physician credentialing specialist

Speak Viral

We are looking for a Credentialing Specialist to join our team and oversee administrative tasks dealing with our health facility&rsquo;s credentialing.Credentialing Coordinator responsibilities include maintaining and verifying files and tracking the expiration of certifications throughout the organization.Ultimately, you will work with different departments across our organization to ensure staff members have the necessary accreditations needed throughout the year.Responsibilities<ul><li>Identify discrepancies in information and conduct follow-ups</li><li>Present applications to the facility&rsquo;s Credentialing Committee</li><li>Assist customers with credentialing inquiries</li><li>Respond to health plan provider inquiries</li><li>Capture primary source documentation in computer databases</li><li>Ensure data is backed up</li><li>Follow compliance laws, regulations, procedures, and policies</li></ul>Requirements and skills<ul><li>Proven work experience as a Credentialing Coordinator or similar role</li><li>Excellent verbal and written communication skills</li><li>Expertise with Microsoft Office Word and Excel</li><li>Proficient touch-typing skills</li><li>Ability to focus for extended periods</li><li>Relevant training and/or certifications as a Credentialing Coordinator</li></ul>Benefits: Increment after Probation Annual Increment Free Meal/Tea Career GrowthJob Type: Full-timePay: Rs50,000.00 - Rs100,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(6pm to 3am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

Credentialing Specialist

Valley Perinatal Services

Job Overview We are seeking a detail-oriented and proactive Revenue Cycle Specialist to join our dynamic healthcare team. The ideal candidate will play a crucial role in managing the revenue cycle process, ensuring accuracy and efficiency in billing, collections, and claims processing. This position requires strong analytical skills, attention to detail, and a commitment to maintaining compliance with healthcare regulations.Job SummaryThe Revenue Cycle Supervisor will be responsible for overseeing and coordinating the daily operations of the revenue cycle team. This includes managing billing, coding, collections, and payment processing to ensure the accurate and timely submission of claims and the efficient collection of payments. This position will also oversee credentialing for the current physicians in the practice and new practices or providers onboarding. The ideal candidate will have a strong understanding of healthcare revenue cycle processes, exceptional leadership skills, and a passion for improving financial performance. Candidate must have strong analytical abilities, the ability to think strategically, and sharp decision-making skills.Duties<ul><li>Supervise and lead the revenue cycle team, providing guidance and support to ensure the team's success.</li><li>Monitor and manage the revenue cycle workflow, including billing, coding, claims processing, and payment collections.</li><li>Ensure compliance with all relevant regulations, policies, and procedures.</li><li>Monitor and manage the credentialing team ensuring current providers credentialing is maintained and new providers and integrations credentialing is seamless.</li><li>Analyze and report on key revenue cycle metrics, identifying areas for improvement and implementing corrective actions as needed.</li><li>Collaborate with other departments to optimize processes and improve overall financial performance.</li><li>Train and develop team members, fostering a culture of continuous learning and improvement.</li><li>Monitor productivity</li><li>Resolve complex billing and payment issues, acting as a point of escalation for the team.</li><li>Stay current with industry trends, regulations, and best practices to ensure the organization remains compliant and competitive.</li><li>Assign and monitor billing and coding teams&rsquo; assignments</li><li>Audit billing and coding teams&rsquo; work to ensure clean claims are submitted timely for all services</li><li>Participate and lead team meetings</li><li>Conduct new employee interviews</li><li>Conduct corrective action counseling to employees if warranted</li><li>Approve direct reports&rsquo; PTO requests and coordinate coverage</li><li>Collaborate with operations and collections to resolve operational claim errors</li><li>Other duties as assigned based on business needs</li></ul>Required Skills/Abilities<ul><li>Athena EMR experience is required</li><li>Ability to run, manage and create reports within Athena</li><li>Advanced knowledge of ICD10 and CPT coding principles</li><li>Advanced knowledge of national and payer coding guidelines</li><li>Adherence to LCDs, NCDs and NCCI edits</li><li>Knowledge of Incident-to and PATH guidelines</li><li>Attention to detail</li><li>Ability to follow instructions</li><li>Advanced knowledge of MS Office applications, Excel knowledge and pivot tables.</li><li>Critical thinking to anticipate issues and collaborate on solutions to them.</li></ul>Experience/Education<ul><li>Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) preferred</li><li>Athena Experience required</li><li>Five years of physician practice, billing and coding experience required</li><li>Provider credentialing and hospital privileging experience</li><li>Three to five years of management experience required</li><li>Bilingual is a plus</li></ul>If you are passionate about improving the revenue cycle process in healthcare and possess the necessary skills, we encourage you to apply for this exciting opportunity.Job Type: Full-timePay: From $62,000.00 per yearBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Experience:<ul><li>physician billing and coding: 5 years (Required)</li><li>Provider Credentialing: 3 years (Required)</li><li>ICD-10: 3 years (Required)</li><li>Management: 3 years (Required)</li></ul>Work Location: In person

