credentialing analyst

The Garden of Eve

Job Title:Credentialing SpecialistWho We Are7 KINGS CODE is US based Software solutions company. We support our partners and clients globally in USA, CANADA, EUROPE, INDIA, PAKISTAN &amp; MIDDLE EAST.Education &amp; Experience Required:<ul><li>Bachelor&rsquo;s degree in healthcare administration, business, or a related field preferred. Equivalent experience may be considered.</li><li>4+ years of experience in credentialing, enrolment, or related roles in the medical billing industry.</li></ul>Skills Required:<ul><li>Solid experience in credentialing of Clinics and Labs</li><li>Familiarity with Medicare, Medicaid, and commercial payer enrolment processes.</li><li>Proficiency in credentialing software and tools (e.g., CAQH ProView, PECOS).</li><li>Strong knowledge of medical billing processes and insurance verification.</li><li>Familiarity with HIPAA and other healthcare regulations.</li></ul>Job Location: Onsite, DHA Phase 8 - Ex Park View, Lahore.Job Timings: PAK TIME: 5:30PM to 02:30AMApply with your latest cv at: yasir@7kingscode.comJob Type: Full-timeAbility to commute/relocate:<ul><li>Lahore: Reliably commute or planning to relocate before starting work (Required)</li></ul>Education:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>Credentialing of Clinics and Labs: 4 years (Required)</li></ul>Work Location: In person

Credentialing Specialist

Prima Systems

We are seeking a detail-oriented and experienced Credentialing and Enrollment Associate to join our medical billing team. The ideal candidate will have a strong background in healthcare credentialing and enrollment processes, particularly within the US healthcare system. This role will involve ensuring that healthcare providers are properly credentialed with insurance networks and government programs, facilitating enrollment, and maintaining accurate records.Responsibilities:<ul><li>Manage the credentialing and enrollment process for healthcare providers with insurance networks, Medicare, Medicaid, and other relevant programs.</li><li>Prepare and submit credentialing applications, re-credentialing, and revalidation documents accurately and timely.</li><li>Ensure compliance with all credentialing requirements, regulations, and standards set by accrediting bodies and government agencies.</li><li>Communicate with insurance companies, providers, and internal stakeholders to resolve credentialing issues and inquiries.</li><li>Maintain up-to-date knowledge of current healthcare regulations, policies, and procedures related to credentialing and enrollment.</li><li>Coordinate with internal departments to gather necessary documents and information for credentialing applications.</li><li>Monitor the status of applications, track expirations, and follow up on pending items to ensure timely completion.</li><li>Maintain accurate and organized credentialing and enrollment records, both electronic and paper-based.</li><li>Assist in audits and reviews related to credentialing and enrollment processes.</li></ul>Requirements:<ul><li>Minimum of 2-3 years of experience in healthcare credentialing and enrollment, preferably in a medical billing setting.</li><li>In-depth knowledge of credentialing processes for insurance networks, Medicare, Medicaid, and other payers.</li><li>Familiarity with CAQH, NPI, UPIN, and other relevant healthcare databases and identifiers.</li><li>Strong understanding of healthcare regulations, compliance standards, and HIPAA guidelines.</li><li>Excellent English communication skills, both verbal and written, with the ability to interact professionally with providers and insurance representatives.</li><li>Exceptional attention to detail, accuracy, and organizational skills.</li><li>Proficiency in using MS Office applications and credentialing software.</li><li>Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.</li></ul>Job Type: Full-timePay: Rs100,000.00 - Rs130,000.00 per monthApplication Question(s):<ul><li>Are you available for night shift</li></ul>Experience:<ul><li>Credentialing in Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Preferred)</li></ul>Work Location: In person

Vituity

Remote, Nationwide – Seeking Credentialing Coordinator
 
Everybody Has A Role To Play In Transforming Healthcare
 
At Vituity you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside.
 
Join the Vituity Team.At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done.
 
Vituity Locations: Vituity has opportunities at 900 practices across the country, serving 14.5+ million patients a year. With Vituity, if you ever need to move, you can take your job with you.
 
