- Intermountain Health (Annapolis, MD)
- …members. Updates the systems to assure that accurate and current information regarding provider contract status is available. 7. Coordinates and assists ... impact other aspects of the contract . Maintains a broad understanding of provider contract agreements. \#SelectHealth This is a 100% remote position however,… more
- CareFirst (Baltimore, MD)
- …details in the contracts meet the need of key stakeholders. Manages the provider contract including negotiations, level of network participation, rates, payment ... with the Legal Department for any changes to standard contract templates. Work with Legal to develop and review...expert in support of BCBSA workgroups. + Performs the provider credentialing as assigned and data maintenance… more
- CareFirst (Baltimore, MD)
- …in claims submissions. Utilizes coding expertise, combined with medical policy, credentialing , and claim processing rules knowledge to determine appropriate billing ... and operational analyses to assure payments are in compliance with contract ; identifies areas for improvement and clarification for better operational efficiency.… more
- Amergis (Columbia, MD)
- …Talent Acquisition and Program Management team to identify, screen and hire all Credentialing Specialist roles + Supports Credentialing Specialists with ... Credentialing Specialists are tracking and monitoring all pre-assignment and contract specific requirements + Supports Credentialing Specialists to ensure… more