- Walworth County (Elkhorn, WI)
- Medicare Specialist (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/3201106) Apply Medicare Specialist (HHS) Salary $18.70 ... Employer Position Summary This position is responsible for assisting Medicare beneficiaries with enrollment issues regarding Medicare Part D, Medicare… more
- 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 ... managed care contracting plans, and third-party billing entities that require provider enrollment . This position will support operations in states including, but not… more
- Beth Israel Lahey Health (Westwood, MA)
- …direction of the Manager, Provider Enrollment and Reporting, the government payer enrollment specialist is responsible for the enrollment of both ... individual providers and groups/locations with non-commercial payers ( Medicare , Medicaid). The provider enrollment process ensures that the appropriate provider … 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...customer service, eligibility, finance, or member services; commercial and Medicare experience preferred Knowledgeable of and compliant with all… more
- TEKsystems (Greenwood Village, CO)
- Looking for an Enrollment Specialist in Greenwood Village, CO! Will become hybrid after 30 days. Must have: + Good tenure + Enrolling ambulances/operations into ... + Have experience completing complex applications- Detail oriented Description: The Enrollment Specialist Associate is responsible for completing all … more
- Logan Health (Kalispell, MT)
- …processes? At Logan Health, we are seeking a meticulous and detail-oriented Payer Enrollment Contract Specialist to join our dynamic team. Your role will ... be pivotal in managing payer enrollment processes, ensuring compliance with regulations, and building strong...to federal, state, and payer-specific guidelines, including HIPAA and Medicare requirements. + Liaison with Stakeholders: Serve as the… more
- UT Health (Houston, TX)
- Provider Services Specialist - Credentialing & Provider Enrollment **Location:** Texas Medical Center-Houston, Texas **Category:** Healthcare Support Services ... Plus many more! **Position Summary:** Coordinates, monitors and completes the enrollment process for all providers. **Position Key Accountabilities:** 1. Responsible… 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
- Healthfirst (FL)
- …Service Level Agreement + Process and perform quality control measures on enrollment and disenrollment transactions and billing activities + Review and analyze ... or member records + Experience with reviewing New York State Medicaid/ Medicare Health Plans Compliance & Regulatory Responsibilities: NA License/Certification: NA WE… more
- VNS Health (Manhattan, NY)
- …Membership and Eligibility Department in order to ensure internal controls of enrollment , disenrollment, and billing processes for all VNS Health Plans product ... and oversees the Third Party Administrator's (TPA) processing methods of enrollment application receipts and membership and revenue reconciliation. Works under… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Intake & Customer Service Specialist Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=2891944&source=2891944-CJB-0) Job Title: Intake and Customer Service Specialist Job Status: Full-time Job Summary: Under general supervision,… more
- TEKsystems (Los Angeles, CA)
- …processing errors and denials. Payers include but are not limited to Medicare , Medicaid, Blue Cross, and commercial health insurance carriers. * Reduce outstanding ... payment activities in order to increase cash flow Day to Day Duties: - Each specialist will be assigned an inventory to work. New accounts assigned every day. - Work… more
- LA Care Health Plan (Los Angeles, CA)
- Product Solutions Specialist II Job Category: Sales & Marketing Department: Commercial and Group Product Management Location: Los Angeles, CA, US, 90017 Position ... to achieve that purpose. Job Summary The Product Solutions Specialist II is focused on providing end to end...Preferred Experience Required: At least 3 years of Commercial Medicare /Medi-Cal Product Experience (Product & Benefit knowledge) and of… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …the quality and compliance surrounding the operations and oversight of Medicare and Medicaid provider/supplier enrollment . Responsibilities Coordinate all facets ... located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Program Integrity (CPI), Division of Quality… more
- Centene Corporation (Getzville, NY)
- …Relations Specialist is responsible for leading activities to achieve membership/ enrollment goals through various means including, but not limited to, marketing ... relationships and information that will result in opportunities to increase membership/ enrollment targets. + Represents the department at internal and external… more
- Josselyn (Northbrook, IL)
- …- Friday, 8:30 AM - 4:30 PM Job Summary The Credentialing and Billing Specialist is responsible for maintaining active status for all clinicians and physicians by ... packages as required by regulatory agencies, commercial payors, and Medicaid and Medicare . This includes ensuring that all clinical staff have the necessary… more
- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Compliance Audit Specialist II Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Customer Solution Center (CSC) Audit Readiness Specialist II is responsible for the execution, oversight, and monitoring of the… more
- Penn Medicine (Philadelphia, PA)
- …at the Hospital of the University of Pennsylvania is seeking a Technical Specialist in Electron Microscopy to join their team:** **Summary:** The incumbent's primary ... functions of the electron microscopy laboratory. Using an ultra-microtome, the specialist will perform gross microscopy, fixation, processing and embedding of… more
- Trinity Health (Westerville, OH)
- …, a college of nursing (https://www.mccn.edu/) , a Medicare Advantage plan (https://www.medigold.com/) , and extensive outreach and ... + Relocation assistance (geographic restrictions apply) + Discounted tuition and enrollment opportunities' at the Mount Carmel College of Nursing + Mount… more
- New York State Civil Service (Rochester, NY)
- …Agency People With Developmental Disabilities, Office for Title Human Resources Specialist 1/Trainee 1/2 (NY HELPS) Occupational Category Administrative or General ... of Civil Service. NON-COMPETITIVE MINIMUM QUALIFICATIONS (NY HELPS) Human Resources Specialist Trainee 1: A bachelor's degree or higher. OR Human Resources… more