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Advancing diagnostic imaging services to drive better innovative health outcomes
Credentialing Specialist
Location
United States
Posted
69 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Credentialing Specialist
Rezolut
Role Description Rezolut Imaging is seeking a Credentialing Specialist to join our team! The Northeast Credentialing Specialist will be responsible for supporting national payor and facility credentialing support growing Radiology Services Organization. This role will be specifically supporting New York, New Jersey, and Pennsylvania credentialing. As a member of the Payor Contracting and Credentialing team, this teammate will be a key contributor to the company’s objectives by improving our credentialing execution, management, and other special projects. The ideal candidate will reside in the New York or California area. Position Duties and Responsibilities - Own, track, and manage Medicare, Medicaid, and other third-party public and private payor, facility and provider enrollment and credentialing. - Primary point of contact inside and outside of the organization for related questions and requests. - Develop and maintain relationships with new and existing third-party payors credentialing counterparts. - Knowledgeable of credentialing process and best practices as well as staying on top of new trends and respective company impacts. - Track, organize and provide timely updates for all credentialing applications. - Problem solve, troubleshoot and research credentialing issues independently. - Partner and support Payor Contracting and Revenue Cycle Management (RCM) departments, patients, etc. with related ad-hoc reporting and analyses as needed. - Creation and updating of guides, Standard Operating Procedures (SOPs), announcements, and other documentation for the department and RCM customers. - Independently run with ad-hoc projects and other duties as assigned. Qualifications - At least 2 years of experience in the field or in a related area. - Experience with New York Medicare & Medicaid, NYWC, and other 3rd party New York payors. - Competent in Excel, PowerPoint, Smartsheet, OneNote. - Nice to have – experience with Credential Stream and Availity. - Prior Healthcare, RCM, Credentialing, or Medical Billing experience is required. - Working knowledge and understanding of Medicare physician reimbursement methodologies is required. - Work collaboratively across multiple functions (Credentialing, RCM, and Payor Contracting). - Highly motivated self-starter who is an excellent team player. - Outstanding organizational and communication (both verbal and written) skills. - Ability to innovate in a fast-growing work environment and comfortable dealing with ambiguity. - Ability to work independently in a complex and often fast-paced environment. - A self-motivated and resourceful attitude, taking intellectual ownership of work and projects. - Proactively identifying issues, prepared to address concerns/questions and make recommendations. Benefits - Immediately accrue PTO as you work! (Full Time) - 6 Observed Holidays - Medical, Dental, Vision, Life and other voluntary insurances for full-time employees. - 401(k) Retirement plan. - Employee Assistance Program. Location Remote
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Clerical Specialist
TEKsystemsWe're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.
Description Job Description Clerical Specialist The Clerical Specialist supports the Senior Analyst and contract leadership by providing comprehensive administrative, documentation, and coordination support to the Support to Education and Training (SEAT) program within the Defense Health Agency (DHA). This role requires exceptional written and verbal communication skills, strong attention to detail, and the ability to collaborate with Senior leaders, cross-functional teams, and geographically dispersed partners. ________________________________________ Key Responsibilities Documentation Support • Prepare, edit, format, and refine briefing materials and presentations for SEAT and DHA leadership. • Assist with drafting, updating, and organizing SEAT documentation, including annual reviews, revisions, and recommended improvements. • Maintain a structured repository of SEAT documents, issues, and initiatives with proper version control and easy retrieval. • Receive, catalog, and track MTF requirements submissions for completeness, accuracy, and alignment with SEAT standards. Administrative Support • Manage multiple deadlines and ensure compliance with required response and resolution timelines. • Maintain administrative tools, trackers, and documentation systems that support SEAT operational workflows. • Apply emerging administrative and clerical practices, recommending improvements to strengthen data entry and document management processes. • Provide monthly status updates to the Senior Analyst on progress and assigned objectives. Coordination & Communication • Assist in planning and coordinating strategic planning meetings, governance briefings, requirements reviews, and project-related discussions. • Support communication with Markets and ensure timely responses to operational and corporate support requests. • Coordinate briefing preparation, data collection, and communication packages for SEAT and DHA leadership engagements. • Work effectively with dispersed partners, Senior leaders, and cross-functional teams to maintain strong operational alignment. Program & Analytical Support • Support Junior and Senior Analysts in gathering data for assessments of training effectiveness, cost considerations, and impacts on medical outcomes and patient safety. • Provide administrative support for education and training (E&T) decision-making activities, ensuring