Credentialing and Enrollment Coordinator
2 weeks ago
We are seeking an experienced Credentialing and Enrollment Coordinator to join our team at OneOncology. As a key member of our operations team, you will be responsible for ensuring the smooth operation of our credentialing and privileging processes.
About the RoleIn this role, you will work closely with our Credentialing Supervisor to ensure that all credentialing and privileging activities are completed in a timely and accurate manner. Your primary responsibilities will include:
- Credentialing and re-credentialing of physicians and advanced practice providers;
- Completion, submission, and tracking of credentialing applications with managed care organizations and hospitals;
- Applying for and validating hospital privileges;
- Obtaining malpractice insurance policy;
- Notifying staff of completion of credentialing for scheduling and billing;
- Maintaining and updating CAQH online credentialing application for all providers quarterly;
- Database management and provider files;
- Tracking and maintaining clinical licenses for nursing, pharmacy, and lab personnel;
- Provider continuing education;
- Tracking continuing education credits for all providers;
- Notifying providers of any deficiencies;
- Submitting documentation if providers are audited;
- Termination of physician and/or allied health professional;
- Contacting all MCO/hospitals/EMR to remove provider who has left practice, within 30 days of termination.
You should have a high school diploma and 2+ years of related experience, preferably in a healthcare setting. Industry experience leading credentialing activities in large provider practices is highly desirable.
-
Credentialing Operations Coordinator
2 days ago
Nashville, Tennessee, United States Hardenbergh Group Full timeAbout the Job:We are seeking a highly skilled Credentialing Operations Coordinator to join our team at Hardenbergh Group. As a key member of our CVO, you will play a crucial role in managing the credentialing process for our clients, ensuring timely and accurate completion of all tasks.Key Responsibilities:Coordinate the preparation and submission of...
-
Healthcare Enrollment Coordinator
5 hours ago
Nashville, Tennessee, United States Lucent Health Solutions LLC Full timeWe are seeking a skilled Healthcare Enrollment Coordinator to join our team at Lucent Health Solutions LLC. This role involves determining patient eligibility for care, coordinating new patient enrollments, and ensuring effective enrollment of patients into our Narus program.The ideal candidate will have a minimum of 3-5 years of comparable work experience...
-
Provider Enrollment Specialist
4 days ago
Nashville, Tennessee, United States Urgent Team Full timeAbout the PositionThe Urgent Team Family of Urgent Care & Walk-in Centers is looking for a skilled Provider Enrollment Specialist to join our corporate office. As a key member of our team, you will be responsible for the provider credentialing/onboarding process, payer enrollment, and re-credentialing/re-enrollment of current physicians and mid-level...
-
Government Enrollment Specialist
2 weeks ago
Nashville, Tennessee, United States Citizant Full timeCitizant is a leading provider of professional IT services to the U.S. government. Our team seeks to address some of our country's most pressing challenges in various fields. We strive to hire talented professionals who align with our core values: Drive, Excellence, Reputation, Responsibility, and a Better Future. We are looking for a highly skilled...
-
Certified Health Enrollment Specialist
4 weeks ago
Nashville, Tennessee, United States Charlie Health Full timeRole OverviewWe are seeking a detail-oriented Certified Health Enrollment Specialist to join our team at Charlie Health.The successful candidate will be responsible for managing health plan enrollment applications across group and individual submissions for Medicaid and Commercial payors.This role requires strong organizational skills, attention to detail,...
-
Clinical Enrollment Specialist
2 days ago
Nashville, Tennessee, United States Urgent Team Full timeKey Performance IndicatorsThe successful candidate will be measured by their ability to ensure timely and accurate completion of provider credentialing tasks. Key performance indicators include:Timely completion of provider credentialing tasksAccuracy and completeness of provider informationMaintenance of up-to-date knowledge of credentialing and payer...
-
Strategic Enrollment Management Leader
2 days ago
Nashville, Tennessee, United States InsideHigherEd Full timePeabody College of Education and Human Development seeks a senior-level leader to serve as the Executive Director of Strategic Enrollment Management.This is an exciting opportunity to help shape a new role while driving enrollment and increasing impact at one of the nation's top graduate colleges of education and human development.The Executive Director will...
-
Nashville, Tennessee, United States Urgent Team Full timeKey ResponsibilitiesManage the provider credentialing/on-boarding process prior to new physician or midlevel provider workingAssist in the payer enrollment process for all physicians and midlevel providersMaintain high level of expertise in credentialing and payer enrollment rules, regulations, and standards regarding Federal and multi-state policiesWe offer...