Revenue Cycle Supervisor

gd resources

<div>Position Title: Board Certified/Board Eligible Otolaryngologist (Sinus &amp; Sleep Specialist) 
Location: Oklahoma City VA Health Care System, 921 NE 13th Street, Oklahoma City, OK 
Schedule: Full-time (1.0 FTE) &ndash; Monday through Friday; clinical and surgical schedule per VA requirements 
Period of Performance: November 1, 2025 &ndash; October 31, 2026
Overview: 
The Otolaryngology Physician (Sinus/Sleep Specialist) provides comprehensive ear, nose, throat, and sleep medicine services to veterans in accordance with the standards of the American Academy of Otolaryngology and The Joint Commission. The physician is responsible for evaluating, diagnosing, and managing a wide range of ENT and sleep-related disorders and performing advanced sinus and anterior skull base surgeries.
Duties and Responsibilities:<ul><li>
Conduct outpatient clinics for ENT and sleep disorders, including pre- and post-operative consultations.</li><li>
Perform surgical procedures such as endoscopic sinus surgery, septoplasty, polypectomy, skull base surgeries, tracheostomy, laryngoscopy, and sleep apnea&ndash;related surgeries.</li><li>
Manage patients with complex sinonasal and sleep-related pathologies.</li><li>
Provide emergency and inpatient consultation as required.</li><li>
Participate in multidisciplinary case conferences and tumor boards as applicable.</li><li>
Maintain accurate and timely electronic medical records using VA systems (CPRS/VistA).</li><li>
Ensure compliance with VA directives, patient safety protocols, and HIPAA standards.</li><li>
Maintain current CME and BLS/ACLS certifications.</li></ul>
Qualifications:<ul><li>
Doctor of Medicine (MD) or Doctor of Osteopathy (DO).</li><li>
Board Certified or Board Eligible by the American Board of Otolaryngology &ndash; Head and Neck Surgery.</li><li>
Fellowship training in Sinus and Sleep Medicine required.</li><li>
Active, unrestricted medical license in any U.S. state or territory.</li><li>
Credentialing and privileging approval through VA required before practice.</li><li>
Proficiency in English (spoken and written).</li></ul>
sav3qwYecR</div>

Board Certified/Board Eligible Otolaryngologist (Sinus & Sleep Specialist)

SUMO Medical Staffing

Family Medicine Outpatient: Springfield, Ohio (OH) Sumo Medical Staffing is recruiting for an experienced Adult Inpatient Physician to work locum shifts in Springfield, Ohio (OH). November 4-November 7. the role offers ongoing work with a competitive market rate and benefits.The Family Medicine role:<ul><li> 11/4-11/7 </li><li> Avg 2-3 patients per hour </li><li> Seeing patients ages 2 and up </li><li> Primary Care/Acute Care with some OccMed/Urgent Care </li></ul>Requirements of the Family Medicine role: <ul><li> 2-3 years of experience in a clinical setting </li><li> BLS and/or ACLS required </li></ul> Benefits:<ul><li>Competitive Market Rate (rate based on availability, experience and certifications)</li><li>Malpractice insurance provided</li><li>Our specialist recruitment team will support you every step of the way through application to credentialing to starting in your new role.</li><li>Rewarding referral scheme - earn extra income by recommending other healthcare professionals to Sumo Medical Staffing.</li></ul>What are the next steps?If you are a trained Adult Inpatient Physician in the Dayton, Ohio area, we would love to hear from you - please click apply now and we will be in touch. If you would like more information on the role or would like to speak to us about the roles we have available, please send your CV to or call (or) text me on About Sumo Medical Staffing:SUMO Medical Staffing specializes in locum tenens placement for temporary and permanent positions in hospitals, private practices, government facilities, and medical centers across the United States. We are dedicated to placing the most qualified physicians and advanced practice providers (APP) in all specialties such as psychiatry, internal medicine, hospitalist, family medicine, Anestesia, ER/urgent care, pediatrics, and many more.Please note, your information will not be shared without your prior approval.JOB TYPE: 1099- LOCUMSJOB NUMBER: 48415<img src="https://www.jobg8.com/Tracking.aspx?pRzFlDLALyrgNvhfXfgQRz0bF6uuUu0Av" width="0" height="0" />