alignment with requirements and program goals. • Track SEAT objectives, deliverables, and MTF requirements to support broader program execution and reporting. Continuous Improvement & Technology Support • Stay current with emerging administrative tools, technologies, and best practices to recommend workflow enhancements. • Provide input to improve SEAT’s data management, document control, and coordination processes. • Support the adoption of new administrative or clerical tools that strengthen efficiency and accuracy. Skills Data entry, Support, Microsoft, Microsoft windows, documentation support, administrator support, Office suite Top Skills Details Data entry,Support,Microsoft,Microsoft windows,documentation support,administrator support,Office suite Additional Skills & Qualifications Requirements • DoD Public Trust is required • 3 Years demonstrated experience in administrative, clerical, or program support roles in a federal, healthcare, or military environment. • Strong organizational and documentation management skills. • Ability to manage multiple deadlines and maintain compliance with required response and resolution timelines. • Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Teams); experience with document or workflow systems preferred. *********************************************************************************************************************************************************************** - This position requires an active DoD Clearance (Secret, Top Secret, Top Secret/SCI) or the ability to be obtain an (Interim Secret, Interim Top Secret) - Because an active or interim DoD clearance is required, U.S. Citizenship is required Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: -Medical, dental & vision -Critical Illness, Accident, and Hospital -401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available -Life Insurance (Voluntary Life & AD&D for the employee and dependents) -Short and long-term disability -Health Spending Account (HSA) -Transportation benefits -Employee Assistance Program -Time Off/Leave (PTO, Vacation or Sick Leave) Job Type & LocationThis is a Contract to Hire position based out of San Antonio, TX. Pay and BenefitsThe pay range for this position is $21.63 - $24.38/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace TypeThis is a fully remote position. Application DeadlineThis position is anticipated to close on Apr 10, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
Job DetailsLevel: EntryJob Location: McKinney, TX 75070Position Type: Full TimeEducation Level: Not SpecifiedJob Category: Admin - ClericalPosition Title: Payer Enrollment Specialist Department: Operations Reports To: Director of Revenue Strategy & Efficiency FLSA: Non-Exempt Position Summary The Payer Enrollment Specialist serves as the operational link between NMA’s payer strategy (in-network and out-of-network) and the organization’s ability to submit claims, support accurate adjudication, and receive reimbursement. This role is responsible for payer enrollment and participation activities associated with managed care agreements and other payer arrangements, including provider and group enrollment, Letters of Agreement (LOAs), roster submissions, and provider-to-group affiliations following contract execution. Essential Duties & Responsibilities In-Network Enrollment, Participation & Contract Execution Serve as the enrollment implementation lead for in-network participation with commercial and government payers. Manage post execution payer enrollment and participation activities, including provider and group enrollment, roster submissions, and provider to group affiliation requirements. Ensure payer participation status supports accurate billing and reimbursement under applicable networks and products. Out-of-Network (OON) Participation Support & Payer Relationship Maintenance Manage operational execution for out of network payer participation, including setup and maintenance of Letters of Agreement and other payer specific arrangements. Serve as the primary point of contact for resolving out of network participation issues that impact claims processing or reimbursement. Provider-to-Payer Affiliation (NPI/TIN Linking, Rostering, Attestation) Manage provider to payer affiliation activities, including roster management, provider demographic updates, and payer attestation requirements. Maintain participation continuity for individual providers and groups to support uninterrupted billing and reimbursement. Government Enrollment (Medicare/Medicaid/DOL) Manage government payer enrollment and participation activities, including Medicare, Medicaid, and other applicable programs Oversee enrollment maintenance and revalidation requirements to ensure continuous participation and compliance with program deadlines IONM-Specific Enrollment and Participation Requirements Manage payer enrollment and participation requirements specific to Intraoperative Neuromonitoring (IONM) services. Collaborate with billing and revenue cycle teams to ensure payer participation supports compliant billing and reimbursement within hospital-based care environments Directory Audits, Network Integrity & Silent PPO Prevention Monitor payer directories and network listings to ensure accurate provider participation status and network representation. Identify and address directory inaccuracies or network issues, including silent PPO or rental network arrangements, that impact reimbursement. Payer Portal Management, Data Integrity & Documentation Maintain accurate provider and organizational enrollment data across payer and regulatory systems to support participation and reimbursement. Manage payer required documentation and electronic payment enrollment activities in coordination with internal teams. Troubleshooting & Denial Prevention Investigate and resolve reimbursement issues attributable to payer enrollment or participation status, coordinating with payer representatives as needed. Serve as the escalation point for enrollment related issues impacting claims processing, providing participation guidance to billing and revenue cycle teams. QualificationsQualifications & Requirements Education Licenses/Certifications High school diploma or equivalent required Associate's or Bachelor's degree in healthcare administration, business, or a related field preferred Relevant credentialing or provider enrollment experience may substitute for formal education CPMSM - Certified Provider Medical Services Management preferred CPCS - Certified Provider Credentialing Specialist preferred Experience 5+ years of experience in payer enrollment, provider enrollment, or managed care operations with direct payer portal experience. Experience managing high volume provider enrollment workflows, including roster management and participation maintenance. Working knowledge of provider enrollment systems and payer platforms, including CAQH ProView, PECOS, and major payer portals. Experience supporting both in network and out of network payer relationships. Experience supporting hospital based professional services (e.g., IONM, anesthesia, radiology). Experience managing provider enrollment across multistate environments. Experience managing IDTF enrollment and participation requirements. Skills & Competencies Strong attention to detail, follow up discipline, and deadline management. Proficiency in Excel for tracking and managing provider and enrollment data. Ability to work independently, investigate issues, identify root cause, and drive resolution. Knowledge of billing participation requirements for hospital based or supervision dependent services, including place of service and component considerations. Working Conditions Generally, work in a remote environment. Frequent and prolonged periods of computer and office equipment usage. Standard business hours with occasional overtime to meet project deadlines. Ability to manage stress and maintain productivity under tight deadlines and changing priorities. Regular interaction with team members, clients, and other stakeholders through various communication channels. Occasional travel required for company meetings. Physical Demands Ability to maintain stationary position for extended periods. Occasionally required to move short to moderate distances. Must be able to lift and/or move up to 50 pounds occasionally. Disclaimer: The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Employees must be able to perform the essential functions of the position satisfactorily. Furthermore, the statements do not establish a contract for employment and are subject to change at the discretion of the Company with or without advance notice.
(EDI) Electronic Data Interchange Specialist, you will play a key role in maintaining seamless digital communication between Labcorp and its partners—ensuring accurate data flow, compliant systems, and exceptional support for both clients and vendors. Job Responsibilities: · Serve as a coordinator between Labcorp Sales and clients for various Health IT products, including EMRs, systems, patient portals, and Labcorp client applications. · Act as a liaison between Corporate IT and third‑party vendors, developing new workflows tailored to each client’s unique needs. · Support the onboarding of hospital HIS systems and provide both pre‑ and post‑go‑live assistance. · Manage the mapping, testing, monitoring, and troubleshooting of EDI transactions (including HL7, FHIR and API) to ensure accurate and efficient data exchange. · Lead and manage multiple projects from implementation through completion, meeting all corporate deadlines and project milestones. · Build and maintain strong working relationships with clients to support long‑term partnership and business retention. · Assist clients and vendors in troubleshooting issues of varying complexity, ensuring timely and effective resolution. · Deliver exceptional customer service and consistent follow‑up to both clients and vendors. · Collaborate with cross‑functional teams—including Sales, Lab Operations, and third‑party vendors—to resolve client issues promptly. · Analyze client ordering patterns to identify potential issues early and improve electronic ordering and resulting workflows. · Communicate with clients and vendors via phone and email to provide support, updates, and issue resolutions. Minimum Qualifications · Associate degree. · At least 1 year of experience working with EDI involving Labcorp clients or vendors. · Strong written and verbal communication skills. · 1 or more years of experience managing multiple project timelines with external customers. · Proficiency with Microsoft Office Suite applications (Word, Excel, PowerPoint). Preferred Qualifications · Bachelor’s degree in information technology · 1 or more years of experience working with EMR vendors. · 1 year of experience in laboratory system implementation. · 2 or more years of experience working with LCLS (Labcorp Laboratory Systems). · 2 or more years of experience working with SIS (Specimen Integrity System). Additional Job Standards · Strong organizational skills and a commitment to delivering excellent customer service. · Ability to work effectively with minimal supervision. · Ability to manage multiple projects simultaneously. · Ability to work independently as well as collaboratively within a team environment. Application Window: April 8, 2026-April 16, 2026 Annual Salary Range: $60,000-$80,000 All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here. Labcorp is proud to be an Equal Opportunity Employer: Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.
