- UTMB Health (Galveston, TX)
- HCSS Contracting Specialist (Partial Remote ) **Galveston, Texas, United States** **Hot** Clerical & Administrative Support HealthCare System Staffing ... **Job Summary:** Works under the direction of Contract Administrators and the Contracting Manager to collaborate with Category Managers, Value Analysis, and other… more
- CareFirst (Baltimore, MD)
- …(KSAs)** + Understanding of multiple reimbursement methodologies used in healthcare provider contracting , including third party payment methodologies, delegated ... business or related field. + 1 year experience in contracting , provider recruitment or provider ...service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external… more
- CVS Health (Workman, MN)
- …denial issues that may affect Utilization Management, Enrollment, Claims, Configuration, Network, Contracting and/or Provider Data. + If any issues are ... Summary** + Claims analysis related to disputes, legal matters, state complaints, provider inquiries, and internal team inquires. In order to determine if there… more
- Molina Healthcare (Long Beach, CA)
- …must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- Molina Healthcare (Bellevue, WA)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... Manager and/or Director in the negotiation of medical group/IPA and hospital contracting . * Advises Network Provider Contract Specialists on negotiation of… more
- BayCare Health System (FL)
- …vary) + **Days:** Monday through Friday The Credentialing and Provider Enrollment Specialist is a full-time remote position. This team member must currently ... Managed Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist **Location** US:Florida | Business and… more
- OhioHealth (Columbus, OH)
- …And Duties:** Serve as strategic partner to providers and CIN payers (15%): * Provide services to provider network offices for issues related to claims payment, ... Assist in managing, maintaining, and auditing functions related to provider databases for physicians and claims payment to ensure...benefits, and any other term or condition of employment ** Remote Work Disclaimer:** Positions marked as remote … more
- Molina Healthcare (GA)
- …(eg, Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). + Provides timely, accurate ... **_ Remote and must live in Georgia _** **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation… more
- Organon & Co. (Plymouth Meeting, PA)
- …Medicare, and Medicaid. Serve as an expert on DRG hospital and provider reimbursement. + **Customer Engagement:** Provide customer-facing support to troubleshoot ... professional to join our team as the MedTech Billing & Coding Contract Specialist . This role is essential in developing and implementing strategies that support… more
- CareFirst (Baltimore, MD)
- …and implemented. Provides expert knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and ... submissions. Utilizes coding expertise, combined with medical policy, credentialing, and contracting rules knowledge to build the effective guides and resources for… more
- RTX Corporation (Hartford, CT)
- …strongly preferred. + Familiarity with United States Customs processes is preferred. + Provide contracting knowledge sufficient to provide advice and counsel ... you ready to go beyond?** We have a great ** remote ** opportunity for an experienced **Contract Data Specialist...to exercise discretion and work independently as well as provide leadership and expertise in developing innovative solutions to… more
- Parsons Corporation (Centreville, VA)
- …for. **Job Description:** Parsons is looking for an amazingly talented **Sr. Billing Specialist ** to join our team! In this role you will collaborate with project ... to 10% as needed + 8+ experience with Government Contracting + Experience with Costpoint + Experience with federal...truly invest and care about our employee's wellbeing and provide endless growth opportunities as the sky is the… more
- Molina Healthcare (Milwaukee, WI)
- …governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other ... and ensuring Plan meets contractual and regulatory requirements. + Reviews Provider Agreement, EOC/ Member Handbook, Provider Directory, marketing materials,… more
- Charles River Laboratories (Wilmington, MA)
- …that you can feel passionate about. **Job Summary** The GMP Account Sales Specialist is responsible for driving commercial success of the GMP product portfolio by ... by a BDE. * Develop and deliver compelling customer presentations, quotes, contracting , and bundled offerings to drive conversions. * Work collaboratively with… more
- The Cigna Group (Bloomfield, CT)
- …**Key Responsibilities:** + Answer inbound calls from members and providers regarding claims, contracting , and provider relations. + Work in a structured call ... for servicing **inbound claim-related calls** from members, providers, and provider office staff. Advocates will handle **back-to-back calls** throughout the… more
- Spectrum Billing Solutions (Skokie, IL)
- …skills. RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist | Revenue Cycle Contracting Specialist | Medical Billing ... skills. This is a remote or hybrid in-office/ remote role. Your Responsibilities: + Complete provider ...with third-party carriers and government health plans. + Review provider credentialing and contracting information to ensure… more
- State of Michigan (MI)
- Field Representative Specialist - Building Construction Specialist 13 Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5091375) Apply Field ... Representative Specialist - Building Construction Specialist 13 Salary $36.86 - $52.05 Hourly Location Various, MI Job Type Permanent Full Time Remote … more
- University of Colorado (Aurora, CO)
- …staff regarding billing, coding, and documentation. + Perform follow-up reviews after new provider training and provide additional education as needed. + Work ... **Billing and Coding Specialist ** **Description** **University of Colorado Anschutz Medical Campus**...and who needs the extra training and support. + Provide regular f/u through reports available in MyBi to… more
- State of Michigan (Lansing, MI)
- Capital Outlay & Funding Specialist - Departmental Specialist 13 Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5090807) Apply Capital ... Outlay & Funding Specialist - Departmental Specialist 13 Salary $31.99...Hourly Location Lansing, MI Job Type Permanent Full Time Remote Employment Flexible/Hybrid Job Number 0701-25-13-63MFM Department Technology, Management… more
- AdventHealth (Maitland, FL)
- …better. **Shift** : Monday- Friday Full time 8am-5pm **Job Location** : Remote **The role you will contribute:** Responsible for credentialing systems including ... and credentialing for various ancillary groups and specialties for which contracting services are provided. Maintains and updates all credentialing systems with… more