- 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
- System One (Columbia, MD)
- Broker Support Coordinator (Health Insurance) Primarily Remote | Temporary | Baltimore, MD (Occasional Onsite) About the Role We're supporting a health insurance ... season and are looking for a hands-on Broker Support Coordinator to help keep day-to-day operations running smoothly. This...someone with a background in health insurance customer support, enrollment , or sales support who is comfortable working in… more
- Cardinal Health (Juneau, AK)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... handles accordingly. + Creates and completes accurate applications for enrollment with a sense of urgency. + Scrutinizes forms...the product must be fully exhausted. + Track any payer /plan issues and report any changes, updates, or trends… 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
- 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. (Crossville, 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
- 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