- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist , you will work ... Medical Practice, PC._ **Duties of a Managed Care Provider Enrollment Specialist may include the following but...a provider in a managed care organization or other payer ("MCO") network. Work collaboratively with SBM providers to… more
- TEKsystems (Dallas, TX)
- …with payer requirements. Key Responsibilities + Prepare and submit enrollment and re- enrollment applications for healthcare providers to Medicare, Medicaid, ... and credentialing. + Strong understanding of Medicare, Medicaid, and commercial insurance enrollment processes. + Familiarity with CAQH and payer portals. +… more
- LifePoint Health (Las Cruces, NM)
- *Job Title:*Payor Enrollment Specialist *Job Type:* Full -time *Your experience matters* At Memorial Medical Center, we are committed to empowering and ... and career advancement opportunities. *Qualifications and requirements* Coordinates the insurance payer enrollment process for Las Cruces Physician Practice… more
- AdventHealth (Altamonte Springs, FL)
- …while understanding that **together** we are even better. **Shift** : Monday- Friday Full time 8am-5pm **Job Location** : Remote **The role you will contribute:** ... + Utilizes advanced level of skill relating to the understanding of payer credentialing nuances and disseminates such information and trains team members as… more
- WMCHealth (Hawthorne, NY)
- … position is responsible for providing administrative support for the process of payer enrollment credentialing for the medical staff at Westchester Medical ... provider files. + Pay close attention to new provider onboarding tracker; ensures payer enrollment , credentialing process, and demographics are processed in a… more
- Penn Medicine (Philadelphia, PA)
- …Max Surgery Location: Perelman Center for Advanced Medicine-3400 Civic Center Blvd Hours: Full Time Summary: + The Pre-Registration Specialist reports to the ... financially clearing inpatient and outpatient based procedures. The Pre-Registration Specialist is responsible for insurance verification, benefit obtainment, and… more
- Cardinal Health (Cheyenne, WY)
- …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...appropriate sections of the database + Must track any payer /plan issues and report any changes, updates, or trends… more
- Walgreens (Deerfield, IL)
- …system and provides issue resolution and support for the stores. Investigates Payer Inquiry Tickets from Payor Partners, Enterprise Prescriber Data File issue ... issues. + Enters plan specifications into the appropriate systems using payer sheets, ensuring compliance with plan provisions, Walgreens Direct Bill contracts,… more
- Covenant Health Inc. (Knoxville, TN)
- …Vendors. The specialist may do any of the following: Process payer enrollment , facility credentialing, physician enrollment , expirables, hospital ... Overview Credentialing Specialist , Business Office Full Time, 80...Services (KBOS), Billing Department regarding Out of State Medicaid Payer Enrollment , Hospital and Physician credentialing. With… more
- Rochester Regional Health (Rochester, NY)
- …with providers to gather clinical documentation and assist patients with enrollment in pharmaceutical assistance programs, grants, and co-pay support. + Maintain ... current knowledge of manufacturer programs, eligibility criteria, and track patient enrollment and renewal timelines for financial assistance. + Contact patients to… more