Senior Commercial Valuations Specialist
Wells Fargo & CompanyWells Fargo is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected characteristic. Employees support our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as critical to the success of our customers and company. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. There is emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit’s risk appetite and all risk and compliance program requirements.
About this role: Wells Fargo is seeking a Senior Commercial Valuations Specialist. As a senior commercial valuations specialist, the candidate will be expected to review valuation assignments of commercial properties to ensure completeness, accuracy and compliance with bank policies and procedures, industry standards and regulatory requirements. The candidate must be able to work independently with a minimal amount of supervision and is expected to meet production goals as well as service and high quality standards. This position is 100% remote, but should reside in one of the following states: Texas, Arizona, Arkansas, Louisiana, Mississippi, New Mexico, or Oklahoma. As the largest mortgage originator and servicer in the country, understanding the value of real estate is critical. Real Estate Valuation Services (REVS) serves as an independent risk management function within the Chief Operating Office that: - Interprets appraisal regulation and sets Corporate Valuation Policy - Communicates with regulators on pending and proposed regulations - Assumes responsibility for ensuring that compliant valuation processes and practices are in place for all valuations across Wells Fargo - Leads the industry in real estate valuation processes and execution In this role, you will: - Review or prepare moderately complex valuation reports to ensure appropriate content and compliance with federal, regulatory, and bank policy. These tasks may include quality oversight, technical desk reviews and/or post funding review. - Interact, collaborate, and consult with service providers, commercial valuations peers, colleagues, and middle level managers to resolve issues, achieve goals, and to clarify quality concerns or non-compliance identified during the review process. - Work independently with minimal amount of supervision and lead commercial valuations projects. - Meet production goals as well as service and high quality standards. - Perform management functions including the management of business relationships involving internal partners and outside professionals within the context of specific assignments. - Integrate use of various appraisal related technologies throughout the appraisal review process. Required Qualifications: - 4+ years of Commercial Valuations experience, or equivalent demonstrated through one or a combination of the following: work experience, training, military experience, education Desired Qualifications: - Experience both as a fee appraiser and financial institution (or similar) reviewer - Certified General Appraiser License in and reside one of the following states: Texas, Arizona, Arkansas, Louisiana, Mississippi, New Mexico, or Oklahoma. - Strong, clear and concise written and oral communication skills - Strong technical skills with appraisal related tools including Argus Enterprise, Microsoft Office, and Collateral 360 preferred - Excellent organization, analytical and problem solving skills with high attention to detail and accuracy - Ability to take initiative, meet deadlines and work independently with minimal supervision in a structured environment - Interact with integrity and a high level of professionalism with all levels of team members and management - Professional Valuation designation Job Expectations: - Access to reliable transportation and a valid, state issued driver’s license - Ability to work remote including reliable internet service - Ability to travel up to 10% of the time Posting End Date: 14 Apr 2026*Job posting may come down early due to volume of applicants. We Value Equal Opportunity Wells Fargo is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected characteristic. Employees support our focus on building strong customer relationships balanced with a strong risk mitigating and compliance-driven culture which firmly establishes those disciplines as critical to the success of our customers and company. They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. There is emphasis on proactive monitoring, governance, risk identification and escalation, as well as making sound risk decisions commensurate with the business unit’s risk appetite and all risk and compliance program requirements. Candidates applying to job openings posted in Canada: Applications for employment are encouraged from all qualified candidates, including women, persons with disabilities, aboriginal peoples and visible minorities. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process. Applicants with Disabilities To request a medical accommodation during the application or interview process, visit Disability Inclusion at Wells Fargo. Drug and Alcohol Policy Wells Fargo maintains a drug free workplace. Please see our Drug and Alcohol Policy to learn more. Wells Fargo Recruitment and Hiring Requirements: a. Third-Party recordings are prohibited unless authorized by Wells Fargo. b. Wells Fargo requires you to directly represent your own experiences during the recruiting and hiring process.


