Credentialing Specialist

1 week ago


Omaha, Nebraska, United States Community Health Development Partners Full time
Credentialing Specialist Job Description

We are seeking a highly organized and detail-oriented Credentialing Specialist to join our team at Community Health Development Partners. As a key member of our healthcare team, you will be responsible for overseeing the credentialing process, ensuring that our contracted providers maintain compliance with credentialing requirements.

Key Responsibilities:
  • Oversee the credentialing process, ensuring that providers maintain current credentials and licenses to work legally in their field or specialty.
  • Monitor and track upcoming renewal dates and work with medical staff to advise them of the required steps to maintain their credentials.
  • Responsible for day-to-day credentialing services tasks, including payor enrollment, revalidations, and other tasks required by payors.
  • Serve as the initial point of contact for contracted payors, insurances, and other related entities.
  • Assist with policy and procedure interpretation.
Requirements:
  • High school degree or equivalent, required.
  • 5 years of provider enrollment credentialing or similar experience, required.
  • Associate degree in business or healthcare-related field (will consider a combination of applicable experience and education).
  • Certified Provider Credentialing Specialist (CPCS) preferred.
Skills and Abilities:
  • Attention to detail.
  • Excellent organizational skills, with ability to prioritize assigned projects and tasks.
  • Strong analytic and problem-solving abilities.
  • Excellent verbal and written communication skills.
  • Ability to read, write, and utilize manual and computerized systems of documentation.
  • Excellent computer literacy and skills, with proficiency in the use of Microsoft Excel, Word, PowerPoint, and Outlook, as well as industry-specific software applications.
  • Commitment to maintaining confidentiality and discretion in all communications.
  • Ability to work independently and use independent judgment.
  • Ability to collect data, interpret findings, and carry out established plans.
  • Ability to handle pressure effectively.


  • Omaha, Nebraska, United States Limitless Male Full time

    About the RoleThe Credentialing Specialist is a key member of our Revenue Cycle team, responsible for ensuring that our providers are properly credentialed and enrolled with payers to meet state, federal, and payer regulations.Key ResponsibilitiesCollect and verify provider information for credentialing and enrollment applicationsCommunicate with HR,...


  • Omaha, Nebraska, United States Chiricahua Community Health Centers, Inc. Full time

    Job Title: Pharmacy Reconciliation SpecialistChiricahua Community Health Centers, Inc. is seeking a highly skilled Pharmacy Reconciliation Specialist to join our team. As a Pharmacy Reconciliation Specialist, you will play a critical role in ensuring the accuracy and efficiency of our pharmacy operations.Key Responsibilities:Reconcile pharmacy payments and...


  • Omaha, Nebraska, United States Chiricahua Community Health Centers, Inc. Full time

    Job Title: Pharmacy Reconciliation SpecialistChiricahua Community Health Centers, Inc. is seeking a highly skilled Pharmacy Reconciliation Specialist to join our team. As a Pharmacy Reconciliation Specialist, you will play a critical role in ensuring the accuracy and efficiency of our pharmacy operations.Key Responsibilities:Reconcile pharmacy payments and...


  • Omaha, Nebraska, United States GO Healthcare Staffing Full time

    Travel Nurse ICU Specialist OpportunityWe have an exciting travel nurse position available for an ICU specialist in Omaha, NE. This 12-hour day shift position requires a registered nurse with at least 2 years of experience in ICU settings. The ideal candidate must have an active RN license and BLS and/or ACLS certification.What Makes GO Healthcare Staffing...


  • Omaha, Nebraska, United States GO Healthcare Staffing Full time

    Travel Nurse ICU Specialist OpportunityWe have an exciting travel nurse position available for an ICU specialist in Omaha, NE. This 12-hour night shift position requires a registered nurse with at least 2 years of experience in ICU settings. The ideal candidate must have an active RN license and BLS and/or ACLS certification.What Makes GO Healthcare Staffing...


  • Omaha, Nebraska, United States GO Healthcare Staffing Full time

    Travel Nurse ICU Specialist OpportunityWe have an exciting travel nurse position available for an ICU specialist at a top-rated hospital in Omaha, NE.Requirements:2+ years of ICU experienceActive RN licenseBLS and/or ACLS certificationWhat We Offer:Competitive pay packagesRewarding clinical experiencesGenerous housing stipendsAccess to our dedicated...


  • Omaha, Nebraska, United States GO Healthcare Staffing Full time

    Travel Nurse ICU Specialist OpportunityWe have an exciting travel nurse position available for an ICU specialist at a top-rated hospital in Omaha, NE.Requirements:2+ years of ICU experienceActive RN licenseBLS and/or ACLS certificationWhat We Offer:Competitive pay packagesRewarding clinical experiencesGenerous housing stipendsAccess to our dedicated...


  • Omaha, Nebraska, United States Della Infotech Full time

    Job SummaryWe are seeking a skilled Physician Anesthesiology Specialist to join our team at Immanuel Medical Center/Nebraska Spine Hospital in Omaha, NE.Key ResponsibilitiesProvide anesthesia services for a variety of surgical cases, including ortho, spine, gynecology, urology, and gastric bypass procedures.Work independently and as part of a team to ensure...


