Accurately enter and update patient/medical information into internal systems.
Review records for errors, missing details, and inconsistencies to maintain organized digital files and health records.
Verify data accuracy by cross-checking documentation and collaborate with internal departments to resolve discrepancies.
SkillersZone researches, verifies, and presents legitimate job opportunities from employers actively seeking qualified candidates across various industries. They are not a staffing agency or direct employer, but partner with employers committed to fairness, transparency, and secure hiring standards.
Enrolls providers new to Privia with all commercial health plans specific to the market.
Updates and maintains provider enrollment status in credentialing system, CredentialStream.
Performs follow up with health plans according to designated timeline, until Provider is PAR.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices. Privia Health consists of scalable cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.
Managing the credentialing, payer enrollment, and provider onboarding processes for physicians and advanced practice providers.
Ensuring providers are credentialed, enrolled, and maintained with commercial and government payers in a timely and accurate manner.
Maintaining provider records, monitoring credentialing deadlines, and coordinating with payers and providers.
Modena Health (MH) and Modena Allergy & Asthma (MAA) are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona, and ambitious plans for national expansion. They are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.
Research, interpret, and evaluate information relevant to provider licensure and continuing medical education in the United States.
Complete applications for provider credential, licensure or payor enrollment on behalf of Certify customers.
Validate and authenticate information updated on the credentialing, licensing platform and ensure 100% accuracy.
CertifyOS is building the data infrastructure that powers modern healthcare. Their API-first platform automates provider licensing, enrollment, credentialing, and network monitoring by connecting directly to hundreds of primary data sources. The company values authenticity, accountability, collaboration, results, and openness to feedback.
Manage day-to-day credentialing and re-credentialing workflows for Tia’s provider network.
Support medical licensing workflows for MDs, DOs, NPs, PAs, and RNs across multiple states, including tracking requirements, deadlines and renewals.
Track onboarding progress and help ensure providers are licensed, credentialed, enrolled, and compliant before go-live.
Tia is building a new model for women’s healthcare, one that treats women as whole people. They are a Series D, venture-backed company trusted by more than 120,000 women across four markets, building a culture of excellence in people, process, and product.
Enter clinical trial data into EDC systems accurately and on time per study protocols and sponsor requirements.
Perform routine data quality checks, identify and resolve discrepancies, and support query resolution to keep studies on track.
Track data entry timelines across multiple concurrent studies and support database lock activities with organized, audit-ready documentation.
Profound Research partners with community physicians to offer clinical trials as a therapeutic option for their patients, handling all infrastructure and operations. It is a collaborative organization that invests in professional growth and offers competitive benefits.
Develop product requirements supporting CMS Medicare FFS provider data standards including NPI validation, taxonomy classification and provider file maintenance aligned to HIPAA requirements.
Ensure provider configuration capabilities align with CMS enrollment, credentialing and revalidation mandates including PECOS data alignment and provider directory accuracy obligations.
Translate CMS provider data regulatory updates into structured product requirements and backlog items while partnering with implementation teams to identify and remediate compliance gaps.
HealthEdge provides an integrated platform of solutions that enables health plans to converge their data and harness insights to improve outcomes. The company has a team of visionary, empathetic people who believe technology should remove friction from healthcare and operate with agility as the regulatory landscape evolves.
Manage daily hospital census of engaged members, reviewing alerts and updating information in the EMR system.
Communicate with hospital/discharge planners, notifying patients of WellBe's awareness of their hospitalization, and track admissions.
Engage in telephonic conversations with patients and families, explaining the WellBe program and aiming to schedule post-discharge appointments.
WellBe is pioneering a new way of healthcare that is revolutionizing the industry. They have a patient-focused environment that ensures patients can live a fulfilling life, offering growth and development opportunities across expanding markets and celebrating success globally.
Manage initial credentialing and re-credentialing applications for physicians and mid-level providers across multiple U.S. states.
Complete and maintain CAQH ProView profiles, ensuring all provider data is accurate, current, and attestation-ready.
Submit and track payer enrollment applications with commercial insurance companies, Medicare, and Medicaid programs.
