- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, the Medicare Advantage Enrollment Representative plays a crucial role in the enrollment ... care. This role is responsible for all aspects of enrollment : + Reviews and submits Enrollment requests...prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities and deadlines… more
- Northwell Health (Lake Success, NY)
- …denials or rejections; ensuring proper payment; providing related information to Information Systems . Job Responsibility + Initiates and tracks enrollment and ... others to obtain required credentialing information for government/managed care enrollment . + Assists the System FPP business...provider numbers and effective dates to the FPP Information Systems to ensure the billing system is… more
- Staffing Solutions Organization (OH)
- …of our clients and the people they serve. **Position Title:** **CUSTOMER SERVICE REPRESENTATIVE I -** ** Enrollment /Call Queue Support** + Respond to inbound ... can include a range of inquiries including application status for provider enrollment , compliance reviews, and site visit scheduling. + Check voicemail, log… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Medicare Enrollment Coordinator** **Job Class: Human Services Program Representative 1** **Agency: Human Services Dept** + **Job ID** : 85674 + ... and training and development opportunities. This position reports to the TPA Medicare Enrollment Team within the Managed Care Contracting and Rates unit of DHS. This… more
- Elevance Health (Meridian, ID)
- …+ Verifies enrollment status, makes changes to records, researches and resolves enrollment system rejections; addresses a variety of enrollment questions ... miles of one of our PulsePoint locations. The **Membership Representative II** is responsible for enrollment , billing...for new groups and renewal/re-class groups within the appropriate system . + Screens group for benefits to determine if… more
- Integrative Emergency Services (Dallas, TX)
- Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Coordinator to support the division in facilitating the enrollment (submitting ... managed care contracting plans, and third-party billing entities that require provider enrollment . This position will support operations in states including, but not… more
- Logan Health (Kalispell, MT)
- …make a meaningful impact in healthcare by ensuring the seamless flow of payer enrollment and contracting processes? At Logan Health, we are seeking a meticulous and ... detail-oriented Payer Enrollment Contract Specialist to join our dynamic team. Your...licenses, certifications, and re-credentialing documents are up-to-date within internal systems and external databases. Proactively track expiration dates and… more
- Integrative Emergency Services (Dallas, TX)
- …improvements. + Proficiency with Microsoft Office Suite (especially Excel), and experience with enrollment systems and tools. + High attention to detail with the ... Integrative Emergency Services, LLC ("IES") is looking for a Pro vider Enrollment Manager. This position leads and oversees all provider enrollment operations… more
- Ketchikan Indian Community (Ketchikan, AK)
- General Information Job Title: Tribal Enrollment Clerk Contact: Human Resources, ### Date Posted: 04/08/2025 Location: Administration Compensation and Hours Minimum ... notice. Job Summary Incumbent will help provide coordination of the KIC Enrollment records in a confidential and professional manner. The Tribal enrollment… more
- Polk County Public Schools (Bartow, FL)
- …Federal Head Start enrollment system to coordinate with the District enrollment systems and Head Start program eligibility systems . Will provide ... perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill and ability required. Reasonable...training related to the enrollment systems and related policies and procedures for the department… more
- Wayne State University (Detroit, MI)
- Program Management Specialist, Enrollment Management Wayne State University is searching for an experiencedProgram Management Specialist, Enrollment Managementat ... functions (job duties): Provides high-level project and process management support for Enrollment Management projects and initiatives in support of all aspects of… more
- LogixHealth (Bedford, MA)
- …processes are efficient and scalable + Evaluate and improve existing provider enrollment processes and systems , leveraging technology, vendors, and best ... Purpose The Director, Provider Enrollment is responsible for overseeing the day-to-day operations...perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable… more
- LogixHealth (Bedford, MA)
- … enrollment requirements by state + Enter group/individual data to credentialing system + Prepare and submit provider enrollment applications to insurance ... Collaborate with Account Managers to resolve provider denials + Update/Maintain Provider Enrollment Credentialing System + Attends conference calls with clients… more
- Transdev (Clackamas, OR)
- The Vendor Enrollment Specialist works in support of the goals of the Network Operations and establishes positive and effective working relationships with ... transportation providers and other key. The Vendor Enrollment Specialist reviews and monitors transportation provider's credentialing documents according to the… more
- LogixHealth (Bedford, MA)
- …WV This Role: Supervise the day to day responsibilities for the Provider Enrollment Department workflow to ensure efficiency and accuracy of work. Supervise and ... as off-site workers. Key Responsibilities: + Oversee all employees in the provider enrollment department + Monitor training of new hires and current employ ees on… more
- State of Minnesota (St. Paul, MN)
- …Title: Managed Care System Lead** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : 85852 + **Location** ... community-based services) demonstrating the following: + Managed Care **AND** Eligibility system experience utilizing systems such as Minnesota Eligibility… more
- University of Massachusetts Amherst (Amherst, MA)
- …credits to determine eligibility to enroll in the SHBP. + Updates the practice management system with SHBP dates of enrollment . + Upon approval of student family ... Clerk IV - Patient Services Representative Apply now (https://secure.dc4.pageuppeople.com/apply/822/gateway/default.aspx?c=apply&lJobID=526667&lJobSourceTypeID=801&sLanguage=en-us) Job no: 526667 Work… more
- Saint Francis Health System (Tulsa, OK)
- …Time Schedule: Monday - Friday | 8:00am - 4:30pm Job Summary: The Human Resources Representative serves as the first point of contact for the health system ... appropriate approvals. Maintains various types of files and filing systems ; accurately documents detailed information regarding interactions with potential… more
- Leidos (Yigo, GU)
- …& Enrollment :** Process enrollments, disenrollments, portability transfers, and more via systems like Defense Online Enrollment System (DOES) and MHS ... + Associate's degree + Familiarity with TRICARE Overseas Program, Defense Enrollment Eligibility Reporting System (DEERS), DOES, and MHS Genesis… more
- World Insurance Associates, LLC. (Burlington, IA)
- …followed and maintained. + Online Enrollment /Support - Plan build of the online enrollment system , assist employers with training and set up on our portals. ... will need to be able to interpret paper, online enrollment and EDI log forms of enrollment ....as well as supply stock reports. The Client Service Representative works closely with the Benefit Specialist to ensure… more
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