Family Practice - Without OB Physician

Jawa Health Care

Here&rsquo;s Credentialing Job TitleCredentialing Specialist &mdash; Medical Billing / Provider EnrollmentPosition SummaryThe Credentialing Specialist is responsible for managing the full lifecycle of provider credentialing and enrollment with payers (commercial, Medicare, Medicaid, third&#8209;party networks) to ensure that providers are properly authorized to bill and receive reimbursement. This role liaises between providers, payers, billing teams, and internal departments to maintain compliance, minimize credentialing delays, and support revenue integrity.Key Responsibilities / Duties<ul><li>Provider Credentialing &amp; Enrollment</li><li>Prepare, compile, and submit initial credentialing applications to payers, Medicare/Medicaid, IPAs, health networks.</li><li>Manage re&#8209;credentialing and renewals of existing provider credentials.</li><li>Maintain and update provider profiles (e.g. CAQH, NPPES, PECOS, payer portals).</li><li>Obtain and track provider identifiers (Provider IDs, NPI, Tax IDs, etc.).</li><li>Coordinate with providers (physicians, DME, therapists, clinics) to gather required documentation (licenses, board certifications, CVs, malpractice insurance, etc.).</li><li>Follow up on application status, resolve discrepancies, and expedite submissions.</li><li>Verification &amp; Compliance</li><li>Perform primary source verification (PSV) of credentials (licensure boards, education, certifications).</li><li>Audit credentialing files to ensure completeness, accuracy, and consistency.</li><li>Monitor credential expiration dates (licenses, DEA, certifications) and trigger renewals proactively.</li><li>Ensure compliance with payer, state, and regulatory credentialing requirements, including policy changes and updates.</li><li>Data &amp; Documentation Management</li><li>Maintain credentialing databases, logs, tracking systems, and reports on status metrics (turnaround time, backlog, approval rates).</li><li>Document interactions with payers and providers, maintain records of submissions, denials, and appeals.</li><li>Generate periodic credentialing status reports for management and internal stakeholders.</li><li>Stakeholder Communication &amp; Issue Resolution</li><li>Communicate with payers and insurance networks to resolve credentialing issues, contract queries, missing documentation, and provider disputes.</li><li>Liaise with billing, contracting, HR, compliance, legal, and provider offices for credentialing&#8209;related matters.</li><li>Support billing teams in credential&#8209;related denials or rejections (for example, provider not enrolled).</li><li>Process Improvement &amp; Quality Assurance</li><li>Identify credentialing process bottlenecks and suggest workflow improvements.</li><li>Participate in audits, quality checks, and compliance reviews.</li><li>Stay current on industry trends, payer credentialing rules, regulatory changes, and best practices in provider enrollment.</li></ul>Qualifications &amp; Requirements<ul><li>Education: Bachelor&rsquo;s degree preferred (Healthcare Administration, Business, Health Information Management, or related field). Some organizations accept equivalent experience.</li><li>Experience: 2+ years of experience in provider credentialing, enrollment, or similar role (in a medical billing, RCM, or healthcare setting).</li><li>Knowledge / Technical Skills:</li><li>Familiarity with CAQH, NPPES, PECOS, payer portals, credentialing software/platforms.</li><li>Understanding of commercial &amp; government payers (Medicare, Medicaid) credentialing rules.</li><li>Strong knowledge of medical licensure, board certification, education verification, regulatory compliance.</li><li>Proficiency in MS Office (Excel, Word, Outlook).</li><li>Skills / Competencies:</li><li>Strong attention to detail, organizational skills, and ability to manage multiple credentialing tracks simultaneously.</li><li>Excellent written and verbal communication skills.</li><li>Analytical and problem-solving mindset.</li><li>Ability to work independently and interface with multiple stakeholders.</li><li>Discretion and confidentiality in handling provider data.</li><li>Desired / Optional:</li><li>Certification such as CPCS (Certified Provider Credentialing Specialist) or CPMSM.</li><li>Experience with multi&#8209;state credentialing or large group practices.</li><li>Experience with medical billing, claims, or revenue cycle functions.</li><li>Knowledge of HIPAA or healthcare compliance standards.</li></ul>Working Conditions / Schedule<ul><li>This role is generally in office or hybrid/remote (depending on the organization).</li><li>May require working non&#8209;standard shifts (e.g. night shift) if supporting international clients or off&#8209;hours payer windows.</li><li>Keyboard / computer work, calls, email communications.</li><li>Occasional high volume / urgency periods requiring extra effort to meet credentialing deadlines.</li></ul>Key Performance Indicators (KPIs)<ul><li>Turnaround time for credentialing submissions / approvals</li><li>Percentage of credentialing applications approved without rework</li><li>Number of credentialing backlog / pending items</li><li>Accuracy rate (errors in credentialing files)</li><li>Provider uptime (minimizing provider downtime due to credentialing issues)</li></ul>Job Type: Full-timePay: Rs50,000.00 - Rs80,000.00 per monthWork Location: In person

