- Stony Brook University (Commack, NY)
- …and maintain open lines of communication and to foster collaboration for provider enrollment and facility credentialing /re- credentialing initiatives. ... data is current. Conducts provider managed care enrollment and facility credentialing and re- credentialing...* + Meet Regulatory Requirements for pre-employment screenings. + Provide a copy of any required New York State… more
- WMCHealth (Hawthorne, NY)
- …Internal Applicant link Job Details: Job Summary: The Credentialing Specialist - Provider Enrollment position ... that all providers are set up correctly with payers. The Credentialing Specialist - Provider Enrollment position is responsible for providing administrative… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Preferred Qualifications: Knowledge of managed care enrollment desirable. Credentialing experience preferred. Certification as either Provider ... of experience in a related field (such as human resources recruiting, credentialing , privileging, or enrollment ) or other investigative and interpretive tasks… more
- Intermountain Health (Albany, NY)
- …work experience in revenue service center, preferred + Previous work experience with provider credentialing and/or enrollment , preferred. + Knowledge in ... **Job Description:** The Provider Enrollment Supervisor is responsible for...Service Center, that may affect revenue and patient and provider satisfaction. Strong knowledge of CAQH credentialing … more
- Cardinal Health (Albany, NY)
- …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
- Aspen Dental (East Syracuse, NY)
- …to delivering high-quality consumer healthcare experiences at scale. **Job Summary** The Provider Enrollment Specialist plays a vital role within our Payor ... plans and remain active. The successful candidate will report to the Provider Enrollment Manager. **Essential Responsibilities:** + Submit and process initial… more
- Mount Sinai Health System (New York, NY)
- …and Delegated Credentialing . + Coordinates and administers all aspects of provider enrollment , including: + Submission of rosters; reconciliation of ... processes in accordance with the health plan delegated credentialing agreements, policies & procedures, industry best-practices, and regulatory...provider enrollment statuses + Ensuring that all providers are accurately… more
- University of Rochester (Rochester, NY)
- …administration and maintenance of provider credentialing and payor enrollment software applications. + Provide basic troubleshooting and resolve common ... at UR and Affiliates, focusing on managing and maintaining provider credentialing and payor enrollment ...and patches. + Participate in an on-call rotation to provide support for urgent technical issues outside regular business… more
- Highmark Health (Albany, NY)
- …sends necessary paperwork to credentialing vendor. + When necessary performs credentialing verifications and loads provider to appropriate networks and ... in writing to obtain additional information while processing their enrollment applications. + Screen incoming applications and paperwork for...credentialing information to the provider database. + Manage credentialing inventory, reports… more
- Planned Parenthood of Greater New York (Manhattan, NY)
- …(40%) Partner with the Compliance and Medical Affairs teams to maintain accurate provider credentialing files Own or support reappointment and onboarding ... direct credentialing experience (eg, NPDB, CAQH, OIG checks, Medicare/Medicaid enrollment , etc.) + A demonstrated commitment to PPGNY's mission related to bodily… more
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