The Opportunity
 
<ul>
<li>Facilitate hospital credentialing/privileging and medical licensure needs for Vituity.Communicate application requirements, coordinate application paperwork, provide copies of credentialing information and documents, and monitor schedules.Work with medical staff/credentialing offices, medical boards, and/or outside license facilitation companies to prioritize applications and resolve any issues to ensure providers have obtained appropriate licenses and privileges.</li>
<li>Continuously track progress in Salesforce Credentialing database to ensure all stakeholders have accurate and up to date information in making resource planning decisions.</li>
<li>Identify and escalate issues to manager.</li>
<li>Maintain current credentials data for all Physicians and Advanced Providers.</li>
<li>Assist with follow-up to ensure all needed paperwork and copies of credentials are obtained.</li>
<li>Perform partner, employee, and contractor preboarding including, but not limited to, monitoring credentialing applications, ensuring required paperwork is completed, performing required background and online credentialing verifications, and facilitating malpractice insurance or site requirements until all required items for hire are completed.Track progress in Salesforce Credentialing database.</li>
<li>Identify and escalate red flag items for action to department manager.</li>
<li>Scan all provider/employee/contractor documents and paperwork into electronic files. Update and reorganize electronic files as needed.</li>
<li>Coordinate paperwork with internal/external departments.</li>
<li>Assist with follow-up to ensure all needed requirements, paperwork, and copies are obtained.</li>
<li>Provide excellent customer service and credentials support.</li>
<li>Performs related duties as required.</li>
</ul>
Required Experience and Competencies
 
<ul>
<li>One year of related work experience required.</li>
<li>Associate degree in related field; or a combination of education and work experience that demonstrates the attainment of the requisite knowledge, skills, and abilities required.</li>
<li>Ability to establish and maintain effective working relationships as required by the duties of the position.</li>
<li>Ability to express ideas and convey information effectively in verbal and written communications.</li>
<li>Ability to multi-task and prioritize while managing tight deadlines.Work independently and as part of a team in a fast-paced environment.</li>
<li>Proficient in Microsoft Office Suite (Excel, Outlook, PowerPoint, and Word).</li>
<li>Strong attention to detail, time management, and organization skills.</li>
</ul>
The Community
 Even when you are working remotely, you are an important part of the Vituity Community. We offer plenty of opportunities to engage with other Vitans through a variety of virtual meet-and-greets, events and seminars.
 
<ul>
<li>Monthly wellness events and programs such as yoga, HIIT classes, and more</li>
<li>Trainings to help support and advance your professional growth</li>
<li>Team building activities such as virtual scavenger hunts and holiday celebrations</li>
<li>Flexible work hours</li>
<li>Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more</li>
</ul>
Benefits Beyond*
 Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future.
 
<ul>
<li>Superior health plan options</li>
<li>Dental, Vision, HSA/FSA, Life and ADD coverage, and more</li>
<li>Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service)</li>
<li>Generous paid time off starting 3-4 weeks’ annually</li>
<li>Student Loan Refinancing Discounts</li>
<li>Professional and Career Development Program</li>
<li>EAP and travel assistance included</li>
<li>Wellness program</li>
<li>Purpose-driven culture focused on improving the lives of our patients, communities, and employees</li>
</ul>
We are excited to share the base salary range for this position is $22.05 - $27.01, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company’s annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details.
 
We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us.
 
Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity.
 
<ul>
<li>Benefits for part-time and per diem vary. Please speak to a recruiter for more information.</li>
</ul>
Applicants only. No agencies please.

