Credentialing Specialist

5 days ago


Scottsdale, Arizona, United States Palo Verde Cancer Specialists Full time
Job Title: Credentialing Specialist

Palo Verde Cancer Specialists is seeking a highly skilled Credentialing Specialist to join our team. As a Credentialing Specialist, you will play a critical role in ensuring the integrity of our provider credentialing process.

Job Summary

The Credentialing Specialist will be responsible for obtaining primary source information for all organizational facilities and entities, maintaining records and ensuring the confidentiality of protected information. This role requires strong analytical and communication skills, as well as the ability to work effectively with multiple stakeholders.

Key Responsibilities
  • Perform credentialing processes in a timely and complete manner for providers billing under PVHO Tax ID
  • Analyze and follow up on credentialing requirements, working with physicians, Advance Practice Providers, facility staff, and professional staff as needed
  • Enter data into the credentialing database to ensure consistency and integrity
  • Process queries for expired licensure and maintain documentation in the database
  • Compile and maintain documentation in the database
  • Complete provider credentialing and recredentialing applications, monitor applications, and follow up as needed
  • Maintain copies of current state licenses, DEA certificates, malpractice coverage, and other required credentialing documents for all PVHO providers and divisions
  • Stay up-to-date on current health plan and agency requirements for credentialing providers
  • Track license, DEA, and professional liability expirations
  • Audit health plan directories for current and accurate provider information
Requirements

To be successful in this role, you will need:

  • A strong knowledge and understanding of healthcare planning, typically demonstrated through three years of credentialing and/or process management and operations experience
  • A basic knowledge of medical terminology, medical staff organization, and extensive knowledge of credentialing procedures
  • Excellent communication and interpersonal skills, with the ability to work effectively with physicians, allied health professionals, and hospital personnel
  • Strong analytical and problem-solving skills, with the ability to meet deadlines in a fast-paced environment
  • Excellent organizational and time management skills, with the ability to prioritize tasks and manage multiple projects simultaneously
Physical Demands and Work Environment

This role requires the ability to:

  • Talk or hear regularly
  • Use hands or fingers to handle or feel objects, tools, or controls
  • Occasionally stand, walk, sit, and reach with hands and arms
  • Lift and/or move up to 25 pounds

The noise level in the work environment is usually low to moderate.



  • Scottsdale, Arizona, United States Palo Verde Cancer Specialists Full time

    Job Title: Credentialing SpecialistPalo Verde Cancer Specialists is seeking a highly skilled Credentialing Specialist to join our team. As a Credentialing Specialist, you will play a critical role in ensuring the integrity of our provider credentialing process.Job SummaryThe Credentialing Specialist will be responsible for obtaining and verifying primary...


  • Scottsdale, Arizona, United States Epic Special Education Staffing Full time

    About UsEpic Special Education Staffing is a dynamic organization dedicated to providing exceptional special education services. Our team is passionate about making a positive impact on the lives of children and families.Position DescriptionWe are seeking a highly skilled Behavioral Specialist to join our team. As a Behavioral Specialist, you will work...


  • Scottsdale, Arizona, United States SESI Schools Full time

    About the RoleWe are seeking a dedicated and compassionate Behavior Support Specialist to join our team at SESI Schools. As a Behavior Support Specialist, you will play a vital role in supporting students with intensive behavioral needs in a special education setting.Key ResponsibilitiesImplement behavior support plans and provide customized support to...


  • Scottsdale, Arizona, United States Epic Special Education Staffing Full time

    About Epic Special Education StaffingWe are a dedicated team of professionals passionate about providing exceptional special education services to schools across the nation. Our mission is to empower educators and support the growth of students with unique needs.Job SummaryEpic Special Education Staffing is seeking a highly skilled Behavioral Specialist to...


  • Scottsdale, Arizona, United States Epic Special Education Staffing Full time

    About Epic Special Education StaffingWe are a family of dedicated professionals passionate about providing opportunities for individuals to make a difference in special education. Our mission is to empower educators and therapists to excel in their careers while making a positive impact on students' lives.Job DescriptionEpic Special Education Staffing is...


  • Scottsdale, Arizona, United States Scottsdale Unified School District 48 Full time

    Job SummaryThe Scottsdale Unified School District 48 is seeking a highly skilled and dedicated Childcare Provider 2 to join our team. This role is responsible for assisting the Childcare Specialist with the planning and implementation of the before and after school program, as well as supervising children at all times.Key ResponsibilitiesEstablish and...

  • Physical Therapist

    4 weeks ago


    Scottsdale, Arizona, United States OrthoArizona Full time

    Physical Therapist Opportunity at OrthoArizonaAt OrthoArizona, we're dedicated to providing exceptional musculoskeletal care to the Greater Phoenix community. As a Physical Therapist in our Litchfield Park clinic, you'll work alongside a team of renowned orthopedic specialists to develop personalized treatment plans and help patients regain their mobility,...

