- 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
- BayCare Health System (Tampa, FL)
- …7:30 AM to 4:00 PM (may vary) + **Days:** Monday through Friday The ** Credentialing and Provider Enrollment Specialist** is a full-time remote position. ... currently reside in Florida. **Responsibilities** + Responsible for initiating and maintaining credentialing , managed care provider enrollment and hospital… 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
- Morehouse School Of Medicine (Atlanta, GA)
- …education or Associate's Degree. Experience: + Minimum of two (2) years of provider enrollment credentialing experience. + Knowledge of credentialing ... (Centers for Medicare and Medicaid Services) database systems. + Experience with provider enrollment government application processes. + Excellent written and… more
- Planned Parenthood of Central and Western NY (Buffalo, 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
- Bon Secours Mercy Health (Cincinnati, OH)
- …the medical staff and allied health professionals that result from the enrollment credentialing and recredentialing process. **ESSENTIAL FUNCTIONS** + Compiles, ... certificate updates. Contacts manage care plan representatives weekly for new provider enrollment effective dates. Designs and updates appropriate spreadsheets… more
- Highmark Health (Columbus, OH)
- …used in the enrollment processes. **ESSENTIAL RESPONSIBILITIES:** + Completes provider payer enrollment / credentialing and recredentialing with all ... professional providers with various payers for professional services reimbursement. Reviews provider credentialing and/or recredentialing data for accuracy based… 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
- SUNY Upstate Medical University (Syracuse, NY)
- …Preferred Qualifications: Knowledge of managed care enrollment desirable. Credentialing experience preferred. Certification as either Provider ... in a related field (such as human resources recruiting, credentialing , privileging, or enrollment ) or other investigative...mandate, in any form, that an applicant for employment provide his or her current compensation, or any prior… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Provider Enrollment Coordinator **Cost Center:** 101651230 Payor Strat-Network Ctrcting ... 40 **Employee Type:** Regular **Work Shift:** **Job Description:** **JOB SUMMARY** The Provider Enrollment Coordinator is responsible for various duties related… 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
- 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 ... . Maintains knowledge of NCQA standards and health plan enrollment and credentialing guidelines (including Medicare and... provider practices and health plan contacts regarding provider enrollment statuses. Investigates and resolves … more
- Robert Half Accountemps (Minneapolis, MN)
- …* Maintain provider enrollment information within the credentialing database and provide reports for hospital administration, marketing, professional ... The successful candidate will be responsible for the timely submission of provider enrollment applications to government and commercial payers, tracking, and… more
- Insight Global (New York, NY)
- …The Operations Director will oversee and lead a team responsible for payer enrollment , state licensing, and credentialing functions. This leadership role is ... standards, and efficient management of all processes related to healthcare provider enrollments, state licensing, and credentialing . The ideal candidate… more
- TEKsystems (Cincinnati, OH)
- …accuracy of and update CAQH database. -All other duties as assigned. Skills: provider enrollment , CAQH, credentialing , cactus, symplr Top Skills Details: ... provider enrollment ,CAQH, credentialing Additional Skills & Qualifications: - 5+ years experience in Physician / Advance Practice Payer Enrollment … more
- TEKsystems (Cincinnati, OH)
- …agency credentialing specialist experience Experience Level: Intermediate Level Skills: provider enrollment , CAQH, credentialing , cactus, symplr - About ... pm M - F Job Description: + The Healthcare Enrollment Specialist will complete and review Provider ...Healthcare Enrollment Specialist will complete and review Provider applications with accuracy and thoroughness, contact providers for… 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
- Hartford HealthCare (Wethersfield, CT)
- …medical staffs, and any contracted clients. The Senior Director will have oversight for credentialing and provider enrollment and medical staff functions for ... Urology & Kidney. Position Summary: The Senior Director will provide \ strategic leadership to the HHC System Credentialing...* Creates and monitors standard work for medical staff credentialing , provider enrollment & MSO… more
- Trinity Health (Hartford, CT)
- …innovators. Position Purpose The Credentialing Coordinator is responsible for performing credentialing and provider enrollment for all new and existing ... and all other pertinent information . Lead the processes and functions of credentialing and provider enrollment . Alert internal and external parties on … more
- Nuvance Health (Danbury, CT)
- …a high level of expertise and knowledge in hospital and medical group credentialing and payer enrollment functions. The role manages the credentialing ... a positive provider experience as well as efficient and accurate credentialing . 4. Responsible for provider primary source verification including required… more
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