- Baylor Scott & White Health (Dallas, TX)
- **Job Summary** The Director, Provider Enrollment , is responsible for the strategic planning, evaluation, and operational management of the Provider ... ensuring all processes comply with regulatory and payer requirements. The Director, Provider Enrollment guides the management team and staff to ensure facility … more
- Integrative Emergency Services (Dallas, TX)
- Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Coordinator to support the division in facilitating the enrollment process ... and attest provider applications every 120 days. + Following established enrollment procedures and sound practices directly or by working with Enrollment … more
- HCA Healthcare (Richardson, TX)
- …Manager_ at Galen College of Nursing, you will motivate, lead, and support the enrollment team in meeting or exceeding quarterly new student enrollment goals. ... presence and develop new recruitment strategies and outreach initiatives to include Enrollment Workshops, Open Houses, College Fairs and Community & HCA Events. +… more
- HCA Healthcare (Richardson, TX)
- …counselor serves as the main point of contact for students throughout the enrollment process. Key Responsibilities: + Follow up on inquiries through phone calls, ... Colleague to input data and document follow-up with prospective students. + Provide in-depth information on on-campus programs and give tours to prospective… more
- Molina Healthcare (Dallas, TX)
- …problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets ... as needed. + Work with operational leaders within the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue… more
- Molina Healthcare (Dallas, TX)
- …problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets ... as needed. + Demonstrated proficiency in working with 834 files and enrollment data, including executing User Acceptance Testing (UAT) to validate system… more
- Molina Healthcare (Dallas, TX)
- …is responsible for the accurate and timely validation and maintenance of critical provider information on all enrollment and provider databases. Staff ... requirements of internal customers as it pertains to other provider network management areas, such as provider ...other provider network management areas, such as provider contracts. This role is a multi facet internal… more
- Molina Healthcare (Dallas, TX)
- … billing to facilitate resolution. * Collaborates with the member enrollment , provider information management, benefits configuration and claims processing ... JOB DESCRIPTION Job Summary Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching,… more
- Molina Healthcare (Dallas, TX)
- …and analyzing the systems. + This role is involved in member enrollment , provider information management, benefits configuration and/or claims processing. + ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to...issues with claims and inquiries. Handles escalated inquiries, complex provider claims payments, records, and provides counsel to providers.… more
- Molina Healthcare (Dallas, TX)
- …creatively design solutions utilizing provider data such as the Provider Online Directory, Utilization Management, Customer Experience, Enrollment , and ... rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it… more
- NTT America, Inc. (Dallas, TX)
- …should have 3 years and above experience in US healthcare and into provider enrollment and credentialling. + Ensures day-day transactions are processed per ... Associate will process and update Provider Data Management and Provider Data Enrollment Resources to the Client's main application according to its policies… more
- Lilly (Dallas, TX)
- …agility to influence investigators, elevate protocol understanding, and co-develop tailored enrollment strategies in existing and new therapeutic areas. They serve ... trusted partners to investigators-building strong, enduring relationships that improve return on enrollment and position Lilly as the sponsor of choice. CRLs partner… more
- Molina Healthcare (Dallas, TX)
- …channel management techniques to ensure brokers meet assigned objectives and enrollment targets. Assume accountability for the broker networks contribution to ... Molina's enrollment , profitability, and retention goals. Additionally, ensure brokers follow...assisting their channel in the design and implementation of provider and community based relationships and growth campaigns, and… more
- IQVIA (Dallas, TX)
- …and track subject recruitment strategies that align with project timelines and enrollment goals. + Deliver protocol and study-specific training to site personnel and ... data integrity. + Monitor study progress by tracking regulatory submissions, subject enrollment , case report form (CRF) completion, and resolution of data queries. +… more
- Molina Healthcare (Dallas, TX)
- …standards. **Job Duties** * Reviews documentation regarding updates/changes to member enrollment , provider contract, provider demographic information, and/or ... requirements of customers as it pertains to contracting (benefit and provider ), network management, credentialing, prior authorizations, fee schedules, and other… more
- Health Care Service Corporation (Richardson, TX)
- …MS Office products * Knowledge and/or experience with: + **. Medicare Part A/B/D** + . Provider workflows & Provider application - Symplr + . EDI formats - 837 ... I&P, 276/277, 270/271, 278, 834 + . Member Enrollment - Elements application + . Member Collaterals +...- Elements application + . Member Collaterals + . Provider Credentialing - sCRED application + . Claims Intake… more
- HCA Healthcare (Dallas, TX)
- …for you to join Medical City Dallas which is a part of the nation's leading provider of healthcare services, HCA Healthcare. Do you want to work where you have a ... Collaborating with medical providers and the care team, you will provide personalized, comprehensive, and compassionate care, following established nursing models… more
- HCA Healthcare (Dallas, TX)
- …At Medical City Dallas our nurses set us apart from any other healthcare provider . We are seeking a Telemetry Registered Nurse Part Time to join our healthcare ... Collaborating with medical providers and the care team, you will provide personalized, comprehensive, and compassionate care, following established nursing models… more
- NTT DATA North America (Dallas, TX)
- ** ENROLLMENT & BILLING - GRADE 3** **HC & INSURANCE OPERATIONS SENIOR REP.** **Position Overview** : At NTT DATA, we know that with the right people on board, ... General Duties:** Eligibility & Accounting representatives to assist Centene with Enrollment & Billing (EMB) Back Office activities for Medicaid LOB. **Role… more
- HCA Healthcare (Dallas, TX)
- …Medical City Dallas which is a part of the nation's leading provider of healthcare services, HCA Healthcare. **Schedule: Full-Time Nights 7P-7A** **This position ... Collaborating with medical providers and the care team, you will provide personalized, comprehensive, and compassionate care, following established nursing models… more