- Novant Health (Charlotte, NC)
- …of two years physician office or business office experience, required. Knowledge of provider enrollment application process for credentialing in a Managed ... Job Summary Responsible for leading, coordinating and managing the credentialing and re- credentialing process for physician, advanced clinical professionals and… 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
- Southeast Health (Dothan, AL)
- Southeast. Always the right career direction. Job Description Summary The Medical Staff Credentialing and Provider Enrollment Coordinator (MSP) is a hands-on ... enrollment for Southeast Health Medical Group + Manages provider enrollment process, initial enrollment and re- credentialing + Accountable for… more
- Planned Parenthood of Central and Western NY (Syracuse, 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
- University of Washington (Seattle, WA)
- …as School of Dentistry point of contact for payer credentialing specialists, provider services, and provider enrollment departments. + Collaborate with ... departments, especially with representatives from common in-network payers. + Communicate provider enrollment , credentialing , and contracting status… more
- Covenant Health Inc. (Knoxville, TN)
- … applications for assigned facilities, payer enrollment , pro-fee, and facility credentialing . Maintain provider credential files in a neat, accurate, and ... tasks in the Managed Care department in regards to Payer Enrollment and Hospital credentialing . With limited supervision, the Credentialing Specialist acts… more
- Nuvance Health (Danbury, CT)
- …well as any other reporting requests from WCHN leadership. Maintains Med Kinetics provider enrollment database with all required information. 4. Responsible for ... literature, in-house meetings and workshops. 8. Athena responsibilities include maintenance of credentialing enrollment table, client enrollment dashboard, … more
- Hackensack Meridian Health (Neptune, NJ)
- …+ Demonstrate a solid understanding of credentialing and NCQA guidelines around Credentialing and Provider Network. + Verifying the accuracy of all submitted ... applications to the Credentialing Committee, assisting customers with credentialing inquiries, responding to health plan provider inquiries, capturing… 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
- LogixHealth (Bedford, MA)
- …Collaborate with Account Managers to resolve provider denials + Update/Maintain Provider Enrollment Credentialing System + Attends conference calls with ... 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 to insurance carriers +… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …scheduled and ad-hoc audits of payer data ensuring updates are made in credentialing and provider enrollment database and discrepancies are addressed ... Summary The Provider Enrollment Specialist follows procedures for...3 years of related experience in provider enrollment to include experience with an electronic credentialing… more
- Select Medical (Plano, TX)
- …career in the non-clinical side of healthcare? * Have you worked in payor enrollment , provider credentialing or have other related healthcare experience? *Do ... accuracy and partner with payors to ensure the proper credentialing status. + Complete Payor Enrollment and...database with relevant payor tracking and data. + Monitor provider and facility status in both internal and external… 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 ... third party and governmental payers' regulations and changes pertaining to credentialing and enrollment .** **4.** **Collaborate with McLaren Physician Partners,… more
- Baystate Health (Springfield, MA)
- …and controls to provide follow-up and reporting on all outstanding provider enrollment issues. The incumbent is responsible for recommending and implementing ... enrollment and credentialing process. **Job Responsibilities:** **1)** General Provider Enrollment activities **2)** Coordinates the submission of … more
- Ozarks Medical Center (West Plains, MO)
- The Provider Enrollment Coordinator is responsible for managing the credentialing and enrollment process for healthcare providers with various insurance ... all required documentation, applications, and compliance standards are met for timely enrollment , re- enrollment , and credentialing of providers. The… 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
- Trinity Health (Hartford, CT)
- …**Description:** **Position Purpose** The Credentialing Coordinator is responsible for performing credentialing and provider enrollment for all new and ... and facilities. + Lead the processes and functions of credentialing and provider enrollment . +...+ Travel to community practices to gather information and provide enrollment guidance when needed across Connecticut… more
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