- UTMB Health (Galveston, TX)
- Provider Enrollment Specialist - Managed Care **Galveston, Texas, United States** **New** 1. Select the Job Field UTMB Health Requisition # 2500439 ... billing, or related experience in a healthcare organization. **Job Description:** The Provider Enrollment Specialist is responsible for coordinating,… more
- Methodist Health System (Dallas, TX)
- …patient impact ☐ FLSA: Exempt ☒ FLSA: Non-exempt **Job Purpose:** _Knowledge of payer enrollment and managed care principles in compliance with NCQA, URAC, TDI ... Standards including Texas Administrative Codes pertaining to credentialing and payer enrollment to coordinate enrollment , data integrity, accuracy and… more
- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview The Provider Enrollment Specialist will assist the Company's Legal Department by enrolling and tracking ... applications as well as re-validations and re-credentialing applications. In addition, the Provider Enrollment Specialist may be asked to work with… more
- AdventHealth (Altamonte Springs, FL)
- …Altamonte Springs, FL **The role you will contribute:** The Regulatory Licensure and Enrollment Specialist , under the guidance of the Director of Regulatory ... stakeholders in a timely manner. The Regulatory Licensure and Enrollment Specialist must be able to develop...licensure and enrollment duties such as PECOS ( Provider Enrollment Chain of Ownership System), AHCA… more
- Albany Medical Center (Albany, NY)
- …Albany Med Health System's ongoing auditing & monitoring of credentials files. The Provider Enrollment Specialist Serves as a high functioning member ... onboarding and training of new credentialing associates to the NCQA and provider enrollment process + Expertise with NCQA Credentialing Standards, Compliance… more
- Brighton Health Plan Solutions, LLC (Denver, CO)
- About the Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Specialist for our Enrollment and Eligibility/ Employer Services Department, as a ... computer as the primary instruments to perform job duties. + Knowledge of managed care, labor and commercial carrier enrollment and eligibility procedures… more
- Staffing Solutions Organization (OH)
- …line. Calls can include a range of inquiries including application status for provider enrollment , compliance reviews, and site visit scheduling. + Check ... LLC (PCG), is focused on delighting clients with world-class managed staffing and talent consulting services. SSO is committed...documents to the appropriate staff. + Review and verify provider enrollment applications are complete. + Schedule… more
- VNS Health (Manhattan, NY)
- OverviewThe Medicare Enrollment Specialist educates consumers who have reached out to VNS Health Plans and existing VNS Health Plans MLTC members about the ... Works under general supervision. Compensation Range:$70,200.00 - $87,700.00 Annual What We Provide + Referral bonus opportunities + Generous paid time off (PTO),… more
- McLaren Health Care (Flint, MI)
- …Inc. at https://www.mdwise.org/ **Position Summary:** Responsible for all aspects of provider enrollment , including maintaining and validating provider ... We are looking for a Provider Relations Specialist to join us...years' experience and knowledge of HMO, PPO, TPA, and Managed Care functions. **Preferred:** + Associate degree in business,… more
- Trinity Health (Columbus, OH)
- …variety of professional roles including information technology, financial analysis, audit, provider relations and more. We know that exceptional patient care starts ... and do the right thing. **Position Purpose:** The Operations Resolution Specialist researches, analyzes, documents, and coordinates the resolution of escalated… more