-
Student Enrollment Specialist
1 month ago
Nashville, Tennessee, United States Insight Global Full timeThe Student Enrollment Specialist role is a dynamic opportunity to drive student recruitment and enrollment at Insight Global. This critical position involves managing the entire candidate journey from initial inquiry to successful onboarding. The ideal candidate will possess excellent communication skills, with the ability to build strong relationships with...
-
Clinical Certification Professional
5 days ago
Nashville, Tennessee, United States Urgent Team Full timeCredentialing and Enrollment SpecialistWe are seeking an experienced Credentialing and Enrollment Specialist to join our team. This role is responsible for daily credentialing, on-boarding, and payer enrollment functions for physicians and midlevel providers in Nashville, TN.Key Responsibilities:Process provider credentialing and on-boarding prior to a new...
-
HR Operations Coordinator
3 days ago
Nashville, Tennessee, United States Sylvan Health Full timeJob OverviewWe are seeking a detail-oriented HR Generalist to join our team at Sylvan Health. As an HR Generalist, you will play a key role in payroll/benefits management, candidate sourcing and recruitment, onboarding, compliance training, and credentialing paperwork for new hires.ResponsibilitiesManage accurate and timely processing of payroll for timecard...
-
Academic Enrollment Coordinator
2 weeks ago
Nashville, Tennessee, United States SOUTH COLLEGE Full timeBenefits and CompensationThe successful candidate will receive a competitive salary ranging from $50,000 to $70,000 per year, depending on experience, as well as a comprehensive benefits package. This includes full benefits coverage and opportunities for career advancement in a dynamic and growth-oriented organization.RequirementsA minimum of a Bachelor's...
-
Medical Provider Credentialer
2 days ago
Nashville, Tennessee, United States Urgent Team Full timeAbout the RoleAs a Clinical Enrollment Specialist with Urgent Team, you will be responsible for ensuring seamless provider credentialing and on-boarding processes. You will oversee the entire lifecycle of physician and mid-level provider enrollment, from initial application to ongoing maintenance and re-verification. Your expertise will ensure that all...
-
Administrative Coordinator
2 weeks ago
Nashville, Tennessee, United States RePublic Schools Full timeJob OverviewWe are seeking a highly organized and detail-oriented Administrative Coordinator to join our team at RePublic Schools. As an Administrative Coordinator, you will play a crucial role in ensuring the smooth operation of our school-based operations teams.Key Responsibilities:School Environment ManagementMaintain a positive and welcoming physical...
-
Citizant Badging Support Professional
2 weeks ago
Nashville, Tennessee, United States Citizant Full timeCitizant is a leading provider of professional IT services to the U.S. government. We are seeking a skilled individual to join our team as a Citizant Badging Support Professional. As a key member of our badging support team, you will be responsible for managing the enrollment process for our clients. This includes scheduling appointments, coordinating...
-
Nursing Care Coordinator
6 days ago
Nashville, Tennessee, United States Ascension Full timeWe are seeking a skilled Nursing Care Coordinator to join our team at Ascension Saint Thomas. As a Registered Nurse in this role, you will provide direct nursing care in accordance with established policies and protocols of the healthcare organization.The ideal candidate will have strong organizational skills, excellent communication abilities, and a passion...
-
Nurse Care Coordinator
6 days ago
Nashville, Tennessee, United States Ascension Health Full timeNurse Care CoordinatorWe are seeking a highly skilled Nurse Care Coordinator to join our team at Ascension Saint Thomas. This is a full-time position with a competitive salary range of $65,000 - $95,000 per year, depending on experience.In this role, you will provide direct nursing care in accordance with established policies, procedures, and protocols of...
-
Nurse Care Coordinator
4 weeks ago
Nashville, Tennessee, United States Ascension Health Full timeWe are seeking a skilled Nurse Care Coordinator to join our team at Ascension Health.Job SummaryThe Nurse Care Coordinator will provide direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization. This role is responsible for implementing and monitoring patient care plans, monitoring, recording and...
-
Oncology Operations Specialist
2 weeks ago
Nashville, Tennessee, United States OneOncology Full timeOneOncology is a leading company in the field of cancer care, aiming to improve the lives of everyone living with cancer. We are looking for an Enrollment Specialist who will play a crucial role in our mission by ensuring seamless credentialing and privileging processes for physicians and allied health professionals.Job OverviewAs an Enrollment Specialist at...
-
Nurse Care Coordinator
4 weeks ago
Nashville, Tennessee, United States Ascension Full timeAscension Saint Thomas: A Leading Healthcare SystemWe are seeking a dedicated Registered Nurse to join our team at Ascension Saint Thomas, a leading healthcare system in Middle Tennessee. With a 125-year history of providing care to the community, we offer a highly comprehensive system of care with more than 250 sites of care across 45 counties.Job...