- 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
- 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
- Novant Health (Charlotte, NC)
- Job Summary Novant Health is seeking an Enrollment Coordinator to be responsible for leading, coordinating and managing the credentialing and re-credentialing ... and credentialing process. Responsible for keeping the Manager of RCS payer Enrollment informed about the progress of all applications throughout the process.… 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
- Trinity Health (Athens, GA)
- …facilities. Coordinates the application and renewal of insurance credentialing and enrollment for multiple third-party payers. Maintains a variety of databases to ... support the credentialing and enrollment functions; acts as a liaison for providers, operations,...copy of each provider's application. 7. Maintains and updates payer rosters. 8. Utilizes knowledge of payer … more
- Cardinal Health (Oklahoma City, OK)
- …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 (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
- Covenant Health Inc. (Knoxville, TN)
- …co-payments/deposits based on verification information obtained, generates receipts to the payer , and delivers all cash transactions to the cashier for proper ... + Maintains strict confidentially of patient information. + Recommends to the Coordinator updates to existing policies and procedures that support our values and… more