- University of Rochester (Rochester, NY)
- …with the specific requirements. + Communicates status of files or other payer enrollment / credentialing information directly to providers, various department ... authorized official signatures. + Communicates the status of the applicants credentialing and payer enrollment files directly to providers and various… more
- Nuvance Health (Danbury, CT)
- …insure that provider rosters and locations are current. Responsible for reporting payer credentialing status to WCHN management. Makes suggestions for ... dashboards and reporting, including WCMG provider roster and demographic info, payer credentialing /contracting guidelines, maintains and distributes all … more
- Trinity Health (Hartford, CT)
- …Purpose:** The Credentialing Coordinator is responsible for performing credentialing and provider enrollment for all new and existing providers with ... pertinent information + Lead the processes and functions of credentialing and provider enrollment + Alert internal...all THOfNE employed/contracted physicians and midlevel providers + Complete payer enrollment tasks in EPIC + Any… more
- University of Rochester (Albany, NY)
- …Or equivalent combination of education and experience + 1 year of medical credentialing and/or payer enrollment experience preferred **KNOWLEDGE, SKILLS AND ... maintaining, and communicating the medical and allied health professional staff credentialing , privileging, and primary source verification process. Serves as a… more
- WellSpan Health (York, PA)
- …**Duties and Responsibilities** **Essential Functions:** + Processes initial provider enrollment with payers, initial credentialing and recredentialing: - ... and the medical staff office to ensure timely initial credentialing , recredentialing and reappointments through the different entities, Credentials Committee… more
- Dana-Farber Cancer Institute (Boston, MA)
- …equivalent experience. + 1 year experience in medical staff services/provider enrollment credentialing preferred. **KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:** ... staff credentialing functions. Assists with all functions related to the credentialing and provider enrollment of practitioners as outlined in the medical… more
- Nuvance Health (Danbury, CT)
- …for Denial Prevention department including absences, PTO, FMLA, etc. 6. Maintains credentialing / enrollment for Payor Portals sending letter out to vendors, ... outcomes. Sends appeals with all supporting documents to third party payer (s) within the payer specific timeframe. 13. Documents and updates the denials status… more