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2 Credentialing Specialist Jobs in Nashville, TN

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Zuchon
Nashville, TN | Full Time
$42k-52k (estimate)
3 Days Ago
Parallon
Nashville, TN | Full Time
$38k-47k (estimate)
4 Months Ago
Credentialing Specialist
Zuchon Nashville, TN
$42k-52k (estimate)
Full Time 3 Days Ago
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Zuchon is Hiring a Credentialing Specialist Near Nashville, TN

Rezult continues to make great strides toward enhancing the financial community nationwide. We are consistently looking for qualified professionals to join us in achieving success. Currently we are searching for a Credentialing Specialist to fulfill an immediate need.

This individual will be responsible for:

  • Managing and maintaining all credentialing documentation of payors and potential providers
  • Performing follow-up with insurance state Medicare / Medicaid and payors to resolve payor credentialing issues
  • Ensuring all accuracies in the CAQH database
  • Handling and researching escalations
  • Ensuring new and existing clinic addresses are current with payors, state agencies, and other entities as needed
  • Preparing various documents necessary to support new and updated payor contracts
  • Submitting clinic license applications to state contacts and follows up to ensure timely processing
  • Ad hoc duties as assigned

We are actively speaking with applicants that have a minimum of:

  • 2 years of healthcare credentialing experience
  • Experience in payor, provider, and lab/clinic credentialing a PLUS
  • Strong written and verbal communication
  • Experienced in Microsoft Excel

If your background, skills, and interest match the following; please apply online to ensure your credentials are reviewed by a skilled recruiter immediately and also email your resume to Mary Katherine Womack at mwomack@rezultgroup.com. We look forward to working with you on this opportunity. For more information on Rezult and a list of additional job openings, please visit our website at www.rezultgroup.com.

Job Summary

JOB TYPE

Full Time

SALARY

$42k-52k (estimate)

POST DATE

06/24/2024

EXPIRATION DATE

12/18/2024

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Zuchon
Contractor
$88k-111k (estimate)
2 Weeks Ago
Zuchon
Contractor
$59k-76k (estimate)
1 Month Ago

The job skills required for Credentialing Specialist include Verbal Communication, etc. Having related job skills and expertise will give you an advantage when applying to be a Credentialing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Credentialing Specialist. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist. You can explore the career advancement for a Credentialing Specialist below and select your interested title to get hiring information.

Parallon
Remote | Full Time
$38k-47k (estimate)
4 Months Ago

If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Credentialing Specialist job description and responsibilities

A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.

03/14/2022: Des Moines, IA

A credentialing specialist can have certificates that will prove useful to their field.

02/01/2022: Newark, NJ

Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.

02/21/2022: Evansville, IN

Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.

02/01/2022: Las Cruces, NM

Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.

01/18/2022: Pueblo, CO

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Credentialing Specialist jobs

Credentialing specialists can often find work with a high school diploma or the equivalent.

01/25/2022: Kingsport, TN

Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.

03/01/2022: Parkersburg, WV

While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.

12/25/2021: Little Rock, AR

Make Use Of Advanced Software For Monitoring.

01/18/2022: New London, CT

Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.

01/31/2022: Portsmouth, OH

Step 3: View the best colleges and universities for Credentialing Specialist.

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