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202 results (20 new)

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Credentialing Specialist

WinMax Systems Corporation

Alpharetta, Georgia • Today

Easy Apply

Contract

17 - 18

Regulatory Specialist

Trinite Consulting Group LLC

Remote • 25d ago

Easy Apply

Contract

Depends on Experience

Contracts & Program Specialist

Johnson Technology Systems Inc (JTSI)

Remote • 25d ago

Easy Apply

Full-time

$30 - $40

Acumatica Implementation Specialist

Oscar Technology

Remote • Today

Easy Apply

Full-time

$100000 - $110000 per annum

Provider Administration Specialist

WinMax Systems Corporation

Remote • Today

Easy Apply

Contract

15 - 18

Calypso Configuration Specialist

Purview Infotech

Remote • 6d ago

Contract, Third Party

$60 - $70

Sharepoint Content Migration Specialist 100% Remote

Apetan Consulting

Remote • Yesterday

Easy Apply

Contract

$40 - $444

Operations Specialist

Nextgen Information Services

Remote • 13d ago

Easy Apply

Contract

25 - 30

W2 :: Remote :: VistA/MUMPS Healthcare Applications Support Specialist || G.C / U.S.C

Bitsoft International, Inc.

Remote • Today

Easy Apply

Contract

Depends on Experience

ORBUSInfinity Architecture Specialist - Remote

VIVA USA INC

Remote • 27d ago

Easy Apply

Contract

87 - 92

UX Specialist II

V-Soft Consulting Group, Inc

Remote • 5d ago

Easy Apply

Third Party, Contract

$72.5

Strategic Planning Specialist

System One

Remote • 12d ago

Easy Apply

Contract

Depends on Experience

IT Compliance Specialist

System One

Remote • 11d ago

Easy Apply

Contract

$55000

Engineering Licensed Specialist 14 - Project Director

State of Michigan

Remote or Detroit, Michigan • Today

Full-time

USD 47.23 - 68.21 per hour

Engineering Licensed Specialist 14 - Project Director

State of Michigan

Remote or Lansing, Michigan • Today

Full-time

USD 47.23 - 68.21 per hour

eDiscovery Specialist

GDH

Remote • 5d ago

Easy Apply

Contract, Third Party

Depends on Experience

Configuration Manager and Documentation Specialist / Tech Writer

9th Way Insignia

Remote • 11d ago

Full-time

$98135.18 - $125000

Senior Customer Technical Support Specialist, Lab Automation - 3rd Shift (4 x 10-hour days) - REMOTE

Danaher Corporation

Remote • Today

Full-time

USD 31.00 - 41.00 per hour

Data Science and Informatics Specialist 3 (DSIS3/SPI)

Washington State Department of Transportation

Remote or Olympia, Washington • Today

Full-time

USD 105,612.00 - 142,020.00 per year

IT Specialist

Robert Half

Atlanta, Georgia • Today

Easy Apply

Full-time

USD 36.10 - 41.80 per hour

IT Application Development (Senior Specialist)

Washington State Department of Transportation

Remote or Olympia, Washington • Today

Full-time

USD 99,300.00 - 133,608.00 per year

IT Application Development - Senior/Specialist

Washington State Department of Transportation

Remote or Olympia, Washington • Today

Full-time

USD 99,300.00 - 133,608.00 per year

Applications Support Supervisor (IT Application Development Senior/Specialist)

Washington State Department of Transportation

Remote or Olympia, Washington • Today

Full-time

USD 99,300.00 - 133,608.00 per year

CDI Specialist

Medasource

Remote • Today

Contract

$60.00 - $70.00

Prin Cybersecurity Specialist

Talent Software Services, Inc

Remote • 13d ago

Easy Apply

Third Party, Contract

$80 - $90

Import Compliance Specialist

Conflux Systems Inc

Hybrid in Alpharetta, Georgia • Today

Easy Apply

Contract

53 - 55

Contract Specialist

Judge Group, Inc.

Chamblee, Georgia • Today

Contract

USD 40.00 - 45.00 per hour

Unix Specialist

Cynet Systems

Alpharetta, Georgia • Yesterday

Easy Apply

Contract, Third Party

Depends on Experience

Technical Support Specialist

Hayward Industries

Atlanta, Georgia • Today

Full-time

IT Support Specialist I

Hunt Companies

Alpharetta, Georgia • Today

Full-time

Job Details

Skills

Credentialing Specialist

Summary

Credentialing Specialist

Location: Alpharetta, GA or Camp Hill, PA (onsite ,candidate must be local) Though the role is remote, there is a potential opportunity to go onsite at a future time

Contract:12+ Month

Shift: 8:00am-4:45pm EST (could start as late as 9am if needed)

Job Description:

Screens provider credentialing and re-credentialing packets for missing information; requests missing information from provider; resolves discrepancies between information supplied and findings of other sources (State Dental or etc.);
Creates and updates provider information in the credentialing system to ensure that credentials are completed within a timely manner and at a high level of accuracy.
Receives provider inquiries via phone and correspondence. Researches and verifies detailed information on provider participation status. Perform verification of all applicable credentials.
Contact providers for missing and expired information.
Processing mail; incoming and outgoing.
Performs miscellaneous duties as assigned.

