- BayCare Health System (Tampa, FL)
- …8:00 AM to 5:00 PM (may vary) + **Days:** Monday through Friday The ** Credentialing and Provider Enrollment Specialist** is a full-time remote position. ... currently reside in Florida. Responsibilities + Responsible for initiating and maintaining credentialing , managed care provider enrollment and hospital… more
- LogixHealth (Dania Beach, FL)
- …Collaborate with Account Managers to resolve provider denials + Update/Maintain Provider Enrollment Credentialing System + Attends conference calls with ... to credentialing system + Prepare and submit provider enrollment applications to insurance carriers +...+ Revenue cycle knowledge About LogixHealth: At LogixHealth we provide expert coding and billing services that allow physicians… more
- AdventHealth (Tampa, FL)
- …delegated credentialing functions while managing the daily operations of the credentialing and provider enrollment team including selection, training, ... and supervision of credentialing and enrollment staff. Administers these services with a strong emphasis.... Provide oversight and guidance to the provider data and credentialing team to ensure… more
- Cardinal Health (Tallahassee, FL)
- …and provider (s) to ensure optimal reimbursement including managed care contracting, enrollment , credentialing , and any other activity as it relates to payer ... interaction. Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care, the Manager of… more
- Evolent (Tallahassee, FL)
- …Minimum of one to two years' experience in the healthcare field related to credentialing , provider enrollment , provider services, and/or configuration is ... 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
- Community Health Systems (Naples, FL)
- …licensure requirements established by State and Federal regulation. Ensure that each provider remains in compliance with health plan enrollment by coordinating ... Initiates, maintains, and manages the credentialing process with insurance payers. Establishes relationships with...healthcare providers and staff to ensure timely completion of enrollment to ensure the financial stability of employed physician/… more
- HCA Healthcare (Palm Harbor, FL)
- …metrics through detailed analysis and process improvement, working together with Provider Enrollment , Coding Education, Payor Contracting and Analytics, ... for communication and follow up between assigned practices and Provider Enrollment + Serve as primary contact...the CPC and the hospital Medical Staff offices for credentialing and re[1] credentialing all providers. + Ensure… more
- MyFlorida (Tampa, FL)
- …The individual in this position utilizes the social work process to provide pediatric and family social work expertise in the assessment, training, implementation, ... Provides, at least quarterly, comprehensive review of MFC parent provider documentation requirements. Completes documentation from social work and administrative… more
- MyFlorida (Fort Myers, FL)
- …The individual in this position utilizes the nursing process to provide pediatric nursing expertise in the assessment, training, implementation, and evaluation ... parents. Completes, at least quarterly, comprehensive review of MFC parent provider documentation requirements. Completes, at least quarterly, home visits for… more
- Molina Healthcare (FL)
- …requirements of customers as it pertains to contracting (benefit and provider ), network management, credentialing , prior authorizations, fee schedules, and ... standards. **Job Duties** * Reviews documentation regarding updates/changes to member enrollment , provider contract, provider demographic information, and/or… more