  • Physical Therapist

    3 days ago


    Scottsdale, Arizona, United States OrthoArizona Full time

    As a Physical Therapist at OrthoArizona, you'll be part of a renowned team of orthopedic specialists dedicated to providing exceptional musculoskeletal care to the Greater Phoenix community. Your expertise will be utilized to develop personalized treatment plans, helping patients regain mobility, alleviate pain, and restore functionality.Key...

  • Physical Therapist

    21 hours ago


    Scottsdale, Arizona, United States OrthoArizona Full time

    Physical Therapist OpportunityAt OrthoArizona, we're dedicated to providing exceptional musculoskeletal care to the Greater Phoenix community. As a full-time Physical Therapist in our Northeast Scottsdale clinic, you'll work alongside a team of renowned orthopedic specialists to develop personalized treatment plans and help patients regain their mobility,...


  • Scottsdale, Arizona, United States SESI Schools Full time

    About the RoleWe are seeking a dedicated and compassionate Paraprofessional Support Specialist to join our team at SESI Schools. As a key member of our multidisciplinary team, you will play a vital role in supporting students with intensive behavioral needs in a special education setting.Key ResponsibilitiesWork one-on-one with assigned students to implement...

  • Medical Assistant

    3 weeks ago


    Scottsdale, Arizona, United States CCRM Fertility Full time

    Job Title: Medical Assistant - Fertility SpecialistJoin CCRM Fertility, a global pioneer in fertility treatment, research, and science, as a Medical Assistant - Fertility Specialist. In this role, you will provide essential support to healthcare providers and patients, contributing to a positive and reassuring patient experience.Key Responsibilities:Measure...

  • Physical Therapist

    3 weeks ago


    Scottsdale, Arizona, United States OrthoArizona Full time

    Physical Therapist Job DescriptionAt OrthoArizona, we're dedicated to providing exceptional musculoskeletal care to the Greater Phoenix community. As a full-time Physical Therapist in our Litchfield Park clinic, you'll work alongside a team of renowned orthopedic specialists to develop personalized treatment plans and help patients regain their mobility,...

  • Physical Therapist

    21 hours ago


    Scottsdale, Arizona, United States OrthoArizona Full time

    Physical Therapist OpportunityAt OrthoArizona, we're dedicated to providing exceptional musculoskeletal care to the Greater Phoenix community. As a full-time Physical Therapist in our Northeast Scottsdale clinic, you'll work alongside a team of renowned orthopedic specialists to develop personalized treatment plans and help patients regain their mobility,...


  • Scottsdale, Arizona, United States Opportunity Healthcare Full time

    Job OpportunityWe are seeking a skilled Healthcare Professional to join our team as a Home-Based Health Assessment Provider. As a key member of our team, you will be responsible for conducting annual health assessments for patients in the comfort of their own homes.About the RoleThis is a unique opportunity to work as a Mobile Health Wellness Specialist,...


  • Scottsdale, Arizona, United States Cortica Full time

    About the RoleCortica is seeking a highly skilled and compassionate Behavioral Intervention Specialist to join its team of dedicated professionals. As a key member of our multidisciplinary treatment team, you will play a vital role in providing direct behavior therapy services to individuals with autism and other neurodevelopmental differences.Key...


  • Scottsdale, Arizona, United States HonorHealth Full time

    Overview:HonorHealth is seeking a skilled Clinical Research Support Specialist to provide advanced administrative support to our Clinical Investigators and Clinical Manager at the Virginia G. Piper Cancer Center Clinical Trials Program.This role requires a high level of organization, attention to detail, and effective communication skills to ensure the...


  • Scottsdale, Arizona, United States Absolutely Able Home Care Full time

    Front Office Specialist/SchedulerAt Absolutely Able Home Care, we are seeking a highly organized and detail-oriented Front Office Specialist/Scheduler to join our team. This role is responsible for overseeing daily front desk operations at our multi-physician and multi-practice locations.Key Responsibilities:Schedule patients for new, returning, and...

  • Cardiac Sonographer

    2 weeks ago


    Scottsdale, Arizona, United States HonorHealth Full time

    Job SummaryUnder the direction of the Supervisor, the Echo Cardiographer performs high-quality cardiac and/or vascular ultrasound procedures that require ingenuity, initiative, and independent judgment. The successful candidate must be capable of following department policies, procedures, and protocols to provide quality patient care. Excellent customer...


  • Scottsdale, Arizona, United States Absolutely Able Home Care Full time

    Front Office Specialist/SchedulerWe are seeking a highly organized and detail-oriented Front Office Specialist/Scheduler to join our team at Absolutely Able Home Care. As a key member of our front office team, you will be responsible for providing exceptional patient care and ensuring the smooth operation of our front desk.Responsibilities:Schedule patients...


  • Scottsdale, Arizona, United States Arizona Veterinary Dental Specialists (Scottsdale) Full time

    Arizona Veterinary Dental Specialists (Scottsdale) is seeking a full-time Veterinary Customer Service Representative to join their team. This role offers a 4-day work week with 3 days off, providing a great work-life balance. Our ideal candidate aligns with our values of giving 100%, being a positive and friendly team member, delivering excellent customer...