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About the Role:The Payer Credentialing Specialist is responsible for researching payer credentialing and billing issues and will work in conjunction with the Manager of Payer Credentialing in order to identify issues with the external Provider Enrollment vendor and the internal payer credentialing team.
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12 Processes day-to-day WVUHS Insurance Provider Enrollment requests within the scope of contractual agreements. Maintains updated individual staff profiles, reporting all changes to WVUHS Insurance Provider Enrollment as contracted.
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Stay up to date with relevant policies, regulations, and procedures related to PIV card enrollment. Coordinate and conduct the enrollment process for PIV cards, including verifying the identity of applicants and collecting required documentation.
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Participate in training sessions to enhance knowledge of enrollment processes, data security practices, and customer service skills. Use approved verification methods to ensure the identity of applicants before proceeding with the enrollment process.
$35,500 - $42,900 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Maintain accurate records of the enrollment process, including documentation of each applicant's information, enrollment date, and any issues encountered. Provide excellent customer service to address questions and concerns related to the enrollment process.
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Three (3) years of highly relevant experience, with at least (1) one of those years working in a medical staff office or a highly relevant area involving provider enrollment/ credentialing in another setting.
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Verify the authenticity of provided documents and information to prevent fraudulent enrollment attempts. Communicate clearly and professionally with applicants, explaining the enrollment process, required documents, and any additional steps they need to follow.
$36,500 - $43,400 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Schedule appointments and/or service walk-ins for Personal Identity Verification (PIV) Card Activations, Enrollments, Certificate Updates and PIN Resets. Answering phone calls/email inquiries for all things related to PIV credentials and access control matters.
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Schedule appointments and/or service walk-in for Personal Identity Verification (PIV) Card Activations, Enrollments, Certificate Updates and PIN Resets. Active Public Trust/MBI clearance or the ability to obtain one.
$39,000 - $53,800 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Job Requirements for Direct Hire Hybrid Credentialing Specialist: Minimum of 2 years of credentialing/enrollment or medical billing/ insurance credentialing experience Familiar with working with EHR/EMR system CPCS certification is a plus PeopleShare is the leading Staffing Agency in the region and has temporary to hire and permanent jobs across 8 states.
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Researches and keeps abreast of third party and governmental payers' regulations and changes pertaining to credentialing and enrollment. Works in collaboration with each facility (subsidiary) or appropriate McLaren department to obtain supporting documentation and information required to meet payers regulatory and compliance requirements for their credentialing and enrollment programs.
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Joining KIPP SoCal Means the FollowingWorking at an organization committed to the hard work necessary to ensure education is for liberation Spending time with students and families in the best communities of LA, Compton, and San DiegoSupport and care from fellow teachers, administrators, and regional team membersOngoing professional development and coaching from a school site manager Creation of an individualized credentialing plan with top-notch support from our dedicated Talent Team.
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With a patient centered culture, the Managed Care/Payer Enrollment Specialist will manage daily activities related to providing operational support for Payer Enrollment. Previous experience working with hospital contracts or demonstrated knowledge of contract principles, and interpretation of contract language Certified Provider Credentialing Specialist (CPCS) certificate preferred or willingness to sit for CPCS within one (1) year of hire.
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Duties and Responsibilities: Enrollment Process Management: Schedule appointments and/or service walk-ins for Personal Identity Verification (PIV) Card Activations, Enrollments, Certificate Updates and PIN Resets.
$37,800 - $51,400 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Coordinates and monitors credentialing and enrollment activity, as well as TUSM-related activity; provides regular updates to managers. Performs tasks core to the Practice Coordinator role.
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enrollment credentialing jobs
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