- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Quality Specialist II is responsible for examining and evaluating the accuracy of transactions in accordance with ... projects. **ESSENTIAL FUNCTIONS:** + Audits assigned function (service, claims, enrollment ) for accuracy, benefit payment, contract interpretation, and compliance… more
- Trinity Health (Philadelphia, PA)
- …LIFE Broad Street** a member of Trinity Health PACE, is seeking a full-time ** Enrollment Specialist ** for its location in Broad Street PA. The primary purpose ... of the Enrollment Specialist position is to serve as...computer programs for tracking and reporting purposes. Assist with Medicaid financial application process. Reviews Medicaid eligibility… more
- Adams County Government (Commerce City, CO)
- Health Enrollment Specialist - Outreach Print (https://www.governmentjobs.com/careers/adams/jobs/newprint/4647223) Apply Health Enrollment Specialist - ... Health Enrollment Team (HET), the Outreach & Enrollment Specialist position provides 1:1 enrollment...for Health Colorado Marketplace, OmniSalud program, Health First Colorado ( Medicaid ), and Child Health Plan Plus (CHP+). The candidate… more
- University of Washington (Seattle, WA)
- …School of Dentistry has an outstanding opportunity for a Provider and Contract Enrollment Specialist to join their team.** The Department of Patient Revenue ... Reporting to the Director of Patient Revenue Cycle, the Provider and Contract Enrollment Specialist is responsible for developing and maintaining a UW School… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Summary The Provider Enrollment Specialist follows procedures for enrolling providers with managed care plans and maintains the Council of Affordable Quality ... department policy and procedure. + Prepares, submits, and tracks payer enrollment and credentialing material submissions. Identifies variances, issues, and delays,… more
- Apex Health Solutions (Houston, TX)
- Summary: The Commercial Health Plan Enrollment Specialist is responsible for maintenance of eligibility data, resolving all issues or requests regarding ... eligibility, facilitating enrollment of potential members, and rendering any needed system...HIPAA, Texas Department of Insurance, Centers for Medicare and Medicaid Services, etc.) Strong knowledge of provider network arrangements… more
- Indian Health Service (Whiteriver, AZ)
- …Department, Whiteriver, Arizona. This position is responsible for completing revalidation and re- enrollment requests from CMS, Arizona Medicaid , and other state ... provider authorized organization official to review and complete CMS, state Medicaid , private insurance, and managed care applications. Submits with administrative… more
- Peak Vista (Colorado Springs, CO)
- Enrollment Services Specialist Summary Title: Enrollment Services Specialist ID:1209-Multiple Department Location:Multiple locations ... and empathetic customer service to our patients. Performs a variety of enrollment and insurance screening functions with the objective of determining eligibility for… more
- Conduent (Helena, MT)
- …part of a culture where individuality is noticed and valued every day. Provider Enrollment Specialist Hourly rate $17/hr Location: Helena, MT (Onsite) Provider ... Healthcare Programs. May perform one or more of the following: Process Medicaid provider enrollment applications, revalidations, and updates. Responds to e-mail… more
- UCLA Health (Los Angeles, CA)
- …all this and more at UCLA Health. In this role, you'll facilitate the enrollment of physicians and practitioners. This will include new and existing enrollment ... physicians and monitor expiring CLIAs, revalidations, and terminations. You'll also maintain enrollment in the ECHO One App database. You will: + Facilitate… more
- Albany Medical Center (Albany, NY)
- …encounters for evaluation of Medicaid and/or Disability coverage. The Enrollment Specialist is also responsible for providing estimates to patients ... (United States of America) Salary Range: $41,136.28 - $57,590.79 The Patient Access Enrollment Specialist has skill set encompassing strong working knowledge of… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Enrollment Specialist is responsible for facilitating the EDI enrollment process for our new clients as they walk through the ... vendors, payers and assigned Waystar Implementation Team to ensure enrollment is complete for the client at the time...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Brighton Health Plan Solutions, LLC (Denver, CO)
- About the Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Specialist for our Enrollment and Eligibility/ Employer Services Department, as a ... a hybrid unit, a balance of a contact center and processing department. The Enrollment and Eligibility Team's (EET) mission is to create, audit, process and update… more
- ManpowerGroup (Austin, TX)
- **Medical Provider Enrollment Specialist Positions in Austin, TX.** **Do you have experience with processing medical enrollment applications, Patient ... provide appropriate and timely responses to inquiries and concerns regarding provider enrollment and file maintenance for Medicaid programs (including dental,… more
- Conduent (Helena, MT)
- …Healthcare Programs. May perform one or more of the following: Process Medicaid provider enrollment applications, revalidations, and updates. Responds to e-mail ... a culture where individuality is noticed and valued every day. Provider Enrollment team is responsible for processing applications for healthcare providers for… more
- McLaren Health Care (Grand Blanc, MI)
- …of providers or facilities with third party payers and institutional enrollment requirements for governmental programs for the McLaren Health Care system. ... meet payers regulatory and compliance requirements for their credentialing and enrollment programs.** **Facilitates and assists with applicable payers relative to… more
- VNS Health (Manhattan, NY)
- OverviewThe Medicare Enrollment Specialist educates consumers who have reached out to VNS Health Plans and existing VNS Health Plans MLTC members about the ... + Coordinates home nursing assessment visits, when appropriate, to ensure successful enrollment into the program. + Educates VNS Health Plans MA and/or MLTC… more
- Hospice of Michigan (Ann Arbor, MI)
- …appropriate personnel. + Understands and complies with Hospice Medicare and Medicaid conditions of participation. + Participates in ongoing professional development ... and continuing education opportunities to stay current with best practices in palliative and hospice care. + Complies with applicable local, federal, and state regulations, Quality Partners standards, compliance guidelines, privacy protections and protected… more
- Molina Healthcare (Albuquerque, NM)
- …building Medicaid membership. Effectively moves these relationships through the " enrollment " pipeline. + Schedules, coordinates & participates in enrollment ... lead capacity. + Solid understanding of Health Care Markets, primarily Medicaid . + Previous healthcare marketing, enrollment and/or grassroots/community outreach… 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-735/60062 ... Albany Street Address Office of the Chief Financial Officer Medicaid Office City Albany State NY Zip Code 12234...Financial Officer is seeking candidates for an Education Finance Specialist 1 position in the System to Track and… more