Credentialing Coordinator - Remote - Nationwide

Autism Learning Partners

<div>Your Future as a BCBA Starts Here&mdash;And It&rsquo;s Looking Bright
Join the largest female clinician-led ABA agency in the country and work with people who just get it. At Autism Learning Partners, we&rsquo;re all about growing together, learning from each other, and actually making a difference! Whether you're fresh in the field or leveling up, you'll find mentorship, career growth, and a whole community of BCBAs ready to cheer you on!
What We&rsquo;re Offering:<ul><li>
Potential Annual Salary: $100,000 to $120,000 based on experience, skills, tenure, and geography</li><li>
Bonus: Attainable monthly/quarterly bonus opportunity ($35,000+ in your first three years - we'll show you how during the first interview)!</li><li>
Hybrid Role: Combination of in-person (in-home, school, and/or center-based) supervision support and telehealth, with remote flexibility of up to 50% of your in-home cases</li></ul><ul><li>
Initial Onboarding Support: 60+ hours of comprehensive training during the first 3-4 weeks of integration including topics such as clinical best practices, using Central Reach, goal writing, clinical problem solving, CPT codes, telehealth assessments. Our Clinical Development team also offers weekly office hours or 1:1 support, as needed.
</li><li>Education and Mentorship: Monthly CEUs, annual in-house conference featuring leading researchers in the field, and opportunities to lead sponsored research initiatives</li><li>
Some Benefits Highlights: 23 days off annually between holidays including 1 floating holiday and 15 days of PTO that begins to accrue from Day 1</li><li>
Flexible Schedule: Opportunities to work from home that includes Mon-Fri flexibility in the mornings and afternoons. No expectation of Saturday work unless you want to schedule make-up sessions. You&rsquo;re in full control!</li><li>
Our Promise: We don't require contracts or non-compete agreements because we value flexibility and trust. Your employment with us is fully at-will, allowing you to grow with us on your own terms.</li></ul>
Why Choose Us?<ul><li>
An org chart of nothing but BCBAs between you and the CEO, Dr. Gina Chang, BCBA-D.
</li><li>A clear path to make values-based clinical decisions based entirely on what is best for your client and family</li><li>
Generous health insurance package, 401(k) Retirement Program with employer match, and employer paid short-term disability
</li><li>As a CASP Provider, ALP will grant you access to CASP&rsquo;s entire CEU library which includes over 75 CEU-approved courses (plus 10 CEUs annually via ALP events such as our IMPACT Conference and monthly live sessions)</li><li>
Clear promotion framework from BCBA, Sr. BCBA, Assistant Clinical Director, Clinical Director, and Senior Clinical Director</li><li>
For any new BCBA certificants &ndash; we offer the 8-hour supervision course as approved by the BACB</li><li>
Unlimited referral bonuses</li><li>
Reasonable expectation of billable hours</li><li>
Opportunity to partner and/or serve with our internal DEI council
</li><li>Study support for BCBA candidates and in-house RBT courses to help ensure your team is fully prepared</li><li>
Support Center resources designed to address your administrative needs, including client intake, recruiting, payroll, HR, billing, credentialing/contracting, and scheduling</li></ul> 
What You&rsquo;ll Be Doing:<ul><li>
Lead by Example and Be a Pillar of Support: Inspire and guide Behavior Technicians through effective supervision and support, ensuring that they are implementing treatment plans with a high degree of reliability and fidelity.
</li><li>Drive Positive Change: Conduct FBAs and develop innovative ABA programs that include continuously evaluating client needs, providing parent education, and problem solving, to help each client reach their potential.</li><li>
Embrace Challenges with Grace: Stay calm and professional in challenging situations, adapt to change with flexibility, and continuously seek opportunities for growth.</li><li>
Lead with Initiative and Openness: Proactively communicate, take initiative, and welcome learning to create a safe environment for collaboration and knowledge sharing.</li></ul>
What We&rsquo;re Looking For:<ul><li>
Certification as a Board Certified Behavior Analyst (BCBA) with the Behavior Analyst Certification Board (BACB)</li><li>
Active LBA Certification in the state of North Carolina as issued by the North Carolina Behavior Analyst Licensure Board</li><li>
Please note that this position is subject to a criminal background check, TB test, Pre-employment Physical Exam, which we will pay for
</li></ul>Autism Learning Partners supports a diverse workforce and is an Equal Opportunity Employer. 
At Autism Learning Partners, we understand that culture is the foundation of who we are as a company and how we serve our clients, families, and employees. We are one of the nation's leading full-service ABA providers specializing in the treatment of autism and other developmental disabilities. Our broad thinking approach addresses the whole child by collaborating with doctors, therapists, families, schools, and specialists. Our goal is to work together to achieve the best possible outcome and progress through our commitment to Diversity, Inclusion, and Equity, which includes forming a DEI council, monthly trainings for senior clinical staff, national trainings, a monthly DEI newsletter, continual updates to our email signatures, education on topics like generational trauma and trauma-informed care, and always striving to provide the best care and comfort for our clients, families, and employees. 
GSOBACR102</div>

