- Thomas Jefferson University Hospitals, Inc. (Philadelphia, PA)
- …(Proficiencies): Knowledge of payer contracting and criteria for health plans payer enrollment . Experience with CMS/PECOS provider enrollment . Ability to ... primary source verification of credentials preferred. Working knowledge of credentialing/ enrollment systems (ie Cactus) Certified Provider Credentialing Specialist… more
- AdaptHealth LLC (New Berlin, WI)
- …click to apply, we would love to hear from you. Customer Service Specialist Customer Service Specialists are responsible for learning and understanding the entire ... entered Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate… more
- Westside Family Healthcare, Inc. (Wilmington, DE)
- …Sliding Fee Scale application, Title X scales, and/or directs them to an Enrollment Specialist when necessary Assists patients with scheduling follow up ... a timely and friendly manner Verify and update patient demographic and payer information in electronic medical record system Expedites patient processing by having… more
- 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
- 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 ... state of Utah for this one.** **Preference for candidates with prior Enrollment or credentialing experience!** _As a patient-focused organization, University of Utah… more
- Aspen Dental (East Syracuse, NY)
- …delivering high-quality consumer healthcare experiences at scale. **Job Summary** The Provider Enrollment Specialist plays a vital role within our Payor Strategy ... remain active. The successful candidate will report to the Provider Enrollment Manager. **Essential Responsibilities:** + Submit and process initial enrollment… more
- Avera (Sioux Falls, SD)
- …personalized service to all members according to the plan guidelines. The Enrollment Specialist performs ongoing quality assurance functions to ensure compliance ... to accurately update and maintain claims system data according to defined enrollment system guidelines, policy and procedure while implementing HIPAA and COBRA… 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
- UNC Health Care (Morrisville, NC)
- …well-being of the unique communities we serve. **Summary** : The System Provider Enrollment Specialist is responsible for the coordination and tracking process ... of managed care enrollment . **Responsibilities** : 1. Individual Provider and Group ...Interprets, explains, and follows the regulatory guidelines of government payer plans and keeps abreast of constantly changing … 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
- Zelis (St. Louis, MO)
- …the personal interests that shape who you are. Position Overview The Client Support Specialist (CSS) plays a pivotal role in providing direct support to Large Market ... transparency and alignment of expectations. Additionally, the Client Support Specialist (CSS) is dedicated to supporting continuous improvement (CI) initiatives,… 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
