PHP Credentialing Specialist
6 days ago
Baptist Health is committed to fostering a collaborative and professional work environment that encourages our employees to thrive. As a PHP Credentialing Specialist, you will play a vital role in providing high-quality care to our patients and promoting excellence in our communities.
Key Responsibilities:- Manage the credentialing and re-credentialing process for healthcare providers, ensuring compliance with regulatory requirements.
- Develop and maintain relationships with payors, healthcare providers, and other stakeholders to ensure seamless communication and coordination.
- Prepare and execute annual delegated credentialing network/payor audits to ensure accuracy and compliance.
- Provide education and training to office managers and staff on local managed care issues and market changes.
- Promote good public relations for Purchase Health Partners (PHP) and serve as a liaison between PHP and healthcare providers.
- Assist the PHP Coordinator and AVP Networks and Collaboration with other duties as assigned.
- Bachelor's degree in a related field, such as healthcare management or a related field.
- Minimum 5 years of experience in healthcare management, credentialing, or a related field.
- Proven communication and quantitative skills, with the ability to prioritize multiple tasks and meet deadlines.
- Supervised by the PHP Coordinator, with performance evaluations conducted on a yearly basis.
Baptist Health is an Equal Employment Opportunity employer and is committed to providing a safe and healthy work environment for all employees. We require compliance with our infectious disease and vaccination policies, which include mandatory vaccination policies for influenza and COVID-19, unless reasonable accommodations are needed under applicable law.
-
PHP Credentialing Specialist
6 days ago
Paducah, Kentucky, United States Baptist Health Full timeJob Title: PHP Credentialing SpecialistBaptist Health is committed to fostering a collaborative and professional work environment that encourages our employees to thrive. As a PHP Credentialing Specialist, you will play a vital role in providing high-quality care to our patients and promoting excellence in our communities.Key Responsibilities:Manage the...
-
Healthcare Credentialing Specialist
15 hours ago
Paducah, Kentucky, United States Baptist Health Full timeJob Summary: Baptist Health is seeking a skilled Credentialing and Re-Credentialing Professional to join our team. As a key member of our healthcare team, you will be responsible for performing all aspects of the credentialing and re-credentialing process, including soliciting pertinent information for committee review and maintaining individual...
-
Cath Lab Radiology Specialist
2 days ago
Paducah, Kentucky, United States Bon Secours Mercy Health Full timeCath Lab Radiology SpecialistBon Secours Mercy Health is seeking a skilled Cath Lab Radiology Specialist to join our team. As a key member of our diagnostic imaging team, you will be responsible for assisting licensed practitioners in the completion of fluoroscopic and specialized interventional and Neuro-Interventional procedures.Key...
-
Physical Therapist
4 days ago
Paducah, Kentucky, United States Aequor Technologies Full timeJob Title: Physical Therapist - Home Health SpecialistAequor Technologies is seeking a skilled Physical Therapist to join our team in providing high-quality home health care services. As a Physical Therapist - Home Health Specialist, you will be responsible for delivering in-home physical therapy services to patients recovering from illness, surgery, or...
-
Occupational Therapist
1 month ago
Paducah, Kentucky, United States Centra Healthcare Allied Full timeJob Title: Occupational Therapist - Home Health Care SpecialistCentra Healthcare Allied is seeking a skilled Occupational Therapist to join our team in providing high-quality care to patients in their homes.Job Summary:We are looking for a dedicated and compassionate Occupational Therapist to work with our team in delivering exceptional care to patients in...
-
Physical Therapist
1 month ago
Paducah, Kentucky, United States Centra Healthcare Allied Full timeJob Title: Physical Therapist - Home Health Care SpecialistCentra Healthcare Allied is seeking a skilled Physical Therapist to join our team in Paducah, Kentucky.Job Summary:We are looking for a dedicated and experienced Physical Therapist to provide high-quality care to patients in their homes. As a Physical Therapist with Centra Healthcare Allied, you will...
-
Core Banking Systems Specialist
5 days ago
Paducah, Kentucky, United States Banterra Full timeJob SummaryWe are seeking a highly skilled Core Banking Systems Specialist to join our team at Banterra. As a key member of our operations team, you will play a critical role in ensuring the quality, consistency, and integrity of our core data.Key ResponsibilitiesServe as the subject matter expert for core banking systems and its interface to other Bank...
-
Travel Nurse RN Position
5 days ago
Paducah, Kentucky, United States GO Healthcare Staffing Full timeTravel Nurse RN PositionOur client in Paducah, KY, is seeking a skilled RN traveler with current Tele experience for a 12-hour day travel position.To be considered, candidates must have at least 2 years of experience, an active RN license, and BLS and/or ACLS certification by the American Heart Association.What Makes GO Healthcare Staffing Different?We...
