- Thomas Jefferson University Hospitals, Inc. (Philadelphia, PA)
- …Working knowledge of credentialing/ enrollment systems (ie Cactus) Certified Provider Credentialing Specialist (CPCS) Work Shift Workday Day (United ... Job Details Responsible for the credentialing and enrollment of Jefferson Medical Group (JMG) physicians with...physicians that contract with JMG. Follow up and track provider applications submitted to payers. Connect payers regarding status… more
- SUNSHINE ENTERPRISE USA LLC (Orange, CA)
- …months Job Summary The Claims Resolution Specialist (Customer Service) will provide assistance in resolving provider claims payment status issues, ... Job Description Claims Resolution Specialist At Sunshine Enterprise USA, we're not just...support short- and long-term goals/priorities for the department. Addresses provider inquiries, questions, and concerns in all areas, including… more
- Sharp HealthCare (San Diego, CA)
- …of State - PREFERRED Other Qualification Requirements Covered CA Enrollment Counselor certification preferred. Utilizes reliable transportation and possesses ... Victim of Crimes Compensations, COBRA, and Health Care Exchange Qualified Plan Enrollment . Identifies all unfunded admissions and completes face to face interview… more
- Texas Children's Hospital (Houston, TX)
- …or Accounting preferred *CPMSM - Cert-Cert PROF Med Servic Mgmt preferred *A Provider Enrollment Specialist Certificate (PESC) from DecisionHealth preferred ... Job Description We're searching for a Centralized Credentialing Specialist , someone who works well in a fast-paced...managing and completing all credentialing functions related to the Provider On-Boarding process for members of the Medical Staff… more
- Alameda Alliance For Health (Alameda, CA)
- …the types of services the Alliance offers to the Member within the managed care system. Provide clarification about issues regarding patient and physician ... Identify the caller's needs, clarify information, research issues, and provide solutions and/or alternatives whenever possible. Accurately and consistently document… more
- APLA Health (Los Angeles, CA)
- …areas of Medical, Dental, and Behavioral Health) in order to provide administrative and organizational support, maximize efficiencies, and champion customer service ... (eg Medical, Dental, Behavioral Health, other APLA Health ancillary services) Provide direct supervision of medical front office administrators. Manage staff by… more
- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist ... Practice, PC._ **Duties of a Managed Care Provider Enrollment Specialist may include...* + Meet Regulatory Requirements for pre-employment screenings. + Provide a copy of any required New York State… more
- BayCare Health System (Tampa, FL)
- …AM to 5:00 PM (may vary) + **Days:** Monday through Friday The **Credentialing and Provider Enrollment Specialist ** is a full-time remote position. This team ... Managed Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist **Location** Tampa | Business and… more
- Mount Sinai Health System (New York, NY)
- …plans and Delegated Credentialing. + Coordinates and administers all aspects of provider enrollment , including: + Submission of rosters; reconciliation of ... **Job Description** **Remote Medical Staff Services Health Care Specialist (Delegation/ Enrollment )** The Medical Staff Services...provider enrollment statuses + Ensuring that all providers are accurately… more
- Baystate Health (Springfield, MA)
- …for provider re- enrollment , and termination activities and may support the Provider Enrollment Specialist with initial enrollment work. The ... established procedures and controls to provide follow-up and reporting on outstanding provider enrollment issues, as well as maintaining provider … more
- AdventHealth (Altamonte Springs, FL)
- …requirements. Responsible for auditing and data analysis for all physician/ provider credentialing records, documents, and files. Responsible for programming Network ... credentialing information is complete based on the requirements of the specific provider type + Responsible for understanding and utilizing the functionality of… more
- UPMC (Pittsburgh, PA)
- … provider is identified as needed in the network to contracting with the provider for services. The Contract Specialist II reviews any alterations in the ... UPMC Community Care Behavioral Health is hiring a full-time Contract Specialist II. This role will predominantly work remotely but may require occasional presence in… more
- AmeriHealth Caritas (Harrisburg, PA)
- …oversees the daily operations related to Out of Network (OON) agreements, provider contracts, and Supplemental Medical Assistance Enrollment applications. This ... supplemental packets, maintains detailed records, and supports providers through complex enrollment and documentation processes. The Specialist liaises between… more
- Staffing Solutions Organization (Albany, NY)
- …Eligibility System) and Back Office (NYSOH) + Experience in investigating issues in enrollment and eligibility and Managed Care Plan regulatory compliance + ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...our clients and the people they serve. **Healthcare Data Specialist 1 - Albany, NY** **Division of Health Plan… more
- Skookum Contract Services (Bremerton, WA)
- …pm (flexible start and end times depending on scheduling needs) As a Vocational Specialist , you'll The Vocational Specialist serves as a subject matter lead ... professional-level writing and editing. This position will require the Vocational Specialist to interact in person, telephonically, and via email/fax with managers,… more
- Spokane County (Spokane, WA)
- Housing & Community Support Specialist 1 (OPEN & PROMOTIONAL) Print (https://www.governmentjobs.com/careers/spokanecountywa/jobs/newprint/4913284) Apply Housing & ... Community Support Specialist 1 (OPEN & PROMOTIONAL) Salary $44,853.72 - $62,773.89...diagnosed with serious mental illness and/or co-occurring disorders. Incumbents provide direct behavioral health services to assist program participants… more
- New York State Civil Service (Schenectady, NY)
- …People With Developmental Disabilities, Office for Title Human Resources Specialist 1/Trainee 1/2 Occupational Category Administrative or General Management Salary ... Duties Description Under the supervision of a Human Resources Specialist 2, the Human Resources Specialist 1...outside the United States or its territories, you must provide independent verification of equivalency. This information can be… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1 (NY HELPS), Box CFO-766/04126 ... Office of the Chief Financial Officer is seeking candidates for an Education Finance Specialist 1 position in the Fiscal Analysis and Research Unit (FARU). Duties of… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Education Department, State Title Education Finance Specialist 1, Education Finance Specialist Trainee 1 (NY HELPS), Box CFO-765/04190 ... York State Education Department (NYSED) is seeking candidates for an Education Finance Specialist 1 position in the Office of State Aid. This office is responsible… more
- Staffing Solutions Organization (Albany, NY)
- …a liaison between the DEMI policy team, and other stakeholders and vendors, to provide system requirements related to eligibility and enrollment in New York's ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...clients and the people they serve. **Senior Healthcare Program Specialist (Level 2 or 3) - Albany, NY** **Division… more
