- Beth Israel Lahey Health (Wakefield, MA)
- …of confidential data . Maintains knowledge of NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and Medicaid). ... Qualifications:** 1. Knowledge of Medicare, Medicaid and health plan credentialing , recredentialing and enrollment process; licensure requirements and… more
- Beth Israel Lahey Health (Westwood, MA)
- …Qualifications:** Knowledge of Medicare, Medicaid and health plan credentialing , re- credentialing and enrollment process; licensure requirements and ... plans is current and accurate for publication in the health plan websites, Find A Doctor website,...the BILHPN Provider Directory. Upon receipt of approval, the enrollment assistant will verify via the plan … more
- Baptist Memorial (Memphis, TN)
- …applications to submit per established protocols. Reviews for accuracy all enrollment applications and re- credentialing documents prior to submission. Follows ... credentialing documents. + Reviews EPIC's related to payer enrollment on a daily basis. + Completes assigned goals....vacation/time off + Continuing education opportunities + Generous retirement plan + Health insurance, including dental and… more
- UT Health (Houston, TX)
- Provider Services Specialist- Credentialing & Provider Enrollment **Location:** Texas Medical Center-Houston, Texas **Category:** Healthcare Support Services ... service) + Build your future with our awesome retirement/pension plan ! **We take care of our employees!** As a...+ Free financial and legal counseling + Free mental health counseling services + Gym membership discounts and access… more
- Baptist Memorial (Memphis, TN)
- …salaries + Paid vacation/time off + Continuing education opportunities + Generous retirement plan + Health insurance, including dental and vision + Sick leave ... Summary Supports Payer Enrollment Specialists, Manager and Director in the efforts...Responsibilities + Maintains current provider profiles in the BMG Credentialing database SyMed OneApp. + Maintains current provider profiles… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …staff and allied health professionals that result from the enrollment credentialing and recredentialing process. **ESSENTIAL FUNCTIONS** + Compiles, audits ... Spreadsheet maintenance and CUA certificate updates. Contacts manage care plan representatives weekly for new provider enrollment ...like to view a copy of the affirmative action plan or policy statement for Mercy Health … more
- Methodist Health System (Dallas, TX)
- … enrollment for employed practitioners. * Demonstrates knowledge of DMPN's Credentialing Plan and Guidelines; ongoing monitoring; credentialing standards ... :** Sun-Sat **Work Shift :** **Job Description :** Your Job: The Credentialing Coordinator Utilizes knowledge of credentialing /re- credentialing principles,… more
- Morehouse School Of Medicine (Atlanta, GA)
- …Data Bank ( NPDB ), and other sources as required based on NCQA standards, health plan requirements, and company credentialing policies. + Maintain the ... (2) years of experience in the capacity of credentialing coordinator or credentialing specialist specializing in provider enrollment . + Minimum two (2) years… more
- Guidehouse (Birmingham, AL)
- …+ 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term & ... **Clearance Required** **:** None **What You Will Do** **:** The Credentialing Specialist is responsible for coordinating, processing, monitoring, and maintaining… more
- Insight Global (Philadelphia, PA)
- …mitigate risk and improve provider satisfaction. This person will use their previous credentialing background to recommend a plan of corrective action for ... A large healthcare insurance company is looking to hire a Quality Management Credentialing Analyst to their Final Optical Check Quality Management team. This person… more
- Pacific Medical Centers (Renton, WA)
- … Coordinator is accountable for data collection, organization and submission of enrollment applications required by health plans, hospitals and governmental and ... billing office and Epic analysts to facilitate timely payor enrollment for new practitioners and re- enrollment for...a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits… more
- Trinity Health (Waterloo, IA)
- …updates to the Medical Staff members and other system leaders related to provider enrollment . + Serves as a health system liaison to the insurance companies ... **Shift:** **Description:** Completes the day-to-day processes related to Medical Staff enrollment and other various Medical Staff functions and Third Party… more
- Guidehouse (Birmingham, AL)
- …manages payer enrollment functions and coordinates closely with the medical credentialing team for provider updates, resolves enrollment issues, and manages ... + 401(k) Retirement Plan + Basic Life & Supplemental Life + Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts + Short-Term &… more
- University of Colorado (Denver, CO)
- **Recruitment and Enrollment Management Specialist** **University of Colorado Denver** Recruitment and Enrollment Management Specialist - 35044 University Staff ... Title:** Academic Services (Open Rank) Professional **Working Title:** Recruitment and Enrollment Management Specialist **FTE** : Full Time (100%) FTE | Hybrid… more
- Ketchikan Indian Community (Ketchikan, AK)
- …necessary to support the department's strategic plan . Manages the credentialing , re-appointment, privileging, and payor enrollment process for all licensed ... health care professionals in accordance with the approved credentialing policies and procedures, medical staff by-laws, and rules and regulations of KIC Tribal … more
- Roper St. Francis (Ladson, SC)
- …the daily operations of managed care programs and initiatives and the provider credentialing and enrollment program. This role ensures effective management of ... negotiations and contract related issues and disputes. + **Provider Credentialing / Enrollment :** + Manage the Provider Credentialing...+ Act as a liaison between RSFH and payors, health plans, and other managed care entities. + Resolve… more
- Mercy University (Dobbs Ferry, NY)
- …plans, retirement benefits, tuition discounts, flexible spending, and much more. Health Insurance: UntitedHealthcare Oxford In-network and out-of-network plan ... overall supervision from the Director of Marketing for Workforce Credentialing and Community Impact, the Systems Specialist/Administrator's primary responsibilities… more
- MaineGeneral Health (Waterville, ME)
- …and assist with provider and payer enrollment + Manage professional enrollment , facility credentialing and re- credentialing , including CAQH processes + ... Job Summary:MaineGeneral Health is a leading health care...all aspects of reimbursement, managed care contracts, and payer enrollment . The successful candidate will have a deep understanding… more
- HCA Healthcare (Nashville, TN)
- …and Emergency Medicine programs as it relates to: revenue flow, clinician credentialing / enrollment , HR, and payroll for clinicians in the programs. In ... Home, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...programs to include all day-to-day operations. + Manage provider credentialing and enrollment process; ensuring completion is… more
- HCA Healthcare (Fort Pierce, FL)
- …the day-to-day operational performance within their area to include revenue flow, provider credentialing and enrollment , HR, and payroll for all providers within ... process for assigned programs to include all day-to-day operations. + Manages provider credentialing and enrollment process; ensuring completion is done in a… more