- Insight Global (Dayton, OH)
- Job Description An employer in the Dayton, Ohio area is seeking a Provider Enrollment Coordinator for a fully remote, contract with possible extensions ... opportunity. The Provider Enrollment Coordinator managed the contact implementation mailbox and credentialing mailbox for all existing and new business. This… more
- Molina Healthcare (Columbus, OH)
- …Summary** Responsible for preparation, processing and maintenance of new members and re- enrollment . Processes and maintains health plan's member and enrollment ... records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment … more
- Molina Healthcare (Cincinnati, OH)
- …(SQL and advanced Excel functions) from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in ... task and workflow analysis. + Subject matter expert of Medicare and Healthcare enrollment 834 files. + Interpret customer business needs and translate them into… more
- Molina Healthcare (Dayton, OH)
- …as needed. + Works with operational leaders within the business to provide recommendations on opportunities for process improvements. + Creates business requirements ... documents, test plans, requirements traceability matrix, user training materials and other related documentations. + Generate and distribute standard reports on schedule **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent… more
- Evolent (Columbus, OH)
- …of one to two years' experience in the healthcare field related to credentialing, provider enrollment , provider services, and/or configuration is required. + ... for the culture. **What You'll Be Doing:** The Specialist, Provider Data Management will be a dynamic role that...work closely with teams such as Claims, Configuration, and Enrollment /Eligibility to ensure timely and accurate data loads and… more
- Molina Healthcare (Cincinnati, OH)
- …and analyzing the systems. + This role is involved in member enrollment , provider information management, benefits configuration and/or claims processing. + ... **Job Description** **Job Summary** The Provider Claims Adjudicator is responsible for responding to...issues with claims and inquiries. Handles escalated inquiries, complex provider claims payments, records, and provides counsel to providers.… more
- Valor Health (St. Clairsville, OH)
- …paid holidays As a Licensed Practical Nurse with Valor Healthcare, you will provide prescribed medical treatment and personal care services to patients with diseases ... in the clinic, as directed by physician or mid-level provider . In addition, you will collaborate with the core...through the specified VA guidelines. Customer Service + Must provide excellent customer service to each veteran, both in… more
- Molina Healthcare (Cleveland, OH)
- …Molina Medicare products accurately and thoroughly complete and submit required enrollment documentation, consistent with Medicare requirements and enrollment ... guidelines. Assist the prospect in completion of the enrollment application. Forward completed applications to appropriate administrative contact within 48 hours of… more
- Beonair Network of Media Schools (Cincinnati, OH)
- …and coordinate campus tours for students and parents. The AR will also provide guidance and customer service to the student throughout the admissions process. ... Enrollment goals for this position are set weekly and...appointments per day and meet with prospective students to provide detailed information about the program. Inspire and motivate… more
- Intermountain Health (Columbus, OH)
- …the integrity, accuracy, and efficiency of processes related to billing, follow-up, provider enrollment , credits, payment posting, EDI, and other RSC operations. ... assess processes related to RSC (ie billing, follow-up, credits, provider enrollment , and payment posting) to identify...mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers… more