  • Omaha, Nebraska, United States GO Healthcare Staffing Full time

    Travel Nurse ICU Specialist OpportunityWe have an exciting travel nurse position available for an ICU specialist at a top-rated hospital in Omaha, NE.Requirements:2+ years of ICU experienceActive RN licenseBLS and/or ACLS certificationWhat Sets Us Apart:At GO Healthcare Staffing, we prioritize our travelers' needs and offer a comprehensive benefits package,...

  • ICU Nurse Specialist

    3 weeks ago


    Omaha, Nebraska, United States MedPro Healthcare Staffing Full time

    Job Title: ICU Nurse SpecialistWe are seeking a highly skilled ICU Nurse Specialist to join our team at MedPro Healthcare Staffing. As a travel nurse, you will have the opportunity to work in a dynamic and challenging environment, providing exceptional patient care and making a meaningful difference in the lives of our patients.Job Summary:The ICU Nurse...


  • Omaha, Nebraska, United States GO Healthcare Staffing Full time

    Travel Nurse ICU Specialist OpportunityWe have a 12-hour day travel position available for a Registered Nurse with current ICU experience in Omaha, NE.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 Healthcare Staffing...


  • Omaha, Nebraska, United States MedPro Healthcare Staffing Full time

    Job Title: ICU Nurse SpecialistWe are seeking a highly skilled ICU Nurse Specialist to join our team at MedPro Healthcare Staffing. As a travel ICU RN, you will have the opportunity to work in a dynamic and challenging environment, providing exceptional patient care and collaborating with a talented team of healthcare professionals.Job Summary:The ICU Nurse...


  • Omaha, Nebraska, United States Intuit Full time

    Job Title: Business Tax SpecialistAt Intuit, we're committed to empowering individuals and businesses to achieve financial success. As a Business Tax Specialist, you'll play a critical role in helping our customers navigate the complexities of business tax preparation and compliance.Key Responsibilities:Provide expert guidance and tax advice to customers on...


  • Omaha, Nebraska, United States Intuit Full time

    Job Title: Business Tax SpecialistAt Intuit, we're committed to empowering individuals and businesses to achieve financial prosperity. As a Business Tax Specialist, you'll play a critical role in helping our customers navigate the complexities of business tax preparation and compliance.Key Responsibilities:Provide expert guidance and tax advice to customers...

  • ICU Nurse Specialist

    3 weeks ago


    Omaha, Nebraska, United States MedPro Healthcare Staffing Full time

    Job Title: ICU Nurse SpecialistWe are seeking a highly skilled ICU Nurse Specialist to join our team at MedPro Healthcare Staffing. As a travel ICU RN, you will have the opportunity to work in a dynamic and challenging environment, providing exceptional patient care and collaborating with a talented team of healthcare professionals.Job Summary:The ICU Nurse...

  • ICU Nurse Specialist

    3 weeks ago


    Omaha, Nebraska, United States MedPro Healthcare Staffing Full time

    Job Title: ICU Nurse SpecialistWe are seeking a highly skilled ICU Nurse Specialist to join our team at MedPro Healthcare Staffing. As a travel ICU RN, you will have the opportunity to work in a dynamic and challenging environment, providing exceptional patient care and collaborating with a multidisciplinary team.Job Summary:The ICU Nurse Specialist will be...


  • Omaha, Nebraska, United States Intuit Full time

    Job Title: Business Tax SpecialistAt Intuit, we're committed to empowering individuals and businesses to achieve financial success. As a Business Tax Specialist, you'll play a critical role in helping our customers navigate the complexities of business tax preparation.Key Responsibilities:Provide expert guidance and tax advice to customers on business tax...


  • Omaha, Nebraska, United States Chi Full time

    Job SummaryChi Health Immanuel is seeking a skilled Invasive Technologist to join our team. As an Invasive Technologist, you will assist with pre-procedure education and preparation of patients for procedures, scrub and assist physicians during procedures, and perform arterial and/or venous sheath removal utilizing deployment of closure devices, manual...


  • Omaha, Nebraska, United States Werner Enterprises Full time

    Job Title: Corporate Safety SpecialistThe primary objective of this position is to ensure that all Safety Department rules and policies are properly documented, enforced, and resolved.Key Responsibilities:Provide exceptional customer service to drivers, addressing their inquiries and concerns regarding compliance to hours of service regulations.Communicate...


  • Omaha, Nebraska, United States Catholic Health Initiatives Full time

    Job SummaryWe are seeking a skilled Cardiac Monitor Specialist to join our team at CHI Health Creighton University Medical Center - Bergan Mercy. As a Cardiac Monitor Specialist, you will play a critical role in ensuring the safe and effective monitoring of patients with cardiac conditions.Key ResponsibilitiesConfirm patient monitoring initiation and...