Credentialing Specialist
4 weeks ago
At Independence Blue Cross, we're seeking a skilled Credentialing Intake Specialist to join our team. In this role, you'll play a critical part in ensuring the accuracy and completeness of credentialing applications. Your attention to detail and analytical skills will be essential in determining whether credentialing criteria are met and compliant with corporate, state, federal, and accreditation requirements.
Key Responsibilities:
- Conduct primary source verifications of practitioner credentials as required by corporate, state, federal, and accreditation standards.
- Utilize approved verification sources to ensure accuracy and efficiency.
- Support decisions and verifications with appropriate documentation and rationale in the practitioner's electronic record.
- Manage daily workflow by running reports from the credentialing database to meet accreditation and/or corporate requirements and timeframes.
- Perform other assigned duties as needed to support the credentialing department.
Requirements:
- Bachelor's degree in a related field or equivalent experience with a minimum of two years in credentialing, quality assurance, or auditing.
- Excellent research, analytical, and decision-making skills.
- Demonstrated organizational ability with attention to detail.
- Excellent communication skills, both verbal and written, with the ability to compose professional correspondence.
- Demonstrated phone skills and proficiency in using a computer.
Work Environment:
This role is part of our Hybrid model, which consists of working in the office three days a week and remotely two days a week. While working remotely, you must be located in the Tri-State Area of Delaware, New Jersey, or Pennsylvania. Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer, and we welcome qualified applicants from diverse backgrounds. Must have an Android or iOS device compatible with the free Microsoft Authenticator app.
-
Credentialing Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Thomas Jefferson University & Jefferson Health Full timeJob SummaryWe are seeking a highly skilled Credentialing Specialist to join our team at Thomas Jefferson University & Jefferson Health. The successful candidate will be responsible for obtaining and maintaining critical provider credentialing data for initial credentialing and re-credentialing.Key ResponsibilitiesObtain and maintain critical provider...
-
Medical Credentialing Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Thomas Jefferson University & Jefferson Health Full timeJob SummaryWe are seeking a highly skilled Medical Credentialing Specialist to join our team at Thomas Jefferson University & Jefferson Health. As a Medical Credentialing Specialist, you will be responsible for obtaining and maintaining critical provider credentialing data for initial credentialing and re-credentialing. This includes creating and carrying...
-
Medical Credentialing Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Jefferson Health Full timeCredentialing and Privileging SpecialistAt Jefferson Health, we are seeking a skilled Credentialing and Privileging Specialist to join our team. As a key member of our operations team, you will be responsible for obtaining and maintaining critical provider credentialing data for initial credentialing and re-credentialing. Your primary focus will be on...
-
Medical Credentialing Specialist
1 month ago
Philadelphia, Pennsylvania, United States Jefferson Health Full timeJob SummaryWe are seeking a highly organized and detail-oriented Credentialing Specialist to join our team at Jefferson Health. In this role, you will be responsible for obtaining and maintaining critical provider credentialing data for initial credentialing and re-credentialing.Key ResponsibilitiesObtain and maintain accurate and up-to-date provider...
-
Medical Staff Credentialing Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Temple Health Full timeCredentialing and Privileging SpecialistTemple Health is seeking a skilled Credentialing and Privileging Specialist to join our team. In this role, you will be responsible for preparing and submitting credentialing applications and supporting documentation for medical staff and advanced practice providers.Key Responsibilities:Prepare and submit credentialing...
-
Cardiology Consultant Credentialing Professional
3 weeks ago
Philadelphia, Pennsylvania, United States Cardiolgy Consultants of Philadephia Full timeCardiology 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,...
-
Diagnostic Imaging Specialist
1 month ago
Philadelphia, Pennsylvania, United States AB Staffing Full timeExciting Opportunities for Mammographers in Philadelphia, PAAre you a skilled Mammographer looking for a new challenge? AB Staffing has exciting opportunities for experienced professionals like you to work in top facilities throughout the United States.Our travel assignments range from three (3) months to one year, allowing you to broaden your horizons and...
-
Cardiovascular ICU Nurse Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States MedPro Healthcare Staffing Full timeJob Title: Cardiovascular ICU Nurse SpecialistMedPro Healthcare Staffing is seeking a skilled Cardiovascular ICU Nurse Specialist for a travel nursing assignment. This position requires 18 months of recent experience in an Acute Care CVICU setting. Responsibilities include administering care for post-open-heart surgery patients, treating and caring for heart...
