- 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 ... Job Details Responsible for the credentialing and enrollment of Jefferson Medical Group (JMG) physicians with...and submit request to release hold once confirmation of payer set up is received Assist the Delegated Credentialing… more
- Concord Hospital (Concord, NH)
- …of patient registration, referral coordination, phone management and other patient care coordinator duties. Specifically, the PCC is the primary access point for ... records, patient flow, billing, coding, charge capture, referrals, authorizations, payer guidelines, compliance, credentials, privileges, regulatory agencies, and the… more
- NTT DATA North America (Cumberland, RI)
- …with the field (SPM and CPM's) in regards to escalation notices. * The Payer Enrollment Coordinator will be responsible for identifying and quantifying ... NTT DATA Services currently seeks an Enrollment Coordinator -Healthcare to join our team...Job Duties: * Ensuring timely and accurate processing of Payer Enrollment applications (Initial and Revalidations) for… 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 ... with a company that values compliance, accuracy, and team collaboration. If ** Payer Enrollment Coordinator ** sounds like something you would be interested… more
- Trinity Health (Des Moines, IA)
- … payer contacts to ensure a timely submission of enrollment applications. **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and demonstrates the MercyOne ... **Shift:** **Description:** Responsible for completion of applications for provider enrollment for Medicare, Railroad Medicare, BCBS, Medicaid, Managed Care payers,… more
- Walmart (Bentonville, AR)
- **Position Summary ** **What you'll do ** Evaluates government payer support programs plans and implementation requirements to ensure compliance with government ... industry and company standards by conducting evaluations of current and future contract requirements to determine needed system or operational changes addressing concerns that are out of alignment with established business parameters determining the action… more
- University of Utah Health (Salt Lake City, UT)
- …state of Utah for this one.** **Preference for candidates with prior Enrollment or credentialing experience!** _As a patient-focused organization, University of Utah ... quality and trust that are integral to our mission. EO/AA_ The Provider Enrollment Specialist is responsible for obtaining and coordinating all necessary provider … more
- Trinity Health (Athens, GA)
- …facilities. Coordinates the application and renewal of insurance credentialing and enrollment for multiple third-party payers. Maintains a variety of databases to ... support the credentialing and enrollment functions; acts as a liaison for providers, operations,...copy of each provider's application. 6. Maintains and updates payer rosters. 7. Utilizes knowledge of payer … more
- TEKsystems (Greenwood Village, CO)
- Description Prepare and submit enrollment and re- enrollment applications for healthcare providers to Medicare, Medicaid, and commercial insurance 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 timely processing.… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …manages, and monitors the managed care contracting, credentialing, and provider enrollment processes. Works under the supervision of the Managed Care Director. ... requirements. * Knowledge of credentialing procedures and standards. * Knowledge of payer policies, regulations, and bylaws and the legal environment within which… more
- SSM Health (Madison, WI)
- …customized financial analysis, and facilitating information gathering for program enrollment (patient assistance and indigent programs). **Job Responsibilities and ... and conducting prior authorization services. Develops a thorough understanding of payer reimbursement and patterns for pharmacy and medical claims with third… more
- Mount Sinai Health System (New York, NY)
- …Manager, the Specialty Pharmacy Financial Access Manager supervises Financial Access Coordinator staff and interacts with clinical employees on multiple levels, ... prior authorization process preferred. Working knowledge of third party payer plans and how they are processed, of medication...(HIPAA, Board of Pharmacy, etc). 15. Oversees eligibility and enrollment in MS PAP program. 16. Processes payroll for… more
- Covenant Health Inc. (Knoxville, TN)
- …co-payments/deposits based on verification information obtained, generates receipts to the payer , and delivers all cash transactions to the cashier for proper ... + Maintains strict confidentially of patient information. + Recommends to the Coordinator updates to existing policies and procedures that support our values and… more
- Humana (Miramar, FL)
- …health and prescription claims, verifying eligibility, and ensuring compliance with payer requirements, including Medicare and Medicaid. The coordinator also ... implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations.… more
- Bassett Healthcare (Cooperstown, NY)
- …and coordinate hospital-wide patient placement activities. Collaborates with Staffing Coordinator to consider nursing staff capacity in planning patient placement. ... and educator with medical staff regarding patient status, bed placement, payer requirements, and utilization of resources. Manages Logistic Center staffing process… more
- Covenant Health Inc. (Knoxville, TN)
- …co-payments/deposits based on verification information obtained, generates receipts to the payer , and delivers all cash transactions to the cashier for proper ... + Maintains strict confidentially of patient information. + Recommends to the Coordinator updates to existing policies and procedures that support our values and… more
- Covenant Health Inc. (Harriman, TN)
- …co-payments/deposits based on verification information obtained, generates receipts to the payer , and delivers all cash transactions to the cashier for proper ... in solicitation during working hours within the department. + Recommends to the Coordinator updates to existing policies and procedures that support our values and… more
