obligations.

Work Schedule:

Monday to Friday, 8:30 AM to 4:30 PM (3 days in-office, 2 days remote)

Compensation:

$47,132.80

Key Responsibilities:

  • Develop and uphold processes for monitoring and timely achievement of credentialing and re-credentialing requirements.
  • Lead and coordinate the review and evaluation of healthcare and behavioral health practitioner applications and supporting documents to confirm applicant eligibility.
  • Initiate and manage the credentialing and privileging processes for Licensed Behavioral Health Professionals.
  • Identify and address issues that require further investigation and assessment.
  • Investigate and resolve discrepancies, ensuring prompt and appropriate follow-up.
  • Prepare credential files to guarantee timely completion and readiness for audits.
  • Respond to inquiries from organizations and engage with internal and external stakeholders regarding day-to-day credentialing and privileging matters.
  • Conduct internal audits of files and assist with managed care delegated credentialing audits.
  • Support the verification of necessary pre-employment credentials, including certifications, licenses, education, and clearances.
  • Maintain strict confidentiality of all records and information while performing job duties.
  • Establish and manage a schedule for audits across all programs.
  • Oversee data and document entry in credentialing software.
  • Generate monthly reports related to credentialing for all staff.
  • Be prepared to visit other COMHAR locations for credentialing activities as needed.
  • Perform additional duties as assigned.

Qualifications:

  • High School diploma or GED is required.
  • A minimum of 2 years of relevant credentialing experience in healthcare or human services.
  • Proficient in Microsoft Office Suite (Word, Excel, and HRIS).
  • Understanding of full cycle credentialing and re-credentialing processes.
  • Familiarity with Medicaid, Medicare, and Managed Care organizations.
  • Knowledge of clinical operations and procedures.
  • Experience with database management, including querying, reporting, and document generation.

COMHAR, Inc. is proud to be an equal opportunity employer. We maintain a drug-free workplace and do not discriminate in services or employment based on race, color, religion, ancestry, national origin, sex, sexual orientation, gender identity, age, disability, marital status, veteran status, or any other protected class.