Skills/Experience:
Job Requirements:

A high school diploma or GED is preferred, but candidates with proven experience will not be excluded from consideration.
A minimum of 2 years related experience.
Knowledge of client products, policies and terms of provider participation in various networks is expected at conclusion of training and any applicable probationary period.
Ability to maintain confidentiality of providers information.
Demonstrated understanding of basic corporate structures and how to accurately translate information provided on contracts, credentialing attestations and other sources to maintain provider records.
Math skills to compile and validate statistical computations, reconcile discrepancies, and insure the validity and accuracy of results.
Knowledge and application of English grammar including composition, editing and proofreading skills.
Basic organizational/time management and project management skills and multi-tasking abilities.
Detail oriented with analytical and problem solving skills. Knowledge of health care industry issues preferred.
Ability to accurately enter relevant information into the credentialing system and other ancillary data repositories as needed.
Must be able to understand fairly complex written and oral instructions.
Ability to clearly present written information and findings. Ability to communicate concepts.
Ability to interact well with co-workers and outside contacts.
PC literacy; MSOffice skills (competency in Word, advanced skill in Excel, Access and other database applications).
Regularly required to work standard office equipment (personal computer, photocopy machine, fax machine, etc.).
Ability to work on a computer up to 7 hours a day.
Regularly required to sit for long periods of time, and occasionally stand and walk.
Regularly required to use hands to operate computer and other office equipment.
Close vision required for computer usage. Occasionally required to stoop, kneel, climb and lift up to 25 pounds.

Required Skills:

Resource will be working off of their own personal equipment. (no MacBook/no Chromebook)
Resource must be local to the Alpharetta, GA or Camp Hill, PA office. Though the role is remote, the is a potential opportunity to go onsite at a future time.

Notes on what the Manager is looking for in the applicants experience:

High attention to detail working in a production environment
Strong data entry skills
Must have experience working in the healthcare/dental/insurance industry
Resource MUST have two monitors to be successful in this position

Pay Transparency: "The expected pay range for this position is $17.00–$18.00 per hour. Final compensation will be determined based on experience, skills, and qualifications. Non-exempt employees are eligible for overtime. Full-time employees are eligible to select from different benefits packages. Packages may include medical, 401(k) without employer match. Paid Sick leave is provided based on state or local laws."

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10120741
Position Id: DIC-858
Posted 3 hours ago

Fitment

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Provider Administration SpecialistLocation :RemoteContract: 12+ MonthsWork Schedule (Shift/Work Hours):8 to 4:45 EST, M-FJob Description: Remote Work Expectations: This position is fully remote, and candidates are expected to be actively working and available during all scheduled hours. We have experienced issues with individuals completing calls or remaining engaged for only a portion of their scheduled shift, so please ensure candidates understand the expectations of a professional remote work

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CDI Specialist III

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Job Details

Skills

Credentialing Specialist

Summary

Credentialing Specialist

Location: Alpharetta, GA or Camp Hill, PA (onsite ,candidate must be local) Though the role is remote, there is a potential opportunity to go onsite at a future time

Contract:12+ Month

Shift: 8:00am-4:45pm EST (could start as late as 9am if needed)

Job Description:

Screens provider credentialing and re-credentialing packets for missing information; requests missing information from provider; resolves discrepancies between information supplied and findings of other sources (State Dental or etc.);
Creates and updates provider information in the credentialing system to ensure that credentials are completed within a timely manner and at a high level of accuracy.
Receives provider inquiries via phone and correspondence. Researches and verifies detailed information on provider participation status. Perform verification of all applicable credentials.
Contact providers for missing and expired information.
Processing mail; incoming and outgoing.
Performs miscellaneous duties as assigned.

Skills/Experience:
Job Requirements:

A high school diploma or GED is preferred, but candidates with proven experience will not be excluded from consideration.
A minimum of 2 years related experience.
Knowledge of client products, policies and terms of provider participation in various networks is expected at conclusion of training and any applicable probationary period.
Ability to maintain confidentiality of providers information.
Demonstrated understanding of basic corporate structures and how to accurately translate information provided on contracts, credentialing attestations and other sources to maintain provider records.
Math skills to compile and validate statistical computations, reconcile discrepancies, and insure the validity and accuracy of results.
Knowledge and application of English grammar including composition, editing and proofreading skills.
Basic organizational/time management and project management skills and multi-tasking abilities.
Detail oriented with analytical and problem solving skills. Knowledge of health care industry issues preferred.
Ability to accurately enter relevant information into the credentialing system and other ancillary data repositories as needed.
Must be able to understand fairly complex written and oral instructions.
Ability to clearly present written information and findings. Ability to communicate concepts.
Ability to interact well with co-workers and outside contacts.
PC literacy; MSOffice skills (competency in Word, advanced skill in Excel, Access and other database applications).
Regularly required to work standard office equipment (personal computer, photocopy machine, fax machine, etc.).
Ability to work on a computer up to 7 hours a day.
Regularly required to sit for long periods of time, and occasionally stand and walk.
Regularly required to use hands to operate computer and other office equipment.
Close vision required for computer usage. Occasionally required to stoop, kneel, climb and lift up to 25 pounds.

Required Skills:

Resource will be working off of their own personal equipment. (no MacBook/no Chromebook)
Resource must be local to the Alpharetta, GA or Camp Hill, PA office. Though the role is remote, the is a potential opportunity to go onsite at a future time.

Notes on what the Manager is looking for in the applicants experience:

High attention to detail working in a production environment
Strong data entry skills
Must have experience working in the healthcare/dental/insurance industry
Resource MUST have two monitors to be successful in this position

Dice Id: 10120741
Position Id: DIC-858
Posted 3 hours ago

Fitment

Dice Job Match Score™

🔢 Crunching numbers...

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

Similar Jobs

Temporary - Data Entry Clerk

Norcross, Georgia

•

5d ago

Full-time

USD 11.00 per hour

IT Professional Specialist

Athens, Georgia

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USD 46,000.00 per year

Provider Administration Specialist

Remote

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Today

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CDI Specialist III

No location provided

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USD 35.00 - 65.00 per hour