Sr. Behavior Analyst (BCBA) - Hybrid

Positive Behavior Supports

<div></div><div>Entry Level Behavior Assistant and Experienced Registered Behavior Technicians (RBT) Roles!

 ***Part-time positions available with the opportunity to grow into full-time as caseloads expand*** 
Why Join PBS?

PBS offers mentoring and advancement opportunities for those with career aspirations working with special needs children! As a Behavior Assistant (BA), you can enroll in our complimentary training to become a Registered Behavior Technician (RBT), as well as Student Analysts (SA) roles if a career as a Board Certified Behavior Analyst (BCBA) is in your future!!! Founded in 2007, PBS is a dedicated ABA provider committed to helping children with autism thrive in their homes, schools and community. We value our entry level team members through a supportive, flexible, and growth-focused work environment. PBS believes in training the future of our field to ensure we are providing the best quality services to families in need!

 *All roles are subject to local and state requirements related to licensure, credentialing and certification* 


The PBS Mission: 
<ul><li>Create a responsive system that applies the principles of PBS to meet the needs of individuals, families and organizations we serve to produce quality of life changes that last
</li>Develop an organization that attracts the most competent, enthusiastic people and turns them into proficient professionals 
<li>
</li></ul><div></div>What We Offer:<div> 
</div>✅ Flexible Scheduling &ndash; Work-life balance is a priority<div> 
</div>✅ Competitive Pay - Annual Raises<div> 
</div>✅ Quarterly Bonus &ndash; $500 (for those averaging 25 hours a week for the entire quarter)<div> 
</div>✅ Holiday Pay- Time and a half for working on identified PBS holidays<div> 
</div>✅ Career Growth Pathways &ndash; Advance from Behavior Assistant to an RBT!<div> 
</div>✅ Complimentary 40 Hour RBT Training<div> 
</div>✅ Paid Travel &amp; Mileage Reimbursement (if applicable)<div> 
</div>✅ Medical, Dental, Vision Insurance (30+ hours per week)<div> 
</div>✅ Paid Sick Time- Based on state requirements<div> 
</div>✅ Retirement- 401(k) with Company Match Up to 3%<div> 
</div>Job Responsibilities:<div> 
</div>✅ Work 1:1 with children with autism using ABA strategies under the supervision of a BCBA<div> 
</div>✅ Implement individualized treatment plans designed and trained by a BCBA<div> 
</div>✅ Collect &amp; record data to track client progress using PBS tracking tools<div> 
</div>✅ Communicate with families &amp; clinical teams to ensure client success<div> 
</div>✅ Attend scheduled supervisions, team meetings &amp; ongoing training<div> 
</div>Requirements:<div> 
</div>✅ High school diploma (Bachelor&rsquo;s in Psychology, Education, or related field a plus)<div> 
</div>✅ Reliable transportation &amp; willingness to travel locally (if required)<div> 
</div>✅ Ability to actively engage clients during sessions, go from sitting to standing unassisted and lift 50lbs<div> 
</div>✅ Experience in ABA therapy, childcare, education, or related field a plus!<div> 
</div>✅ Ability to actively engage with clients, sit on the floor, go from sitting to standing unassisted and lift up to 50lbs<div> 
</div>Ready to Make a Difference? Apply Today!</div>

Behavior Assistant with Team PBS

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Credentialing Specialist

Credentialing Specialist

Credentialing Coordinator - Remote - Nationwide

Sr. Behavior Analyst (BCBA) - Hybrid

Behavior Assistant with Team PBS

Behavior Assistant with Team PBS

Behavior Assistant with Team PBS