- CHINESE AMERICAN PLANNING COUNCIL (New York, NY)
- …Reporting to the Program Director, the full-time Entitlement Benefits Specialist provides comprehensive prescreening and assistance for government entitlement ... benefits and immigration benefits. The Specialist will engage in multi-faceted activities to reach communities...and assist community members in completing application forms for Medicaid (65 and above, Aged, Blind and Disabled Population),… more
- Staffing Solutions Organization (Kent, OH)
- …line. Calls can include a range of inquiries including application status for provider enrollment , compliance reviews, and site visit scheduling. + Check ... documents to the appropriate staff. + Review and verify provider enrollment applications are complete. + Schedule...+ One year of the experience must have included provider monitoring, Medicaid or third-party payer … more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance Position Summary: Commonwealth Care Alliance's Long-Term Services and Supports (LTSS) team is responsible for ... relationship management with the contracted community-based organizations (CBOs) that provide service coordination and other supports for CCA members. This includes… more
- Staffing Solutions Organization (Albany, NY)
- …update eligibility and claims systems. + Take the appropriate actions regarding Medicaid enrollment and premium reimbursement. + Understand the Medicare Savings ... clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division...Program as it applies to NY Medicaid . + Demonstrate systems processes for new employees and… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA- Provider Engagement & Performance **Position Summary:** The Senior Provider Relations Specialist is responsible for building, maintaining and ... Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/ Medicaid ) + Experience in health plan provider relations + Experience… more
- PharmaCord (Lexington, KY)
- …will follow the guidelines set forth for the program and only provide information publicly available and/or outlined in the patient insert. Leverages electronic ... Proactively communicates needs for reverification of prior authorization or re- enrollment . Identifies and reports adverse events, product complaints, special… more
- Hellohero (Wilmington, OH)
- …Health Care Organization Serving Children and Families. We provide integrated, multidisciplinary care-including comprehensive therapy and medication ... school districts to deliver on-campus care for children and provide services for families virtually or in-person through our...portion of those we deliver care to are on Medicaid or uninsured. Our Culture: Our North Star is… more
- Commonwealth Care Alliance (Springfield, MA)
- …promote hospital avoidance and readmission reduction. Additionally, the SBHC will provide ongoing bridge therapy, urgent visits, crisis intervention, and promote ... bridge therapy for members awaiting network referral for Behavioral Health Provider + Support in identifying, supporting, and optimizing substance use disorder… more
- Somatus (San Fernando, CA)
- …plans and goals. + Establish positive, supportive relationships with participants and provide feedback. + Conduct an initial triage assessment to help align patients ... in addition to what a nurse care manager can provide via phone, such as: + Address language and...to meet both personal and clinical goals. + Schedules provider appointments on behalf of their patients. + Accompanies… more
- Somatus (Mclean, VA)
- …plans and goals. + Establish positive, supportive relationships with participants and provide feedback. + Conduct an initial triage assessment to help align patients ... in addition to what a nurse care manager can provide via phone, such as: + Address language and...to meet both personal and clinical goals. + Schedules provider appointments on behalf of their patients. + Accompanies… more
- Commonwealth Care Alliance (Springfield, MA)
- …care plan. + Collaborate with patients on SDOH goals in care plan and provide support and education for key care management or coordination decisions + Support ... department use + Supports patient retention and connection to Medicaid and Medicare benefits + Conducts health education on...delivery and care coordination. At times, the CHW will provide 1:1 support for patients in virtual visits with… more
- HCA Healthcare (Smyrna, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Provider Enrollment Specialist with Parallon you can be a part ... in our organization. We are looking for an enthusiastic Provider Enrollment Specialist to help...+ Minimum one-year related healthcare experience preferred, such as Medicare/ Medicaid Enrollment or Managed Care Enrollment… 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 ... Type: Full time Scheduled Weekly Hours: 40 Department: 500169 Medicaid Enrollment Work Shift: UR - Day...Coordination:_ + Understands criteria for appropriate referrals and can provide feedback to internal customers to assure complete and… more
- HCA Healthcare (Augusta, GA)
- …SC, TN, TX, UT, VA).** **Introduction** Do you have the career opportunities as a Provider Enrollment Specialist you want with your current employer? We have ... of colleagues. Do you want to work as a(an) Provider Enrollment Specialist where your...+ 1 year of related experience preferred, such as Medicare/ Medicaid Enrollment or Managed Care Enrollment… more
- University of Virginia (Charlottesville, VA)
- …with all delegated credentialing and enrollment processes to maintain provider eligibility to bill Medicare/ Medicaid /Department of Defense and managed care ... effort to eliminate delays with professional billing. + Handles enrollment information for Medicare and Medicaid to...to ensure the highest level of accuracy. + Completes enrollment process including provider enrollment … more
- Conduent (Concord, NH)
- …and be part of a culture where individuality is noticed and valued every day. ** Provider Enrollment Specialist ** Hours: 8:00 AM- 4:30 PM; Monday through ... appropriate. + Meet required turnaround times and accuracy rates. + Keep up-to-date provider enrollment process and records, and track provider participation… more
- DATAMAXIS (Springfield, IL)
- …like the following: CMS Federal Reporting, quality measures, claims processing, Medicaid program eligibility, provider enrollment , third-party liability. ... Primary Responsibilities: * Provide direction, guidance and recommendations supporting decision making...direction, guidance and recommendations supporting decision making for large Medicaid data warehouse implementation and operations. * With the… more
- MyFlorida (Tampa, FL)
- …Human Services Program Specialist - Career Service WORKING TITLE: Provider Enrollment Coordinator POSITION NUMBER: 67036228 OPEN COMPETITIVE OPPORTUNITY This ... setup. Respond to provider inquiries in a timely way regarding Medicaid Waiver enrollment qualifications and processes. Conduct technical assistance with … more
- Insight Global (New York, NY)
- …experience (required). Extensive knowledge of Medicare and Medicaid enrollment processes (required). Strong understanding of provider types, taxonomy ... Job Description The Contract Payer Enrollment Specialist is responsible for the...is responsible for the accurate and timely submission of provider and group enrollment applications across multiple… more
- Access Dubuque (Dubuque, IA)
- Outreach and Enrollment Specialist **Crescent Community Health Center** 1 Positions ID: 1627294 Posted On 10/23/2025 **Job Overview** Why Crescent Community ... is a mission driven and patient centered organization. We provide medical, dental and brain health services to the...wants to make that difference in our outreach and enrollment office as an O&E Specialist . So,… more
