- University of Rochester (Rochester, NY)
- …**ESSENTIAL FUNCTIONS** + Tracks and assigns practitioner applications for processing by payer enrollment specialist staff. Audits and monitors payer ... updates training program for new and existing staff on processing payer enrollment applications. Ensures efficiency for new and existing processes. Trains new… more
- 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
- 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
- University of Rochester (Rochester, NY)
- …related field and 1 year of experience in Medical Staff credentialing and/or payer enrollment functions required + Or equivalent combination of education and ... credentialing software or other secure electronic process. + Assists the Credentialing Coordinator with the enrollment of liability insurance for qualified… more
- Dignity Health (Mesa, AZ)
- … Coordinator is responsible for coordinating the credentialing re-credentialing and payer enrollment process for Arizona General Hospital -Phoenix and ... process. + Maintains up-to-date physician database of all applications, enrollment status, demographics, medical licenses, drug enforcement administration certificates,… 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 (Nashville, TN)
- …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
- Dignity Health (Prescott, AZ)
- … Coordinator is responsible for coordinating the credentialing re-credentialing and payer enrollment process for providers in accordance with the Health ... Health Care Plan Credentialing/Provider Relations and/or auditing setting, or Health Care Enrollment . + High School Diploma/GED + Proficient with CACTUS Software, or… 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