- Trinity Health (Hartford, CT)
- … enrollment of all THOfNE employed/contracted physicians and midlevel providers Complete payer enrollment tasks in EPIC Any other tasks as assigned Minimum ... Coordinator is responsible for performing credentialing and provider enrollment for all new and existing providers with appropriate entities including… more
- University of Rochester (Rochester, NY)
- …the specific requirements. + Communicates status of files or other payer enrollment /credentialing information directly to providers, various department ... signatures. + Communicates the status of the applicants credentialing and payer enrollment files directly to providers and various department representatives and… more
- CVS Health (Cumberland, RI)
- …And we do it all with heart, each and every day. **Position Summary** The Payer Enrollment Lead Coordinator is responsible for ensuring the timely and ... accurate processing of payer enrollment applications, including initial submissions and revalidations for clinics and providers. This role supports compliance… more
- Walmart (Bentonville, AR)
- **Position Summary ** **What you'll do ** Evaluates government payer support programs plans and implementation requirements to ensure compliance with government ... industry and company standards by conducting evaluations of current and future contract requirements to determine needed system or operational changes addressing concerns that are out of alignment with established business parameters determining the action… more
- Nuvance Health (Danbury, CT)
- …that provider rosters and locations are current. Responsible for reporting payer credentialing status to WCHN management. Makes suggestions for enhancements/changes ... Medicare & Medicaid services and state requirements. This includes completing Commercial payer , Medicare and Medicaid applications for all WCHN providers as well as… more
- University of Rochester (Rochester, NY)
- …expanding service lines. Ex. Donor milk, Telemedicine. **(20%)** + Partner with URMFG Payer Enrollment group and the Medical Staff Services Office to credential ... for services provided. Serve as the liaison between the new provider, payer enrollment , divisional administration, EPIC system staff and Revenue Cycle… more
- Dana-Farber Cancer Institute (Boston, MA)
- …functions. Assists with all functions related to the credentialing and provider enrollment of practitioners as outlined in the medical staff bylaws, policies or ... NCQA). Ensures compliance with appropriate accrediting and regulatory agencies. The coordinator assists with the development, planning and implementation of the… more
- Sharp HealthCare (San Diego, CA)
- …and employer business practices. **What You Will Do** The Transplant Financial Coordinator plays an integral role in assisting patients with the critical function ... billing compliance. The primary responsibility of the Transplant Financial Coordinator is assessing patient's insurance coverage and financial situation for… more
- Trinity Health (Hartford, CT)
- … enrollment of all THOfNE employed/contracted physicians and midlevel providers + Complete payer enrollment tasks in EPIC + Any other tasks as assigned ... Coordinator is responsible for performing credentialing and provider enrollment for all new and existing providers with appropriate entities including… more
- BGB Group (New York, NY)
- HR Coordinator at BGB Group (View all jobs) (http://www.bgbgroup.com/careers.html) New York, NY BGB Group HR Coordinator Our Agency BGB is a healthcare ... of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and… more
- Nuvance Health (Danbury, CT)
- …Denial Prevention department including absences, PTO, FMLA, etc. 6. Maintains credentialing/ enrollment for Payor Portals sending letter out to vendors, maintaining ... outcomes. Sends appeals with all supporting documents to third party payer (s) within the payer specific timeframe. 13. Documents and updates the denials status… more
- WellSpan Health (York, PA)
- …**Duties and Responsibilities** **Essential Functions:** + Processes initial provider enrollment with payers, initial credentialing and recredentialing: - Creates, ... Management - Follows up, receives and documents confirmations on all initial enrollment status and changes for health plan providers with which WellSpan… more
- University of Rochester (Albany, NY)
- …of education and experience + 1 year of medical credentialing and/or payer enrollment experience preferred **KNOWLEDGE, SKILLS AND ABILITIES** + Fluent ... English language skills (oral and written) required + Proficiency in MS Office (eg Word, Excel, and PowerPoint), email, internet required + Knowledge of and experience with Joint Commission, CMS, and NCQA Regulations related to medical staff services and… more
- Covenant Health Inc. (Knoxville, TN)
- …co-payments/deposits based on verification information obtained, generates receipts to the payer , and delivers all cash transactions to the cashier for proper ... + Maintains strict confidentially of patient information. + Recommends to the Coordinator updates to existing policies and procedures that support our values and… more
- Covenant Health Inc. (Knoxville, TN)
- …co-payments/deposits based on verification information obtained, generates receipts to the payer , and delivers all cash transactions to the cashier for proper ... + Maintains strict confidentially of patient information. + Recommends to the Coordinator updates to existing policies and procedures that support our values and… more
