- Sharp HealthCare (San Diego, CA)
- …ensures all providers are updated on newly revised policies and procedures. + Provider Data RequirementsCommunicate and validate provider demographics to ... for the position, and employer business practices. **What You Will Do** The Provider Relations Specialist is responsible for the development and maintenance of… more
- Corewell Health (Grand Rapids, MI)
- Job Summary The provider program and communications specialist is a role in the Provider Network Performance department that collaborates with teams across ... network. + Assist with year - end program settlement + Work closely with internal data teams + Assist with Provider Incentive program design + Resolve … more
- Sharp HealthCare (San Diego, CA)
- …system timely and accurately.Manages provider demographic databases and ensures provider information and documentation is up-to-date, accurate, and complete ... management and other projects, as necessary.Coordinates the development and distribution of provider education information such as the Provider Operations… more
- CareFirst (Baltimore, MD)
- …submission, 2) ensuring submission of information that assures accurate and timely data for systematic provider demographics, 3) performing as the point of ... with the Reimbursement Implementation department as well as the Provider Information and Credentialing department. + Develop...expert in support of BCBSA workgroups. + Performs the provider credentialing as assigned, and data maintenance… more
- Centene Corporation (Oklahoma City, OK)
- …relates to provider set up. + Provide support to the external provider representative to resolve provider data issues + Research and effectively ... provider data entries to resolve provider -related demographic information changes + Initiate and...the appropriate site operations team for claim adjustment + Provide assistance to providers with website registration + Facilitate… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- …collection and data entry of CAQH, DEA, licensure and other provider enrollment requirements. + Creates and facilitates completion of clinician applications for ... + GENERAL SUMMARY + The Credentialing Specialist is responsible and accountable for accurate and... is responsible and accountable for accurate and timely provider credentialing, to include new applicant credentialing, re-credentialing and… more
- Molina Healthcare (Salt Lake City, UT)
- …is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ... by applying job knowledge and experience to ensure appropriate information has been provided. + Audits loaded provider...participates in special projects as requested. + Would review Provider data in conjunction with Claims … more
- Centene Corporation (Nashville, TN)
- …it relates to provider set up. Provide support to external provider representatives to resolve provider data issues. Research and effectively respond ... assuring that providers are set up accurately in the provider information system for state reporting, claims...liaison between assigned providers and the health plan. + Provide issue resolution support for most complex provider… more
- Aston Carter (Naperville, IL)
- …as it relates to AWR enrollments, contracts, and agreements with providers. . Data entry and update for provider profiles. . Facilitate for emergency/urgent ... headcount for emergency claims Responsibilities and Experience Required: As Provider Support Representative (PSR) you will be a part...team . Engage daily with potential new leads and provide impeccable support to each individual . Document and… more
- Molina Healthcare (San Jose, CA)
- …is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ... such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES** + Oversees receipt of and coordinates data from the provider network for entry into the plan's … more