-
Pediatric Nurse Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Elderwood Full timePediatric Nurse Specialist Job DescriptionWe are seeking a dedicated and compassionate Pediatric Nurse Specialist to join our team. As a Pediatric Nurse Specialist, you will be responsible for providing high-quality patient care to infants, children, and young adults with complex medical needs.Key Responsibilities:Administer medications and treatments as...
-
Medical Coding Specialist Senior
1 month ago
Philadelphia, Pennsylvania, United States Della Infotech Full timeJob SummaryWe are seeking a highly skilled Senior Medical Coding Specialist to join our team at Della Infotech. The successful candidate will be responsible for abstracting and coding diagnosis information and/or medical conditions documented in physician office medical records using CMS, ICD, and/or Department defined criteria and guidelines.Key...
-
Nutrition Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States destinationone Consulting Full timeAt destinationone Consulting, we're dedicated to connecting talented professionals with exciting opportunities in diverse sectors. By applying, you'll be part of our network, ensuring our recruiters can quickly match you with suitable roles when they arise.Location: Various locations across the United StatesThe Nutrition Specialist focuses on public health...
-
Electron Microscopy Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Pennsylvania Medicine Full timePenn Medicine is a leading academic medical center dedicated to providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.The Department of Lab-Path Surgical Pathology at the Hospital of the University of Pennsylvania is seeking a Technical Specialist in Electron Microscopy to join...
-
Sports Nutrition Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States destinationone Consulting Full timeAt destinationone Consulting, we're dedicated to connecting talented professionals with exciting opportunities in various sectors, including Healthcare, Health Tech, Government, Municipalities, NonProfits, Legal, and Public Accounting. By applying, you'll ensure our recruiters can quickly match you with suitable roles when they arise.Location: Various...
-
Clinical Care Management Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States Community Behavioral Health Full timeJob DescriptionThe Clinical Care Manager (CCM) Specialist is a key member of the Community Behavioral Health (CBH) team, responsible for providing high-intensity care management to children and adolescents with complex behavioral health needs. The CCM Specialist will work collaboratively with members, their caregivers, and providers to ensure effective,...
-
Cardiac Catheterization Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Children's Hospital of Philadelphia Full timeJob SummaryChildren's Hospital of Philadelphia (CHOP) is seeking a skilled Cardiac Cath Lab Tech to support patient care by assisting physicians with invasive image-guided diagnostic, electrophysiology, lymphatic, interventional, hybrid studies and procedures. Key Responsibilities Assist physicians with various special procedures that produce radiographic...
-
Travel Nurse ICU Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States LanceSoft Full timeLanceSoft is seeking a skilled travel nurse ICU specialist to join their team.Job Description & RequirementsSpecialty: ICU - Intensive Care UnitDiscipline: RNDuration: 13 weeks, 36 hours per weekShift: 12 hours, nightsEmployment Type: TravelBenefits: 401(k), Dental insurance, Health insurance, Life insurance, Referral program, Travel reimbursement, Vision...
-
Electrical Systems Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States US Army Corps of Engineers Full timeJob Summary:This position is for a highly skilled Electrical Systems Specialist to join the US Army Corps of Engineers team. The successful candidate will be responsible for the operation and efficiency of the dredge's electrical systems and components.Key Responsibilities:Assume responsibility for the operation and efficiency of the dredge's electrical...
-
Electrophysiology Nurse Specialist
3 weeks ago
Philadelphia, Pennsylvania, United States Healthworks, Inc. Full timeJob OverviewHealthworks, Inc. is a leading specialized staffing network focused on the cardiovascular space. We are currently seeking a skilled Electrophysiology Nurse to join our team.Key ResponsibilitiesPerforming electrophysiology procedures with precision and careMonitoring and examining patients before, during, and after proceduresCollaborating with...
-
Travel Nurse ICU Specialist
4 weeks ago
Philadelphia, Pennsylvania, United States LanceSoft Full timeLanceSoft is seeking a travel nurse ICU specialist to work in Philadelphia, Pennsylvania. Job Description & Requirements Specialty: ICU - Intensive Care Unit Discipline: RN Duration: 13 weeks 36 hours per week Shift: 12 hours, nights Employment Type: Travel Benefits: 401(k), Dental insurance, Health insurance, Life insurance, Referral program, Travel...
-
Inpatient Coding Specialist II
4 weeks ago
Philadelphia, Pennsylvania, United States Pennsylvania Medicine Full timeJob Summary:Penn Medicine is committed to delivering exceptional patient care, advancing medical research, and educating future healthcare professionals.As a HIM Inpatient Coding Specialist II, you will play a critical role in ensuring the accuracy and integrity of medical records, while contributing to the organization's mission and...