- Integrative Emergency Services (Dallas, TX)
- Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Specialist to support the division in facilitating the enrollment ... network managed care contracting plans, and third-party billing entities that require provider enrollment . This position will support operations in states… more
- UCLA Health (Los Angeles, CA)
- …analytical professional with: + AA Degree or higher required + Experience in Provider Enrollment Required + Experience with CMS, PECOS, and PAVE portals ... at UCLA Health. In this role, you'll facilitate the enrollment of physicians and practitioners. This will include new...with NPPES enrollments + Knowledge of Medicare, MediCal, out-of-state Medicaid , etc. + Required experience with out of state… 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
- Trinity Health (Pennsauken, NJ)
- …disenrollment forms for HMOs to be disenrolled and communicate progress to the enrollment specialist and department leader. + Maintain the confidentiality of all ... **Employment Type:** Part time **Shift:** **Description:** ** Medicaid Eligibility Specialist ** Shift: Monday -...to assist them in completing the paperwork needed for Medicaid eligibility. + Provide or assists participants… more
- US Tech Solutions (Linthicum, MD)
- …* Understand, and assure compliance to and adherence with, the Medicaid enrollment regulations, and related Maryland HealthChoice program policies ... program operations, business requirement development, or systems * Experience working with Medicaid eligibility requirements, as well as enrollment , renewal and… more
- MyFlorida (Tampa, FL)
- …Human Services Program Specialist - Career Service Working Title: Provider Enrollment Coordinator POSITION NUMBER: 67016234 OPEN COMPETITIVE OPPORTUNITY ... setup. Respond to provider inquiries in a timely way regarding Medicaid Waiver enrollment qualifications and processes. Conduct technical assistance with … more
- Beth Israel Lahey Health (Wakefield, MA)
- …making a difference in people's lives.** Under the direction of the Manager, Provider Enrollment completes enrollment and health plan recredentialing ... relationships with both provider practices and health plan contacts regarding provider enrollment statuses. Investigates and resolves enrollment problems… more
- Trinity Health (Sharon Hill, PA)
- …LIFE Sharon Hill** , a member of Trinity Health PACE, is seeking a full-time ** Enrollment Specialist ** for its location in Sharon Hill PA. The primary purpose of ... the Enrollment Specialist position is to serve as...Interdisciplinary Team to share key information, coordinate tasks, and provide support for the enrollment process as… more
- MyFlorida (Tallahassee, FL)
- WAIVER ENROLLMENT SPECIALIST - 67014933 Date: Oct 28, 2024 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 840235 Agency: Agency for Persons with Disabilities Working Title: WAIVER ENROLLMENT SPECIALIST - 67014933 Pay Plan: Career Service Position Number:… 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 … more
- Peak Vista (Colorado Springs, CO)
- Enrollment Services Specialist Summary Title: Enrollment Services Specialist ID:1028-Multiple Department Location:Multiple locations ... a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers...customer service to our patients. Performs a variety of enrollment and insurance screening functions with the objective of… more
- McLaren Health Care (Grand Blanc, MI)
- …and assists with applicable payers relative to changes of information for provider or facility credentialing and enrollment .** **Essential Functions and ... by collecting supporting documentation & signatures required, if applicable.** **7.** **Maintains enrollment worklist, puts claims on hold until provider is… more
- State of Minnesota (St. Paul, MN)
- …position is a Minnesota Health Care Programs (MHCP) Provider Eligibility and Compliance Specialist in the Medicaid Payments and Provider Services (MPPS) ... **Working Title: Provider Eligibility and Compliance Specialist ** **Job...Provide consultation on updating and creating services and enrollment record types. May assist with system updates and… more
- Essentia Health (Fargo, ND)
- …but not required **Licensure/Certification Qualifications:** **Certification/Licensure Requirements:** + Provider Enrollment Specialist Certificate (PESC) ... with all contracted insurance networks and subnetworks. Understands CMS Medicare, Medicaid , and managed care billing, credentialing and enrollment requirements… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …of Health and Hospitals, Medical Vendor Administration. Job Distinctions: Differs from Medicaid Program Specialist 2 by the presence of advanced research, ... Medicaid Program Monitor ( Medicaid Fee Schedule...supervisory responsibility. Examples of Work Conducts audits of eligibility enrollment applications; prepares reports on results of each audit.… more
- Fallon Health (Worcester, MA)
- **Overview** **The Provider Specialist position is a hybrid role working 3 days (Tuesdays, Wednesdays and Thursdays) in the office in Worcester, MA and 2 days ... timeframes, PUNKS, QNXT case inventory/assignments, etc.) + Assist and support the Provider Relations Representative on Provider enrollment initiatives. +… more
- Conduent (Topeka, KS)
- …Description:** As part of the KanCare Clearinghouse Program, the Eligibility Professional Specialist will perform a variety of duties. The position is responsible ... deposits) researching records provided by the applicant and their contacts to provide the information about the household income, resources, and expenses upon which… more
- Molina Healthcare (Los Angeles, CA)
- …for carrying out events and activities to help grow Molina Healthcare as the choice Medicaid provider in the community. You will do this by hosting and attending ... **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing Medicaid programs. Works… more
- Elderwood (Monroe County, NY)
- …Join Our Team Join our strong and growing company today! Responsibilities Outreach Specialist Overview + Provide external outreach on behalf of Elderwood IPA ... identify qualified, eligible potentials related to both long-term care needs and Medicaid coverage for enrollment + Address questions and concerns, effectively… more