AMS Solutions is a leading medical billing and revenue cycle management company serving healthcare practices across the United States. They specialize in helping physicians maximize their revenue through expert billing, coding, credentialing, and practice management services.
Accurately enter, update, and maintain information within company database systems
Review records for errors, inconsistencies, or missing details
Organize and manage digital files and documentation efficiently
Respond is a leading IT-focused organization where every detail matters. We are committed to building a supportive workplace where motivated individuals can grow professionally, develop valuable skills, and build long-term careers in the digital industry.
Manage the provider data ticketing queue, ensuring timely resolution of requests.
Partner with team members to obtain required data elements and validate completeness.
Identify and implement opportunities to streamline provider data structure and workflows.
Curana Health is committed to radically improving the health, happiness, and dignity of older adults. They serve 200,000+ seniors in 1,500+ communities across 32 states, with over 1,000 clinicians, care coordinators, analysts and professionals.
Help build and manage the day-to-day operations of a partner network across multiple states and several partners.
Identify, engage, and negotiate with prospective clinical vendors.
Lead and support implementation tasks and timelines in connection with new partner network launches, including in collaboration with internal and external stakeholders.
Heartbeat Health is a virtual-first cardiovascular care company. They provide patients with convenient, high-quality heart care through telemedicine, diagnostics, and virtual care programs, and they are considered the leader in their field. They are fast-paced, agile, remote-first, value diversity, and care about each other.
Ensure timely and accurate processing of credentialing and recredentialing for both individual practitioners and organizations.
Coordinate Credentialing Committee meeting, including preparing the agenda and documenting meeting minutes.
Identify missing or erroneous information from the provider’s application, and communicate with the provider to obtain.
Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. They offer a variety of health insurance products and services as well as providing information and tools to help individuals make better health decisions. At AZ Blue, they have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work.
Manage complex provider roster creation, submission, and record reconciliation for multiple payers.
Oversee resolution of moderate-scope issues by prioritizing tasks and escalating issues with solutions.
Proactively identify areas for operational improvement and efficiency enhancement.
Aledade empowers independent primary care practices to deliver better patient care and thrive in value-based care. Founded in 2014, they are the largest network of independent primary care in the country with a collaborative, inclusive, and remote-first culture.
Deliver an outstanding customer experience by supporting inquiries across phone, email, text, and chat.
Manage high-complexity insurance workflows and inbound support requests to collect documentation.
Partner with clinical, scheduling, and operations teams to ensure accurate treatment plan alignment and continuity of care.
Expressable is a virtual speech therapy practice that aims to transform care delivery and expand access to high-quality services. Since 2019, they serve thousands of clients with a focus on parent-focused intervention and an e-learning platform with home-based learning modules.
Support daily pharmacy operational workflows and administrative tasks to ensure timely and accurate prescription processing.
Provide frontline operational support to clinicians and internal teams for routine pharmacy workflow questions and requests.
Collaborate with the CX team to assist with basic prescription-related member issues and inquiries.
Lifeforce is the world's largest longevity medicine program. They bring together diagnostics, clinical experts, health coaches, and customized protocols to help people understand and optimize their bodies, functioning now and decades to come. They seem to have a modern and proactive company culture.
Support referral tracking, specialty care coordination, and documentation workflows within the electronic health record system.
Monitor referral activity, including STAT, urgent, and priority cases, to support continuity of patient care.
Collaborate with appointing, referral, and operational support teams to help maintain workflow accuracy, service quality, and reporting consistency.
They support coordinated healthcare operations within a structured, technology-supported environment. International SOS Government Medical Services delivers high-quality care in dynamic healthcare environments while collaborating with experienced clinical and operational teams.
Processes initial and reappointment assignments for hospitals and surgical centers.
Maintains accurate records of providers' credentials, licensure, and continuing education.
Updates credentialing databases and ensures compliance with accreditation standards.
US Anesthesia Partners is a national healthcare organization specializing in anesthesia services. The company is an equal opportunity employer focused on clinical excellence and supporting its staff of medical professionals and administrative employees.