-
Travel Nurse RN Position
5 days ago
Paducah, Kentucky, United States GO Healthcare Staffing Full timeTravel Nursing Opportunity with GO Healthcare StaffingWe are seeking a skilled Registered Nurse to join our team for a 12-hour night shift travel position in Paducah, KY. The ideal candidate will have at least 2 years of experience, an active RN license, and BLS and/or ACLS certification.What Makes GO Healthcare Staffing Different?We prioritize our...
-
Travel Nurse RN
6 days ago
Paducah, Kentucky, United States GO Healthcare Staffing Full timeTravel Nurse Opportunity in Paducah, KYWe have a 12-hour night shift travel position available for a Registered Nurse with current Tele experience at a client in Paducah, KY.To be considered for this opportunity, you must have at least 2 years of experience, an active RN license, and BLS and/or ACLS certification by the American Heart Association.What Makes...
-
Travel Nurse RN
6 days ago
Paducah, Kentucky, United States GO Healthcare Staffing Full timeTravel Nurse Opportunity in Paducah, KYWe have a 12-hour day travel position available for a Registered Nurse with current Tele experience at a client in Paducah, KY.To be considered for this opportunity, you must have at least 2 years of experience, an active RN license, and BLS and/or ACLS certification by the American Heart Association.What Makes GO...
-
Travel Nurse RN
6 days ago
Paducah, Kentucky, United States GO Healthcare Staffing Full timeTravel Nurse Opportunity in Paducah, KYWe have a 12-hour night shift travel position available for a Registered Nurse with current Tele experience at a client in Paducah, KY.To be considered for this role, you must have at least 2 years of experience, an active RN license, and BLS and/or ACLS certification by the American Heart Association.What Makes GO...
-
Urology Specialist
1 month ago
Paducah, Kentucky, United States Jackson + Coker Full timeUrology Physician OpportunityDocCafe is proud to present an exciting opportunity for a Urology Physician to join our team in Paducah, Kentucky. As a leading physician and advanced practice job board, we are committed to helping you advance your healthcare career.Why Choose DocCafe?Easily search and apply to jobs that match your requirementsSet up email...
-
Urology Specialist
4 weeks ago
Paducah, Kentucky, United States Jackson + Coker Full timeUrology Physician OpportunityDocCafe is proud to present a challenging and rewarding opportunity for a Urology Physician to join our team in Paducah, Kentucky. As a leading physician and advanced practice job board, we are committed to helping you advance your healthcare career.Why Choose DocCafe?Easily search, review, and apply to jobs that meet your...
-
Orthopedic Specialist
2 weeks ago
Paducah, Kentucky, United States Inspire Healthcare Full timeOrthopedics Physician OpportunityDocCafe is seeking a skilled Orthopedics Physician to join our team in Paducah, Kentucky. As a leading physician and advanced practice job board, we offer a unique platform for healthcare professionals to advance their careers.Key Responsibilities:Provide exceptional patient care and treatment for musculoskeletal...
-
Travel Nurse RN Position
4 weeks ago
Paducah, Kentucky, United States GO Healthcare Staffing Full timeTravel Nurse RN Position in Paducah KYWe have a 12HR NIGHT travel position available for an RN traveler with current Tele experience at our client in Paducah KY.RequirementsAt least 2 years of experience as an RNActive RN licenseBLS and/or ACLS certification by the American Heart Association (if required)What Makes GO Healthcare Staffing Different?We center...
-
Travel Nurse RN Position
3 weeks ago
Paducah, Kentucky, United States GO Healthcare Staffing Full timeTravel Nurse RN PositionOur client in Paducah KY has a 12HR NIGHT travel position for an RN traveler with current Tele - experience.The ideal candidate must have at least 2 years of experience, with active RN license and BLS and/or ACLS (if required) certified by the American Heart AssociationWhat Makes GO Healthcare Staffing Different?We center our company...
-
Physician / Hematology Specialist
3 weeks ago
Paducah, Kentucky, United States MPLT Healthcare Full timeJob OpportunityMPLT Healthcare is seeking a skilled Hematologist/Oncologist to join our team.Position DetailsBoard Certified Medical Oncology with Hematology experienceFull-time coverageIMLC acceptedBenefitsFlexibility to work when, where, and how often you likePaid malpractice insurancePre-paid travel and housing expensesCompetitive compensation paid on a...
-
Surgery-Vascular Specialist
1 month ago
Paducah, Kentucky, United States DocCafe Full timeDocCafe is seeking a skilled Physician - Surgery-Vascular to join our team in Paducah, Kentucky.Enjoy a competitive salary of $3,200.As a leading physician and advanced practice job board, DocCafe offers a range of benefits to support your career advancement. Key benefits include:Free Job Search: Easily search, review, and apply to jobs that match your...
-
Core Banking Systems Specialist
1 month ago
Paducah, Kentucky, United States Banterra Full timeJob SummaryWe are seeking a highly skilled Core Banking Systems Specialist to join our team at Banterra. As a key member of our operations team, you will play a critical role in ensuring the quality, consistency, and integrity of our core data.Key ResponsibilitiesSubject Matter Expertise: Serve as the subject matter expert for core banking systems and its...