- Trinity Health (Des Moines, IA)
- … enrollment activities are completed fully and accurately based on each payer enrollment requirements. Demonstrate the ability to create and maintain various ... Bachelor's degree preferred At least 4 years of health care operations, payer enrollment , or medical staff services experience. Must possess high attention to… more
- Walmart (Bentonville, AR)
- **Position Summary ** **What you'll do ** **Job Summary** The Senior Plan Coordinator , Enrollment Services oversees the timely and accurate submission of ... Enrollment Services team, responsible for managing provider and facility enrollment activities across payer networks. The team partners with internal… more
- Novant Health (NC)
- …- Friday 8-5 PM Department: Credentialing Services Reports To: Manager of RCS Payer Enrollment Position Summary: We are seeking a detail-oriented and proactive ... What We Offer Job Title: Enrollment Credentialing Coordinator Location: Whitehall Business...clear and consistent communication with the Manager of RCS Payer Enrollment regarding the progress of all… 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
- Avera (Sioux Falls, SD)
- …for you and our patients. Work where you matter.** **A Brief Overview** The Enrollment Coordinator I is responsible for the coordination and support of initial ... maintains documentation and data integrity across applicable systems. The Enrollment Coordinator I works closely with the...on hold and ensure compliance with federal and state payer requirements. **What you will do** + Coordinates the… more
- Nuvance Health (Danbury, CT)
- …that provider rosters and locations are current. Responsible for reporting payer credentialing status to WCHN management. Makes suggestions for enhancements/changes ... Medicare & Medicaid services and state requirements. This includes completing Commercial payer , Medicare and Medicaid applications for all WCHN providers as well as… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …an independent, efficient, and timely manner. + Compile and authenticate Commercial Payer and Government Enrollment , Medical Staff, Allied Health applications ... responsibilities, while striving for excellent quality of patient care; 1). Payer Credentialing initial and re-credentialing files, and 2). Facility Credentialing &… more
- Dana-Farber Cancer Institute (Boston, MA)
- …functions. Assists with all functions related to the credentialing and provider enrollment of practitioners as outlined in the medical staff bylaws, policies or ... NCQA). Ensures compliance with appropriate accrediting and regulatory agencies. The coordinator assists with the development, planning and implementation of the… more
- University of Rochester (Albany, NY)
- …related field and 1 year of experience in Medical Staff credentialing and/or payer enrollment functions required + Or equivalent combination of education and ... credentialing software or other secure electronic process. + Assists the Credentialing Coordinator with the enrollment of liability insurance for qualified… more
- Trinity Health (Hartford, CT)
- … enrollment of all THOfNE employed/contracted physicians and midlevel providers + Complete payer enrollment tasks in EPIC + Any other tasks as assigned ... Coordinator is responsible for performing credentialing and provider enrollment for all new and existing providers with appropriate entities including… more
- BGB Group (New York, NY)
- HR Coordinator at BGB Group (View all jobs) (http://www.bgbgroup.com/careers.html) New York, NY BGB Group HR Coordinator Our Agency BGB is a healthcare ... of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and… more
- TEKsystems (Mountain View, CA)
- 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
- Integrative Emergency Services (Dallas, TX)
- Integrative Emergency Services, LLC ("IES") is looking for a Provider Credentialing Coordinator to work directly with health care providers and hospital Medical ... for new and existing providers. + Complete government applications, commercial payer applications, and handle any corrections or rejections. Ensure enrollments are… more
- Nuvance Health (Danbury, CT)
- …Denial Prevention department including absences, PTO, FMLA, etc. 6. Maintains credentialing/ enrollment for Payor Portals sending letter out to vendors, maintaining ... 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
- WellSpan Health (York, PA)
- …**Duties and Responsibilities** **Essential Functions:** + Processes initial provider enrollment with payers, initial credentialing and recredentialing: - Creates, ... Management - Follows up, receives and documents confirmations on all initial enrollment status and changes for health plan providers with which WellSpan… more
- University of Rochester (Albany, NY)
- …of education and experience + 1 year of medical credentialing and/or payer enrollment experience preferred **KNOWLEDGE, SKILLS AND ABILITIES** + Fluent ... English language skills (oral and written) required + Proficiency in MS Office (eg Word, Excel, and PowerPoint), email, internet required + Knowledge of and experience with Joint Commission, CMS, and NCQA Regulations related to medical staff services and… 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
- 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… 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
- Covenant Health Inc. (Crossville, TN)
- …co-payments/deposits based on verification information obtained, generates receipts to the payer , and delivers all cash transactions to the cashier for proper ... + Maintain strict confidentially of patient information. + Recommends to the Coordinator updates to existing police and procedures that support our values and… more