• Enrollment & Billing

    Fallon Health (Worcester, MA)
    …Under the direction of the Supervisor or Manager, the Enrollment & Billing Operations Representative III supports Fallon Health's mission, vision and ... Manager to determine course of action. The Enrollment & Billing Operations Representative III collaborates effectively with co-workers and other… more
    Fallon Health (05/17/25)
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  • Medicare Advantage Enrollment

    UCLA Health (Los Angeles, CA)
    …As a member of the Medicare Advantage Operations team, the Medicare Advantage Enrollment Representative plays a crucial role in the enrollment process by ... + Experience in a Medicare or Managed Care environment, Member Enrollment and Billing experience preferred + Ability to analyze and organize complex federal… more
    UCLA Health (04/09/25)
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  • Provider Enrollment Coordinator (Hybrid…

    Integrative Emergency Services (Dallas, TX)
    …care contracting plans, and third-party billing entities that require provider enrollment . This position will support operations in states including, but not ... proactively and builds strong relationships with payors to facilitate enrollment and obtain provider billing numbers. +... for all providers and groups. + Will support operations in states including, but not limited to, Florida,… more
    Integrative Emergency Services (04/18/25)
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  • Provider Enrollment Manager

    Integrative Emergency Services (Dallas, TX)
    …vider Enrollment Manager. This position leads and oversees all provider enrollment operations and ensures timely, accurate, and compliant processes across ... Oversee new group set-ups and ensure required documentation is submitted to the billing company. + Monitor and report on enrollment -related SLAs, KPIs, and… more
    Integrative Emergency Services (04/06/25)
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  • Administrative Assistant III - Concurrent…

    State of Colorado (Pueblo, CO)
    …decisions based on departmental objectives and prior guidance. In supporting concurrent enrollment operations , the Coordinator processes incoming forms from all ... at Pueblo Community College. This position supports the daily operations and long-term objectives of the program through general...central contact for the department and serves as a representative of the Director of Concurrent Enrollment more
    State of Colorado (05/20/25)
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  • Senior Manager, Provider Enrollment

    LogixHealth (Bedford, MA)
    …reports + Communicate provider enrollment status to providers, Client Services and Billing Operations as needed + Adjusting procedures as necessary to create ... WV This Role: Supervise the day to day responsibilities for the Provider Enrollment Department workflow to ensure efficiency and accuracy of work. Supervise and… more
    LogixHealth (05/06/25)
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  • Member Services Representative II -Kspa

    Kelsey-Seybold Clinic (Pearland, TX)
    …applications to respond to administrative issues related to health plan operations including claims resolution, premium billing , medical benefit interpretation, ... and coverage determinations, referral inquiries, Prescription Drug inquiries and enrollment /disenrollment activities. Member Service Representatives II-KSPA handles member and… more
    Kelsey-Seybold Clinic (05/10/25)
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  • Member Service Representative

    CDPHP (Albany, NY)
    …problems related to benefits, claims processing, claims and benefit appeals/complaints, enrollment and premium billing issues required. Demonstrated ability to ... invites you to be a part of that experience. The Member Service Representative shall assume full responsibility and ownership for all aspects regarding education of… more
    CDPHP (05/08/25)
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  • Revenue Integrity Charge Representative

    Trinity Health (Columbus, OH)
    …for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers in accurately document services ... ICD-10, revenue codes and modifiers), charging processes and audits, and clinical billing as normally obtained through a bachelor's or associate degree in Healthcare… more
    Trinity Health (05/14/25)
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  • Fraud Representative (On-site)

    TEKsystems (Honolulu, HI)
    …banking services including technical troubleshooting, product information, online enrollment support, service utilization assistance, billing research, ... Fraud Representative Opening in Honolulu! 6 month contract fully...downloads, etc. + Resolve and/or handle customer problems such enrollment errors, login errors, transaction failures, unexpected text and… more
    TEKsystems (05/14/25)
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