- Cardinal Health (Lansing, MI)
- …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 (Lansing, MI)
- …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
- Prime Healthcare (Fort Gratiot, MI)
- …Experience 1. Associates degree preferred or equivalent education/experience. 2. Certified Provider Credentialing Specialist (CPCS) preferred 3. Minimum of 3 ... as a subject matter expert by providing guidance and problem/issue resolution for credentialing and payer enrollment issues. Qualifications Education and Work… more
- Trinity Health (Kentwood, MI)
- …in the state of Michigan. + Experience in a health care setting or enrollment in RN Residency Program + Specialty credentialing preferred according to clinical ... and clinical protocol guidelines in a decision-making capacity to provide timely and efficient patient care. **What you will...a NLN or AACN accredited school of nursing + Enrollment in a Baccalaureate Degree in the Science of… more
- Corewell Health (Grand Rapids, MI)
- …the following departments: Revenue Cycle Education, Vendor Management, Payer Enrollment , and Ancillary Support Services (including Revenue Cycle (Epic) Builder ... promote standardized processes and streamline workflows. Ensures systems utilized provide bi-directional communication between payers, strong bill editing functionality,… more
- Molina Healthcare (Warren, MI)
- …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
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …responsibilities include: -Minimum five-year experience in electrophysiology. -Able to provide clinical care/manage arrhythmia consults in daily outpatients clinics ... patient with cardiac devices at the Detroit VA Medical Center, including enrollment , trouble shooting and tele-visits.- Independently manages a panel of patients… more