- Premier Health (Moraine, OH)
- …1. Minimumof Associates degree and/or experience preferably in Business or Computerswith experience in health care billing, reimbursement, and/or contracting 2. A ... **Summary of Position** To manage the credentialing process for physician provider by completing third party applications and contracts. Develops and maintains physician profiles and data base. **Nature and Scope** Preparation and submission of all third-party… 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 ... door with a company that values compliance, accuracy, and team collaboration. If ** Payer Enrollment Coordinator** sounds like something you would be interested… more
- Highmark Health (Harrisburg, PA)
- …the enrollment processes. **ESSENTIAL RESPONSIBILITIES:** + Completes provider payer enrollment /credentialing and recredentialing with all identified payers ... relates to enrollment and operations. (5%) + Communicates updated payer enrollment information including payer provider numbers to practice operations in… 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...a provider in a managed care organization or other payer ("MCO") network. Work collaboratively with SBM providers to… more
- HCA Healthcare (Lexington, KY)
- …Do you want to join an organization that invests in you as an EDI Enrollment Specialist ? At Work from Home, you come first. HCA Healthcare has committed ... a difference. We are looking for a dedicated EDI Enrollment Specialist like you to be a...and other operational departments Participate in process to establish payer -specific billing edits + Meet and maintain established departmental… more
- TEKsystems (Nashville, TN)
- MUST-HAVE: 2 years of recent experience in provider enrollment or credentialing is REQUIRED + Prepare and submit enrollment and re- enrollment applications ... plans. + Maintain accurate and up-to-date provider records in internal databases and payer portals. + Track application statuses and follow up with payers to ensure… more
- LifePoint Health (Las Cruces, NM)
- …Opportunities o And much more *_Position Summary_**_ _* Coordinates the insurance payer enrollment process for Las Cruces Physician Practice employed providers. ... Services* **Organization:** **Las Cruces Radiologst Sppt Svc* **Title:** *Payor Enrollment Specialist as Cruces Physician Services* **Location:** *New… more
- WellSpan Health (York, PA)
- …+ 5 years Leadership experience in network credentialing or payer enrollment required. **Licenses:** + Certified Provider Credentialing Specialist Upon Hire ... leadership, operational oversight, and regulatory compliance of the centralized credentialing/ enrollment and primary source verification operations across the organization.… 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
- WMCHealth (Hawthorne, NY)
- … position is responsible for providing administrative support for the process of payer enrollment credentialing for the medical staff at Westchester Medical ... provider files. + Pay close attention to new provider onboarding tracker; ensures payer enrollment , credentialing process, and demographics are processed in a… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Intake & Customer Service Specialist Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=2891944&source=2891944-CJB-0) Job Title: Intake and Customer Service Specialist Job Status: Full-time Job Summary: Under general supervision,… more
- Walgreens (Deerfield, IL)
- …system and provides issue resolution and support for the stores. Investigates Payer Inquiry Tickets from Payor Partners, Enterprise Prescriber Data File issue ... issues. + Enters plan specifications into the appropriate systems using payer sheets, ensuring compliance with plan provisions, Walgreens Direct Bill contracts,… more
- Covenant Health Inc. (Knoxville, TN)
- …administration. The specialist may do any of the following: process payer enrollment , facility credentialing, pro-fee enrollment , expirables, hospital ... Overview Credentialing Specialist , Business Office Full Time, 80 Hours Per...tasks in the Managed Care department in regards to Payer Enrollment and Hospital credentialing. With limited… more
- Aston Carter (Bethesda, MD)
- Job Title: Credentialing Specialist Job Description The Credentialing Specialist is responsible for ensuring the completeness, accuracy, and compliance of ... and resolve discrepancies, gaps, or issues that may impact provider enrollment , escalating concerns when necessary. + Monitor and maintain credentialing files… more
- Robert Half Finance & Accounting (Southborough, MA)
- Description We are in search of a skilled Credentialing Specialist to join our team in Southborough , Massachusetts. The successful candidate will play a critical ... and communicate any issues or discrepancies to management. * Assist with the enrollment of providers and group facilities into insurance networks and maintain active… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- Under the general supervision of the Call Center Manager, the Community Access Specialist will improve patients' access to care and health outcomes through ensuring ... Portal: Facilitate text/email messages to patients to assist in boosting portal enrollment . Review appointments scheduled through the portal to ensure they are… more
- Rochester Regional Health (Rochester, NY)
- …with providers to gather clinical documentation and assist patients with enrollment in pharmaceutical assistance programs, grants, and co-pay support. + Maintain ... current knowledge of manufacturer programs, eligibility criteria, and track patient enrollment and renewal timelines for financial assistance. + Contact patients to… more
- Southeast Health (Dothan, AL)
- …by phone or in person; + Provides scheduling or patient enrollment for services; + Enters/updates all demographic information, financial/billing information, ... i nformation needed to complete patient record; + Verifies third party payer coverage; + Collects self-pay balances; + Schedules patient for planned clinical… more
- Trinity Health (Syracuse, NY)
- …documentation and coding compliance with Federal, State and Private payer regulations. Performs coding functions, including CPT, ICD-10 assignment, documentation ... revenue cycle front-end functions such as patient registration and provider payment enrollment and back-end functions that may impact charge related errors. Ability… more
- Trinity Health (Syracuse, NY)
- …documentation and coding compliance with Federal, State and Private payer regulations.Performs coding functions, including CPT, ICD-10 assignment, documentation ... cycle front-end functions such as patient registration and provider payment enrollment and back-end functions that may impact charge related errors.Ability to… more