- Penn Medicine (Bala Cynwyd, PA)
- …Per Departmental Needs - Full Time - Monday - Friday Hybrid Summary: + The Provider Services Coordinator will provide support of all credentialing / ... hire for a timely and optimal start into the organization. + Additionally, the Provider Services Coordinator will provide administrative support to the… more
- CVS Health (Harrisburg, PA)
- …Triage resulting rework to appropriate staff. + Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims ... unasked questions, eg, additional plan details, benefit plan details, provider self- service tools, etc. + Use customer...a direct connection to the router (NOT Wi-Fi). We provide a 6 1/2 foot long ethernet cord, if… more
- Magellan Health Services (PA)
- …and other value-based data. This position acts as the conduit between the provider , Magellan, and the customer(s) to ensure streamlined, consistent and supportive ... provider experience. + Act as liaison between Clinical, Quality,...Providers for support, issue resolution, and collaboration. (40%) + Provide orientation, education, training, and support to Magellan contracted… more
- Cisco (Philadelphia, PA)
- Client Executive - Service Provider , Philadelphia - Comcast Apply (https://jobs.cisco.com/jobs/Login?projectId=1448627) + Location:Offsite, Philadelphia, ... partnerships and delivering transformational solutions for one of Cisco's largest Service Provider customers: Comcast. Our team thrives on collaboration,… more
- AmeriHealth Caritas (Harrisburg, PA)
- …between providers and internal departments such as Credentialing, Clinical, Member Services , and Provider Maintenance, ensuring compliance with state regulations ... **Role Overview:** The Provider Network Contract Representative oversees the daily operations...and the Office of Mental Health & Substance Abuse Services (OMHSAS), supporting Medicaid enrollment and documentation processes. +… more
- The Cigna Group (Erie, PA)
- …through matrix partners. + Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external ... matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION...obtained through a cable broadband or fiber optic internet service provider with speeds of at least… more
- Guthrie (Sayre, PA)
- …Degree in related field is preferred. Essential Functions Leadership and Mentorship: Provide guidance and mentorship to Provider Onboarding Coordinators. Act as ... Summary The Senior Provider Onboarding Specialist oversees the onboarding process for...Clearance Management: Oversee the management of PA Child Protective Services Law clearances for all GMG providers and locums.… more
- Intermountain Health (Harrisburg, PA)
- …to stakeholders. Keeps detailed notes about enrollment progress in provider enrollment database and distributes information to designated department representatives ... to CPT codes and specific payer types. + Coordinates all aspects of provider enrollment with commercial and government (Medicare and Medicaid) professional fee payer… more
- Humana (Harrisburg, PA)
- …sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make… more
- Highmark Health (Pittsburgh, PA)
- …for the execution of the strategic plan of the Financial Investigations & Provider Review (FIPR) organization. The strategic plan focuses on the detection and ... and abuse (FWA) and recoupment of related overpayments associated with the company's provider spending. The incumbent will function as a champion and driving force… more