- Insight Global (New York, NY)
- Job Description As a Quality Payer Enrollment Specialist, you will ensure that payer enrollment files adhere to our stringent quality standards. ... to maintain compliance with payer -specific guidelines. Responsibilities: * Review payer enrollment submissions to ensure data accuracy and compliance with… more
- US Tech Solutions (Boston, MA)
- …100% Remote ** **Job Description:** + The Credentialing and Provider Enrollment Specialist supports key areas business, quality and compliance support ... 25-30 hours per week. **Responsibilities:** + Deliver credentialing, privileging, and payer enrollment services for clinical providers. + Provide administrative… more
- AdventHealth (Maitland, FL)
- …better. **Shift** : Monday- Friday Full time 8am-5pm **Job Location** : Remote **The role you will contribute:** Responsible for credentialing systems including ... + Utilizes advanced level of skill relating to the understanding of payer credentialing nuances and disseminates such information and trains team members as… more
- Trinity Health (Columbus, OH)
- …providing guidance, mentorship, and performance feedback. + Monitor productivity and quality metrics, ensuring coders meet established benchmarks. + Conduct regular ... + Ensure coding practices align with current ICD-10, CPT, HCPCS, and payer -specific guidelines. + Review coding audits and implement corrective action plans as… more
- CareFirst (Baltimore, MD)
- …critical part in enabling seamless integration, configuration, and performance of core payer functions like enrollment , claims, billing, and customer service. ... Collaborate with business analysts, architects, QA, and DevOps teams to deliver high- quality software in an Agile environment. + Support defect resolution and… more
- CommonSpirit Health (Centennial, CO)
- …success. This position has dually aligned responsibilities, while striving for excellent quality of patient care; 1). Payer Credentialing initial and ... an independent, efficient, and timely manner. + Compile and authenticate Commercial Payer and Government Enrollment , Medical Staff, Allied Health applications… more
- Option Care Health (Salt Lake City, UT)
- …center. + Participate in credentialing and contracting processes by maintaining all payer -required licenses and individual NPI enrollment linked to the ... NP is responsible for using their licensure to obtain and maintain payer credentialing and reimbursement eligibility for the organization. **Job Description:** +… more
- Cardinal Health (Bismarck, ND)
- …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
- Cardinal Health (Topeka, KS)
- …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 ... compliance. . Evaluate patient eligibility for assistance programs and assist with enrollment . **Care Coordination & Insurance Navigation** . Manage the entire care… more
- Devereux Advanced Behavioral Health (League City, TX)
- …executing comprehensive marketing strategies to increase program visibility, build payer and referral agency relationships, and drive referrals. Additionally, the ... and implement strategic marketing initiatives to enhance program awareness and enrollment . * Nurture current business relationships, and proactively establish new… more
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