- Guidehouse (Birmingham, AL)
- …Credentials **Travel Required** **:** None **Clearance Required** **:** None **Job Summary:** The Payer Enrollment Specialist is responsible for ensuring the ... insurance vendors for a moderately sized medical group. This position manages payer enrollment functions and coordinates closely with the medical credentialing… more
- Logan Health (Kalispell, MT)
- …and contracting processes? At Logan Health, we are seeking a meticulous and detail-oriented Payer Enrollment Contract Specialist to join our dynamic team. ... Your role will be pivotal in managing payer enrollment processes, ensuring compliance with regulations, and building strong partnerships that drive our mission… more
- Baptist Memorial (Memphis, TN)
- …assistance/continuing education + Employee referral program Job Summary: Position: 5347 - Specialist - Payer Enrollment Facility: BMG - Central Business Office ... and all other credentialing documents. + Reviews EPIC's related to payer enrollment on a daily basis. + Completes assigned goals. Requirements, Preferences… more
- Beth Israel Lahey Health (Westwood, MA)
- …Under the direction of the Manager, Provider Enrollment and Reporting, the government payer enrollment specialist is responsible for the enrollment ... providers and groups/locations with non-commercial payers (Medicare, Medicaid). The provider enrollment process ensures that the appropriate provider enrollment … more
- LifePoint Health (Brentwood, TN)
- *Provider Enrollment Specialist * *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will ... where employees find purpose and fulfillment. *What you'll do:* The Provider Enrollment Specialist is responsible for requesting participation for providers in… more
- Peak Vista (Colorado Springs, CO)
- Enrollment Services Specialist Summary Title: Enrollment Services Specialist ID:1028-Multiple Department Location:Multiple locations ... and empathetic customer service to our patients. Performs a variety of enrollment and insurance screening functions with the objective of determining eligibility for… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Provider Enrollment Specialist ensures that initial and re-credentialing applications for St. ... professional organization memberships. JOB DUTIES AND RESPONSIBILITIES: + Prepares provider enrollment applications and/or written link letters to be sent to payers… more
- Staffing Solutions Organization (OH)
- Customer Service Specialist I - Enrollment /Call Queue Support Ohio, USA * Virtual Req #1075 Thursday, November 21, 2024 Staffing Solutions Organization LLC ... the people they serve. **Position Title:** **CUSTOMER SERVICE REPRESENTATIVE I -** ** Enrollment /Call Queue Support** + Respond to inbound calls to the provider… more
- Trinity Health (Atlanta, GA)
- …Type:** Full time **Shift:** Day Shift **Description:** **Position Purpose:** As an Outreach & Enrollment Specialist at Mercy Care Atlanta, you will be the first ... access to the care they need by identifying insurance options, assisting with enrollment , and verifying financial and insurance information. **What You Will Do:** +… more
- LifePoint Health (Las Cruces, NM)
- …Opportunities o And much more *_Position Summary_**_ _* Coordinates the insurance payer enrollment process for Las Cruces Physician Practice employed providers. ... Services* **Organization:** **Las Cruces Radiologst Sppt Svc* **Title:** *Payor Enrollment Specialist as Cruces Physician Services* **Location:** *New… more
- LogixHealth (Bedford, MA)
- …software and payer portal databases (PECOS, CAQH, NPPES) + Provider enrollment specialist certificate (PESC) preferred Specific Job Knowledge, Skill and ... strict adherence to organization and department policies and stay abreast of payer regulations, enrollment requirements, and industry best practices + Process… more
- Primary Health Care (Des Moines, IA)
- …mix for assigned clinic and works with Clinic Administrator to address unfavorable payer mix changes. + Conducts outreach and enrollment activities including ... As a Health Benefit Specialist II (HBS II) you will work in...responsible for verifying insurance coverage and ensuring the correct payer is identified for each patient visit, working with… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Title:** Preregistration Specialist **Organization:** Lung Center Perelman **Location:** Perelman Center for Advanced ... Mon-Fri office hours per department needs **Summary:** + The Pre-registration specialist reports to the Supervisor of Financial Clearance, and directly communicates… more
- HCR Home Care (Rochester, NY)
- Role and Responsibilities The Billing Specialist position is a member of the Billing Team which reports up through the Finance Department. The Billing Specialist ... + Responsible for submitting and receiving all electronic claim files and payer response/rejection files, and for researching and re-submission of claims rejected by… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- Intake & Customer Service Specialist Department: Community Health & Research Center Location: Dearborn, MI START YOUR APPLICATION ... (https://apply.hrmdirect.com/resumedirect/ApplyOnline/Apply.aspx?req\_id=2891944&source=2891944-CJB-0) Job Title: Intake and Customer Service Specialist Job Status: Full-time Job Summary: Under general supervision,… more
- Zelis (St. Louis, MO)
- Position Overview: The Implementation Specialist plays a crucial role in supporting the Implementation Team in delivering effective solutions for healthcare payer ... members to understand client data and requirements for print fulfillment. The specialist is responsible for configuring the Zelis system to ensure the successful… more
- Zelis (St. Louis, MO)
- …either St Louis, MO or St Petersburg, FL The Implementation Support Specialist collaborates closely with the Implementation Team to facilitate seamless client ... implementations. Working alongside healthcare payer clients, team members analyze their data and print fulfillment needs, configuring the Zelis system to ensure… more
- Amgen (Tampa, FL)
- …transform the lives of patients while transforming your career. **Benefit Verification Specialist - Production Team Lead (On-Site)** **What you will do** Let's do ... development, and valuable opportunities! **Job Overview:** The Benefits Verification Specialist assists in enabling access to progressive therapies that improve… more
- University of Rochester (Rochester, NY)
- …staff to acquire prior authorization for relevant providers, benefit investigation, enrollment of patients in appropriate patient assistance programs, managing the ... request was denied and preparing a response to the payer with necessary additional information. If the denial management...director conversation is needed for approval outside of the payer policy. 5. Document all PAs in the appropriate… more
- Virginia Mason Franciscan Health (Bremerton, WA)
- …**JOB SUMMARY** This job is responsible for performing provider credentialing, enrollment and database maintenance processing based on department and organizational ... provider information to support appointing and claims submission, 2) enrollment in health plan networks and 3) data entry...L&I, NPDB, and HCQIA standards; 2) Remaining current on payer requirements and credentialing processes to include a working… more