- The Bridge Inc. (New York, NY)
- …Under the direction of the Supervisor and/or Director, the Engagement and Enrollment Specialist provides outreach and enrolls eligible individuals in Care ... medical, mental health, and/or substance abuse needs. The Engagement and Enrollment Specialist conducts telephonic, written, and face-to-face outreach and… more
- ChaseSource (Dallas, TX)
- Job Title: Provider Enrollment Specialist Pay Rate: $22/hour Schedule: Full-time, MondaySaturday between 6:30 AM 8:00 PM (8-hour shift assigned by client) ... Fully Remote (Equipment Provided) Description: We are seeking a dedicated Provider Enrollment Specialist to join our remote team and deliver outstanding… more
- The Villages Health (The Villages, FL)
- …Duties and Responsibilities: Organizes and oversees the credentialing and payor enrollment process with all participating health plans. Coordinates the gathering and ... NCQA standards. Maintains a Managed Care Credentialing and Provider Enrollment Manual, which includes detailed instructions on payor-specific application… more
- AdaptHealth LLC (West Berlin, NJ)
- …click to apply, we would love to hear from you. Customer Service Specialist Customer Service Specialists are responsible for learning and understanding the entire ... Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment , Chain, and Ownership System) and "How-To" documents Competency, Skills… more
- Guardian Pharmacy, LLC (Marietta, GA)
- …resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, ... knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid , Prescription Drug Plans (PDPs) and Third-Party Insurances) Develop… more
- APLA Health (Los Angeles, CA)
- …(eg interpreter services, transportation). Work with the transitions of care specialist to coordinate ED/ER follow up patient appointments. Work in conjunction ... with the enrollment and eligibility manager to conduct quality assurance audits...and CPT coding Healthcare billing processes and insurance plans ( Medicaid , Medicare, and private/commercial plans; including dental and/or mental… more
- University of Rochester (Canandaigua, NY)
- …equity considerations._ **Responsibilities:** GENERAL PURPOSE In addition to the duties of Medicaid Enrollment and Outreach Specialist (MEOS I), MEOS ... Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day (United States of America) Range: UR… more
- HCA Healthcare (Lexington, KY)
- …preferred + Minimum of 1 year related healthcare experience preferred, such as Medicare/ Medicaid Enrollment or Managed Care Enrollment ; relevant education ... may vary by location._** We are seeking a(an) Provider Enrollment Credentialing Specialist for our team to...cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon… more
- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist , you will work ... Medical Practice, PC._ **Duties of a Managed Care Provider Enrollment Specialist may include the following but...care organization or payer. + Direct experience with NYS Medicaid and Medicare enrollment and recertification. +… more
- University of Utah Health (Salt Lake City, UT)
- …quality and trust that are integral to our mission. EO/AA_ The Provider Enrollment Specialist is responsible for obtaining and coordinating all necessary ... provider enrollment applications for billing to Medicare, Medicaid and Contracted Insurance Payers. Functionally, these activities are key to the maintenance of… more
- TEKsystems (Nashville, TN)
- …or credentialing is REQUIRED + Prepare and submit enrollment and re- enrollment applications for healthcare providers to Medicare, Medicaid , and commercial ... , credentialing, or healthcare administration. + Strong understanding of Medicare, Medicaid , and commercial insurance enrollment processes. + Excellent… more
- Adecco US, Inc. (Cumberland, RI)
- Adecco is assisting a local client recruiting for **Payer Enrollment Coordinator** opportunities in **Cumberland, RI 02864** . This is an excellent opportunity to ... a company that values compliance, accuracy, and team collaboration. If **Payer Enrollment Coordinator** sounds like something you would be interested in, and you… more
- TEKsystems (Springfield, IL)
- …+ Lead and advise internal and external stakeholders on complex Medicaid processes, including claims adjudication, provider enrollment , recipient eligibility, ... understanding of Medicaid data processes, including claims, eligibility, and provider enrollment . + Proficiency in SQL and Excel for data analysis against large… more
- Trinity Health (Wilmington, DE)
- **Employment Type:** Full time **Shift:** **Description:** **Job Title: Enrollment Specialist ** **Ministry: Trinity Health PACE** **Location: St Francis** ... **Position Purpose:** As an Enrollment Specialist , you will serve as the...process using CRM and EHR systems. + Assist with Medicaid applications and communicate with external agencies. + Support… more
- Trinity Health (Philadelphia, PA)
- **Employment Type:** Full time **Shift:** **Description:** ** Enrollment Specialist ** Trinity Health PACE Broad Street Hours- Monday through Friday Sign on - ... $7,500 Position Purpose: The Enrollment Specialist plays a key role in...enrollment process, including scheduling assessments and assisting with Medicaid applications. + Develop and maintain strong relationships with… more
- MVP Health Care (Albany County, NY)
- Bilingual Enrollment Specialist Albany County, NY, USA Req #2678 Tuesday, July 22, 2025 At MVP Health Care, we're on a mission to create a healthier future for ... improvement. To achieve this, we're looking for a **Bilingual Enrollment Specialist ** to join #TeamMVP. This is...seamlessly enrolling them in a variety of plans including Medicaid , Child Health Plus, Essential Plan, Qualified Health Plans… more
- Staffing Solutions Organization (Albany, NY)
- …is a reflection of our clients and the people they serve. **Healthcare Data Specialist (Level 1 or 2) - Albany, NY** **Division of Eligibility & Marketplace ... Integration (DEMI)** **Bureau of Community Enrollment and Eligibility Processing** **50% Onsite 50% Remote** **Duties:** + Review reports related to Medicaid … more
- DATAMAXIS (IL)
- …with five (5) years of the experience working directly with/for State Medicaid agencies or equivalent supporting business initiatives through data analysis, writing ... testing/validation of various systems. + Understanding of claims, recipient/eligibility, and provider/ enrollment data processes. + Able to create and perform data… more
- MyFlorida (Jacksonville, FL)
- …AGENCY FOR PERSONS WITH DISABILITIES POSITION: Human Services Program Specialist - Career Service WORKING TITLE: Provider Enrollment ... account setup. Respond to provider inquiries in a timely way regarding Medicaid Waiver enrollment qualifications and processes. Conduct technical assistance with… more
- Community Health Systems (Antioch, TN)
- **Job Summary** The Provider Enrollment Specialist ensures healthcare providers are properly credentialed and enrolled with payers, government programs, and ... ensure the organization can bill for services rendered effectively. As a Provider Enrollment Specialist at Community Health Systems (CHS) - Physician Practice… more
