- University of Virginia (Charlottesville, VA)
- …with all UPG and UVACHMG delegated credentialing and enrollment processes to maintain provider eligibility to bill Medicare/Medicaid/Department of ... to ensure the highest level of accuracy. + Completes enrollment process including provider enrollment ...and entry of all physician and allied health professional credentialing information into the Symplr provider database… more
- Trinity Health (Clive, IA)
- … and Enrollment is responsible for leading a team of individuals to provide MercyOne payer credentialing and enrollment oversight, initial payer contract ... Vision, and Values in behaviors, practices, and decisions. + Provide payer credentialing and enrollment ...all facility, ancillary, and practitioner delegated and non- delegated payer credentialing and enrollment .… more
- Sea Mar Community Health Centers (Federal Way, WA)
- …the following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Credentialing & Provider Enrollment Specialist - Posting #26191 Hourly ... Summary: Sea Mar Community Health Centers seeks an experienced Credentialing & Provider Enrollment Specialist....letters) to providers and department heads when necessary. + Provide complete and accurate credentialing files to… more
- Highmark Health (Harrisburg, PA)
- …the National Association Medical Staff Services + Experience with ECHO and/or professional provider credentialing + Delegated credentialing experience + ... used in the enrollment processes. **ESSENTIAL RESPONSIBILITIES:** + Completes provider payer enrollment / credentialing and recredentialing with all… more
- Guthrie (Sayre, PA)
- Position Summary: The Provider Enrollment Specialist reporting to the Payor Contracting & Provider Enrollment Manager plays an essential role in ensuring ... the health care billing industry. Experience: * Must possess knowledge of provider enrollment requirements for Government agencies, payor organizations and… more
- Children's Hospital Boston (Boston, MA)
- 75788BRJob Posting Title: Provider Enrollment SpecialistDepartment:Medical Staff ServicesAutoReqId:75788BRStatus:Full-TimeStandard Hours per Week:40 Job Posting ... Category:AdministrationJob Posting Description: Provider Enrollment Specialist will: + Coordinate and...will: + Coordinate and oversee all aspects of initial credentialing / enrollment for the Managed Care plans for… more
- Willamette Dental (Hillsboro, OR)
- …departmental activities to ensure quality in conducting, maintaining and communicating practitioner credentialing and provider enrollment . Serves as a ... + Manage forms and letters for new employee orientation, credentialing , and provider enrollment . +... process. + Participate in onboarding/orientation, educating practitioners on credentialing and enrollment processes. + Provide… more
- AdventHealth (Tampa, FL)
- … credentialing functions while managing the daily operations of the credentialing and provider enrollment team including selection, training, and ... AdventHealth within FL. . Provide oversight of credentialing /follow-up for both delegated and non- delegated.... Provide oversight and guidance to the provider data and credentialing team to ensure… more
- Sea Mar Community Health Centers (Federal Way, WA)
- … Assistant is responsible for maintaining files and data entry for the credentialing team and maintain provider enrollment with insurance plans. ... include, but are not limited to: + Maintaining all credentialing and provider enrollment files....FTCA, Joint Commission and health plan delegated credentialing . + Tracking and ensuring provider basic… more
- St. Luke's Health System (Boise, ID)
- …and other regulatory standards. Looking for candidates with experience in Provider Enrollment , Credentialing , Insurance, Insurance Customer Service, ... of colleagues, St. Luke's is truly a great place to work. **Overview:** The Provider Enrollment Specialist coordinates the provider payer enrollment … more
- Trinity Health (Des Moines, IA)
- …include accurate and timely processing of provider and supplier enrollment application along with file maintenance. The Credentialing Assistant will ... individuals through the organization in all phases of the provider enrollment and re- enrollment process...Office to ensure accurate and timely submission of all delegated enrollment requests. + Responsible to perform… more
- HSS (New York, NY)
- …Committee members, Medical Staff Leadership + Assists in preparing files for payor delegated credentialing audits to ensure compliance. + Perform other related ... database, and with excellent writing and verbal communication + Prior experience in delegated credentialing (Preferred) + Works well with high demand and strict… more
- WellSpan Health (York, PA)
- …junior staff members. Duties and Responsibilities Essential Functions: + Processes initial provider enrollment with payers, initial credentialing and ... claims or credentialing experience. Preferred Licenses: + Certified Provider Credentialing Specialist Upon Hire Preferred Knowledge, Skills, and… more
- Henry Ford Health System (Detroit, MI)
- …REQUIRED: + High School Diploma required. Associate's Degree, preferred. + 1 year of credentialing or provider enrollment experience required. + High level ... Under general supervision, responsible for all functions relating to the credentialing and re- credentialing of practitioner applicants. Responsibilities include… more
- Johns Hopkins University (MD)
- …timely and accurately. Provides on-going education and support to providers regarding Credentialing and Provider Enrollment requirements. Works in close ... government and managed care payers timely and accurately. + Follows Medicare PECOS Provider Enrollment Policy and escalates cases when providers have not… more
- Penn Medicine (Philadelphia, PA)
- …participating in over 60 payer contracts. The Penn Medicine CVO performs delegated credentialing for employed/billable providers that directly impacts Penn ... policies, develop and review CVO Operating policies and procedures, and delegated credentialing policies and procedures; develops, recommends, and/or implements… more
- Henry Ford Health System (Jackson, MI)
- …APP must have 2 years CT OR experience. Advanced Practice Professional will provide health care and specialized health services to patients and families enrolled in ... testing and lab results, modifying plan of care to address results - Provide clinical expertise and direction to support patient medication management - Maintain… more
- Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
- …ID:** 37976BR **Travel Required:** Up to 25% **Major/Essential Functions:** + Enrollment of study subjects. As required by protocol, reviews consent forms ... checks of study consent forms. + Conducts specific study activities delegated by Investigators, Research Director, Coordinator and Sponsors. Assists in preparing… more
- Trinity Health (Grand Rapids, MI)
- …in the state of Michigan. + Experience in a health care setting or enrollment in RN Residency Program + Specialty credentialing preferred according to clinical ... for patient flow, nursing procedures, triage and protocols. Performs duties as delegated within the scope of education and validated competencies. Performs clerical… more
- Henry Ford Health System (Detroit, MI)
- …a physician member of the medical staff. + Prescriptive authority is a delegated privilege under the collaborating physician. + Assists pre-, intra, and post-care of ... degree in nursing, National board certification by the American Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioners (AANP), Licensure… more