- HCA Healthcare (Nashville, TN)
- …our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Managed Care Payer Enrollment Director with Parallon, you ... resources you need to succeed in our organization. We are looking for an enthusiastic Managed Care Payer Enrollment Director to help us reach our goals.… more
- MaineGeneral Health (Waterville, ME)
- …Managed Care who will oversee all aspects of reimbursement, managed care contracts, and payer enrollment . The successful candidate will have a ... + Analyze government reimbursement and assist with provider and payer enrollment + Manage professional enrollment...of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is… more
- Covenant Health Inc. (Knoxville, TN)
- …tasks in the Managed Care department in regards to Payer Enrollment and Hospital credentialing. With limited supervision, the Credentialing Specialist ... The specialist may do any of the following: process payer enrollment , facility credentialing, pro-fee enrollment , expirables, hospital credentialing… more
- Albany Medical Center (Albany, NY)
- …Expertise with NCQA Credentialing Standards, Compliance + Familiarity with Managed Care Health Insurance Plans, credentialing, and enrollment + Works with ... ongoing auditing & monitoring of credentials files. The Provider Enrollment Specialist Serves as a high functioning member of...- required + 1-3 years in Medical Staff, and/or Managed Care credentialing - required + Proficiency… more
- Novant Health (Charlotte, NC)
- …Knowledge of provider enrollment application process for credentialing in a Managed Care , Medical Staff Services or Healthcare environment; required. + ... credentialing process. Responsible for keeping the Manager of RCS payer Enrollment informed about the progress of...to leveraging diversity and inclusion in support of quality care . + All Novant Health team members are responsible… more
- Penn Medicine (Philadelphia, PA)
- …and provider-based outpatient site and ambulatory surgical facilities, as required. + Payer Enrollment - Overall operational responsibility for the enrollment ... Penn Medicine hospitals, a quality improvement plan for the credentialing and payer enrollment processes which promotes patient safety, minimizes professional… more
- University of Rochester (Rochester, NY)
- …Flowcast billing application, Microsoft Word, Excel, Access, Email, Emdeon (Fidelis Medicaid Managed Care and Medicare Part B) clearinghouse software, third ... party claims systems (ePaces, Omnipro) and various payer web sites. Typical Duties 35% Researches and corrects...but are not limited to modifier requirements or provider enrollment issues. Identifies claims that require further research and… more
- Robert Half (Boston, MA)
- …of healthcare payer regulations and guidance with emphasis on the Medicare Managed Care Manual. + Expertise of core business processes related to ... is a passion. We lean into our mission: We Care . We Collaborate. We Deliver. At every level, we...payer practices. + Expert understanding of commonly used internal… more
- Dignity Health (Oxnard, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... organization's various systems. - Runs Eligibility (834) process between Enrollment system, claim system, and trading partners. - Oversees...preferred. - Knowledge of EDI transaction sets used in managed care (such as 837p, 837i, 835,… more
- Insight Global (Morristown, NJ)
- …for Payor/Provider enrollment . They will be responsible for submission of managed care , Medicare, Medicaid applications and monitor and track these ... applications through the payer credentialing process. We are a company committed to creating diverse and inclusive environments where people can bring their full,… more