- University of Rochester (Rochester, NY)
- …with the specific requirements. Communicates status of files or other payer enrollment /credentialing information directly to providers, various department ... authorized official signatures. Communicates the status of the applicants credentialing and payer enrollment files directly to providers and various department… more
- Corewell Health (St. Joseph, MI)
- …Coordinates credentialing services for Corewell Health. Maintains accountability for complex, multi-faceted programs. Provides administrative support through the ... appropriate use of software and/or other tools. Exhibits initiative and knowledge to assure operations carry on in the usual manner in management's absence. Essential Functions + Coordinates the credentialing of physicians at Corewell Health by collecting and… more
- Albany Medical Center (Albany, NY)
- …Med Health System's ongoing auditing & monitoring of credentials files. The Provider Enrollment Specialist Serves as a high functioning member of the team working ... ensuring compliance with timely notices to providers. Review and complete enrollment and re- enrollment applications, including subsequent roster changes, with… more
- Virtua Health (Marlton, NJ)
- …the CAQH (Council for Affordable Quality Healthcare) and PECOS (Provider Enrollment Chain and Ownership System) databases to ensure accurate clinician information ... of operations, and call coverage partners. If data is not accurate, the coordinator will be responsible to update and attest appropriately to ensure timely… more
- Cardinal Health (Bismarck, ND)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... handles accordingly. + Creates and completes accurate applications for enrollment with a sense of urgency. + Scrutinizes forms...the product must be fully exhausted. + Track any payer /plan issues and report any changes, updates, or trends… more
- Cardinal Health (Jefferson City, MO)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... and strong organizational skill + Mediate effective resolution for complex payer /pharmacy issues toward a positive outcome to de-escalate + Proactive follow-up… more
- Cardinal Health (Boston, MA)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... customers, striving for one-call resolution. + Mediate effective resolution for complex payer /pharmacy issues toward a positive outcome to de-escalate + Must meet… more
- University of Rochester (Rochester, NY)
- …of education and experience + 1 year of medical credentialing and/or payer enrollment experience preferred **KNOWLEDGE, SKILLS AND ABILITIES** + Fluent ... English language skills (oral and written) required + Proficiency in MS Office (eg Word, Excel, and PowerPoint), email, internet required + Knowledge of and experience with Joint Commission, CMS, and NCQA Regulations related to medical staff services and… more
- Parkview Health (Fort Wayne, IN)
- …Revenue Cycle Analytics (RCA); Healthcare, EPIC, accounts receivable valuation, provider enrollment experience would be beneficial. Minimum of four years of ... multiple customers at one time. Must demonstrate knowledge of third-party payer reimbursement, and a broad comprehension of coding and documentation requirements.… more
- City and County of San Francisco (San Francisco, CA)
- …Department or similar department must be responsible for medical staff credentialing, payer credentialing, health plan enrollment , medical staff governance, or ... and spreadsheet software to generate, summarize and report provider enrollment /credentialing/verification information for monitoring and reporting purposes. + Assists… more