- Altru Health (East Grand Forks, MN)
- …academic guidelines, ie, associates, 2 years, bachelor's, 4 years * Recipients must provide proof of on-going full-time enrollment within degree program, ie, ... future role at Altru. Program Eligibility: * Must maintain full time enrollment at an accredited regional academic partner and complete program within expected… more
- UT Health (Houston, TX)
- Provider Services Specialist- Credentialing & Provider Enrollment **Location:** Texas Medical Center-Houston, Texas **Category:** Healthcare Support ... to leave.** It's because we reward our team for the excellent service they provide . Our total rewards package includes the benefits you'd expect from a top… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- …Third-Party payer contracts; investigates and resolves medical claim denials related to Enrollment Credentialing , Coding, or other Payer issues to mitigate risk ... through meetings, telephone interactions, and written correspondence to enhance provider enrollment , contractual obligations, and understanding of carrier… more
- Beth Israel Lahey Health (Winchester, MA)
- …years working in a medical staff office or a highly relevant area involving provider enrollment / credentialing in another setting. + Bachelor's degree in ... over the phone. . **LICENSES, REGISTRATIONS, CERTIFICATIONS:** **Preferred:** Certified Provider Credentialing Specialist (CPCS) **OTHER JOB REQUIREMENTS:**… more
- Baptist Memorial (Memphis, TN)
- …and confidentiality. Performs other duties as assigned. Responsibilities + Maintains current provider profiles in the BMG Credentialing database SyMed OneApp. + ... Summary Supports Payer Enrollment Specialists, Manager and Director in the efforts...for newly hired providers and assists in auditing established provider files. This will include performing primary data source… more
- Omnicell (Grapevine, TX)
- …to providing day-to-day management and oversight of the new pharmacy licensing and enrollment , audit, and credentialing teams. These teams are responsible for ... all PSAO pharmacy client payor audits, new pharmacy licensing, credentialing , and payor enrollment for both existing...settings of care. We strive to be the healthcare provider 's most trusted partner by our guiding promise of… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Preferred Qualifications: Knowledge of managed care enrollment desirable. Credentialing experience preferred. Certification as either Provider ... in a related field (such as human resources recruiting, credentialing , privileging, or enrollment ) or other investigative...mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Provider Enrollment Coordinator **Cost Center:** 101651230 Payor Strat-Network Ctrcting ... 40 **Employee Type:** Regular **Work Shift:** **Job Description:** **JOB SUMMARY** The Provider Enrollment Coordinator is responsible for various duties related… more
- LogixHealth (Bedford, MA)
- …for revalidation + Obtain information as requested by management + Update /Maintain Provider Enrollment Credentialing System + Collaborate with Billing ... multitask We want to meet YOU! Purpose Perform all provider enrollment related procedures for physicians/mid/level providers...to credentialing system + Prepare and submit provider enrollment applications with provider ,… more
- TEKsystems (Charlotte, NC)
- …Strengths: Insurance | Healthcare management | Claims Follow Up | Denied Claims | Provider enrollment | Credentialing | Insurance Claim | Claims adjudication ... to prevent application withdrawal. - Utilize Epic to enter provider effective dates in Provider Enrollment...Core Experience: + Experience with credentialing and enrollment is preferred + Strong… more
- Robert Half Accountemps (Minneapolis, MN)
- …contacts. * Participating in on-boarding and network representative meetings. * Maintaining provider enrollment information within the credentialing database ... based in Minneapolis, Minnesota. The role primarily involves managing the process of provider enrollment applications, maintaining provider enrollment … more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …and more! **Responsibilities** **JOB SUMMARY** This job is responsible for performing provider credentialing , enrollment and database maintenance processing ... knowledge skills/abilities, preferably in a healthcare setting. **Licensure/Certification** Certified Provider Credentialing Specialist (CPCS) preferred, or able… more
- Trinity Health (Des Moines, IA)
- … credentialing and provider enrollment functions. . Maintains credentialing database to provide accurate information and updates for medical staff. . ... mid-level paperwork process (Human Resource & Employee Health). Facilitates delegated credentialing process. . Manages the relocation process with approved vendors.… more
- Insight Global (Cherry Hill, NJ)
- …Hill, NJ. This individual will be responsible for submitting initial and re- credentialing enrollment applicants for payor HMO, Medicare, and Medicaid. They ... department and the payors on troubleshooting claims denials due to provider enrollment issues. The ideal candidate is comfortable working onsite in Cherry… more
- Hartford HealthCare (Wethersfield, CT)
- …medical staffs, and any contracted clients. The Senior Director will have oversight for credentialing and provider enrollment and medical staff functions for ... Urology & Kidney. Position Summary: The Senior Director will provide \ strategic leadership to the HHC System Credentialing...* Creates and monitors standard work for medical staff credentialing , provider enrollment & MSO… more
- Logan Health (Kalispell, MT)
- …building strong partnerships that drive our mission forward. Key Responsibilities: + Manage Provider and Facility Enrollment : Take the lead in ensuring the ... timely and accurate submission of new provider , group, and facility enrollment applications across...compliant. + Maintain Provider Records: Ensure all provider credentials, licenses, certifications, and re- credentialing documents… more
- Beth Israel Lahey Health (Westwood, MA)
- …difference in people's lives.** **Job Description:** Under the direction of the Manager, Provider Enrollment and Reporting, the government payer enrollment ... individual providers and groups/locations with non-commercial payers (Medicare, Medicaid). The provider enrollment process ensures that the appropriate … more
- Ketchikan Indian Community (Ketchikan, AK)
- …discrepancies to expedite the enrollment process. . Maintains and updates provider information in internal databases and credentialing software systems. . ... plans. . Collects, reviews, and verifies all required documentation for provider credentialing , ensuring compliance with industry standards and regulations.… more
- University of Rochester (Rochester, NY)
- …applications. + Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) preferred. The University of ... of education and experience; + 1 year of medical credentialing and/or payer enrollment preferred. + Fluent English language skills (oral and written);… more
- HCA Healthcare (Fort Pierce, FL)
- …of the day-to-day operational performance within their area to include revenue flow, provider credentialing and enrollment , HR, and payroll for all ... process for assigned programs to include all day-to-day operations. + Manages provider credentialing and enrollment process; ensuring completion is… more