Experienced Credentialing Specialist in medical billing

Concord Physicians Solutions

Emergency Medicine Physician Locum Tenens Location: Middlesboro, KY Start Date: Flexible Duration: Ongoing Schedule & Availability • 12-hour shifts 7:00 AM 7:00 PM and 7:00 PM 7:00 AM • APP: Occasionally covers in place of a physician Position Highlights • Annual Volume: 13,012 Avg. 35.6 visits/day • Patients per hour: 1.5 • Admission Rate: 15.6% • Hospital Size: 96 beds (46 operational) ED: 12 beds ICU: 7 licensed beds • EMR: Meditech Expanse • Credentialing: days<img src="https://www.jobg8.com/Tracking.aspx?JsLKHhWaKsMgLkIMQx3utX2GNeN6zQfhp" width="0" height="0" />

Emergency Medicine Physician

Opportunity Healthcare

Emergency Medicine locum Physician Assistant job in Fort Wayne, IN - offering $100-$100/Hr for a locum PA coverage at a local Fort Wayne facility. Looking for locum PA jobs near you? This locum Physician Assistant job offers competitive pay, flexibility, and support from Opportunity Healthcare, a leading locum staffing agency.Whether you're planning your next locum PA assignment in Indiana or just searching for "locum Physician Assistant jobs near me", this opportunity could be the perfect fit. Located in Fort Wayne, this locum Physician Assistant job is easily accessible for PA's based near New Haven (46774), Auburn (46706) and Columbia City (46725).Don't miss out- 'Quick Apply' now to start the process and connect with a specialized Opportunity recruiter who can match you with additional locum PA jobs near you.This is a great opportunity for Physician Assistants looking for new graduate locum PA jobs. Job Details <ul><li>Specialty: Emergency Medicine</li><li>Location: Fort Wayne, IN 46804</li><li>New Grads Accepted: NP, PA</li><li>Schedule: 8, 9, 10 hr. shifts.</li><li>Duration: Long term. need</li><li>Shift Time: 8's, 9's, & 10's</li><li>Job #: 25-00329</li><li>Pay: $100-100/Hr</li><li>Job Incentives: Long Term NeedBetter than Avg. Pay</li><li>Additional Details: Trauma Level ERNP/PA NeedBetter than Avg. Pay8, 9, 10 hr. shifts</li></ul> Benefits <ul> <li>Specialty-focused recruiters</li> <li>Dedicated credentialing & onboarding team</li> <li>Dedicated travel & housing assistance</li> <li>Malpractice Insurance, including tail insurance for assignments</li> <li>Licensing support</li> <li>$750 Referral bonus</li> </ul> Opportunity Healthcare - An Agency You Can Trust Opportunity Healthcare is a trusted leader in Locum Nurse Practitioner jobs , connecting talented Nurse Practitioners with locum NP jobs tailored to their skills and career goals. With over 50 years of combined expertise in Advanced Provider staffing, we help Nurse Practitioners find rewarding locum Nurse Practitioner jobs across specialties and locations. Whether you're seeking Locum NP jobs near me, nationwide jobs, or flexible options for New grad NP jobs, we offer solutions to fit your lifestyle. From matching you with the perfect Locum NP jobs to assisting with credentialing and onboarding, our team simplifies the process. Choose Opportunity Healthcare to find locum Nurse Practitioner jobs that empower your career and allow you to make a lasting impact in healthcare.<img src="https://www.jobg8.com/Tracking.aspx?zl271h5DAYhLWhdJp98iQ%2fLOUI7Vthy1i" width="0" height="0" />

Emergency Medicine Nurse Practitioner

Search 7415+ Physician credentialing specialist jobs near you this October. New roles added regularly across leading industries. Apply today.