- LifePoint Health (Las Cruces, NM)
- …**Physician Services* **Organization:** **Las Cruces Radiologst Sppt Svc* **Title:** * Payor Enrollment Specialist as Cruces Physician Services* **Location:** ... o *Minimum Experience**:At least five (5) years of experience with Provider credentialing . * *_EEOC Statement_* Memorial Medical Center is committed to providing… more
- Essentia Health (Fargo, ND)
- …subnetworks. Understands CMS Medicare, Medicaid, and managed care billing, credentialing and enrollment requirements and reimbursements methodologies and applies ... **Key Responsibilities:** + Responsible for organizations including applications and credentialing for various practitioner's groups and specialties for which… more
- Josselyn (Northbrook, IL)
- …that the payor enrollment process is complete for participation. The Credentialing and Billing Specialist is also responsible for executing any designated ... Job Summary The Credentialing and Billing Specialist is responsible...information needed to complete the required governmental and commercial payor credentialing applications. + Maintains the … more
- Spectrum Billing Solutions (Skokie, IL)
- …is managed in the most efficient and streamlined manner. We are seeking to add a Credentialing Specialist to our growing team. If you are looking for a rewarding ... with strong communication and problem-solving skills. RCM Analyst | Revenue Cycle Credentialing Specialist | Insurance Specialist | Revenue Cycle… 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. This ... 1 year Managed Care Equal Opportunity Employer Veterans/Disabled **Position** Credentialing and Provider Enrollment Specialist **Location** Tampa:Concourse… more
- Insight Global (Morristown, NJ)
- Job Description Our top Healthcare client in NJ is looking for a Credentialing Specialists to sit full-time in Morristown, NJ. This person will maintain credentials ... for Payor /Provider enrollment. They will be responsible for submission of...and monitor and track these applications through the payer credentialing process. We are a company committed to creating… more
- Insight Global (Cherry Hill, NJ)
- Job Description One of Insight Global's revenue cycle clients are looking for a Credentialing Specialist to join their team in Cherry Hill, NJ. This individual ... will be responsible for submitting initial and re- credentialing enrollment applicants for payor HMO, Medicare, and Medicaid. They will also follow up and check… more
- Elevance Health (Altamonte Springs, FL)
- …**Preferred Skills, Capabilities and Experiences:** + Strongly preferred certified Provider Credentialing Specialist and college course work. Please be advised ... limited to: + Acts as a troubleshooter in resolving payor departmental issues related to credentialing . + Manages and maintains pharmacy license tracking tool to… more
- ProMedica Health System (Toledo, OH)
- …for accounts that are greater than 30 days old. * Experience completing hospital and payor credentialing forms Years of Experience: Must have at least 3 years' ... credentialing follow up for all supported providers with hospital privileges, payor /plan credentialing , certifications, and regulations. 2. Acts as a liaison… more
- Priority Health Care (Marrero, LA)
- JOB SUMMARY: The Revenue Cycle Specialist II must adhere to the Code of Ethical Conduct and foster positive relationships within the company, across departments, and ... contract summaries to verify balances due on disputed claims, and coordinating payor denial and appeal follow-up activities. This also involves ensuring timely… more
- Banner Health (Phoenix, AZ)
- …care practice. This position provides all pertinent clinical information needed for the payor authorization and the facility or specialist prior to the services ... to achieve Magnet (TM) recognition by the American Nurses Credentialing Center. The Phoenix campus, long known for excellent...3. Provides all pertinent clinical information needed for the payor authorization, the facility or specialist prior… more
- Kadlec (Richland, WA)
- …+ Upon hire: National Certification of CHAA + Registrar and third-party payor experience. **Senior Patient Services Specialist :** **Required Qualifications:** + ... is a combined posting for an Associate Patient Services Specialist , Patient Services Specialist and Senior Patient...+ Courses in medical terminology. + Upon hire: Epic Credentialing + Data entry, medical terminology and insurance experience.… more
- Catholic Health Services (Rockville Centre, NY)
- Overview Clinical Documentation Specialist Rockville Centre, NY Explore a career with Mercy Hospital, a 375-bed not-for-profit hospital and member of Catholic ... received Pathway to Excellence designation from the American Nurses Credentialing Center - the only hospital in the region...service rendered to all patients with a DRG based payor . Demonstrates knowledge of DRG payor issues,… more
- OLV Human Services (Lackawanna, NY)
- Billing & Accounts Receivable Specialist 790 Ridge Rd, Lackawanna, NY 14218, USAReq #426 Thursday, September 19, 2024 **Join Our Team as a Billing & Accounts ... Receivable Specialist !** Are you a meticulous number-cruncher with a passion...claim rejections, denials, and non-payments of claims with various payor representatives. + Posting payments + Run monthly aging… more
- Texas Health Resources (Kaufman, TX)
- …to collect co-payments, self-pay deposits, and patient balances. + Ensures all payor and government required elements are completed correctly, particularly the MSPQ, ... is a Joint Commission-certified facility. We're recognized by the American Nurses Credentialing Center (ANCC) as a Pathway to Excellence hospital for our commitment… more
- Aspen Dental (East Syracuse, NY)
- …high-quality consumer healthcare experiences at scale. **Job Summary** The Provider Enrollment Specialist plays a vital role within our Payor Strategy Team. ... working relationships with key contacts, both internal (Revenue Cycle Management, Providers, Credentialing , etc) and external (dental plans). + Work closely with RCM… more
- Ventura County (Ventura, CA)
- …the National Association of Medical Staff Services (NAMSS) as Certified Provider Credentialing Specialist (CPCS) or Certified Provider Enrollment Specialist ... + Provider Enrollment Specialist Certificate (PESC) + Certified Provider Credentialing Specialist (CPCS) + Certified Provider Enrollment Specialist … more
- HCA Healthcare (Coppell, TX)
- …best practice + Communicate standards and processes related to provider onboarding, credentialing , and payor enrollment + Conduct regular reoccurring team calls ... Provider Liaisons to ensure timely onboarding of providers, minimal payor enrollment risk, and state compliance in relation to...+ Hire, train, and manage Urgent Care Provider Liaison Specialist team + Act as interim Provider Liaison … more