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Good knowledge and working experience on US Health-care Payer E2E Claims Adjudication , Provider Data Management, Member Enrollment, Care Management, HEDIS, Poupulation Health, and Billing.
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Serves as the Senior Plan leader and liaison for MHI Service Operations, including: Claims, Configuration Information Management, Enrollment, Contact Center Operations, IT, Provider Configuration Management, Program Integrity, Risk Adjustment, Provider Resolution Team, Provider Appeal and Grievances, Member Appeals and Grievances, and other departments as required.
$122,430.44 - $238,739.34 a yearExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Previous healthcare marketing, enrollment and/or grassroots/community outreach experience a plus. Works cohesively with Provider Services to ensure providers within assigned territory are aware of Molina products and services.
Starting at $17.85 - $38.69 an hour depends on education, experienceFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Cooperate with provider enrollment/credentialing staff to keep enrollment with payers current. Fluent in Spanish, Somali, Hmong language, Vietnamese, Lao, Pashtu or Dari. Provide general and emergency pediatric (up to 65% of the patient population) and adult dentistry care in community health care setting to include a broad range of diagnostic, restorative, and oral surgery.
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The Client is seeking a Technical Business Analyst to assist with the implementation of the Provider Enrollment and Data Management and Credentialling module under the direction of the Technical Lead. They will be interfacing with the Business Owner, stakeholders, and vendors to oversee the implementation.
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Oversees the management and duties of the Licensure and Provider Enrollment Coordinator. Experience in provider enrollment and Medicaid programs. Assists RCM in billing issues as it relates to Medicare and Medicaid provider numbers.
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Experience with net revenue, Crowe revenue analytics tool, and provider enrollment. Experience with net revenue, Crowe revenue analytics tool, and provider enrollment. Responsible for determining contractual and bad debt reserve estimates using the Crowe RCA tool and our accounts receivable model.
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CBI is the premiere non-profit fully integrated healthcare provider of substance use and behavioral health programs in Arizona, including prevention, education and treatment using cutting-edge, nationally recognized, evidence-based models.
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Provider Enrollment Specialist provides direct support, organization and completion of all initial and renewal provider enrollment process for all government and commercial payors of Baptist Health Employed Providers who maintain billing privileges.
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Communicates with Revenue Cycle Director regarding contract and provider enrollment completion and updates. The Contracts Manager is responsible for overseeing all aspects of the Facility Contracting and Provider Enrollment processes, managing staff and delegating assignments to ensure accuracy, timeliness, and efficiency.
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Expert practice management including privileging, provider enrollment, and billing and collections. ICC (Intensive Care Consortium) is looking for an acute care nurse practitioner or physician assistant to join our program at HCA Houston Healthcare Southeast in Pasadena, TX.
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Medical, Dental, Vision, Disability, Life, Supplemental plans - Hospital indemnity/ Critical Illness, Pet Insurance, Dependent Care Savings, Health Care Savings, 401K with employer match - 100% vested upon enrollment, Generous PTO accrual, Wellness programs, Tuition Reimbursement and Scholarship Programs, incentives, and more.
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Supports Enrollment Coordinator daily with, but not limited to, filing, Income Eligibility Forms (IEF), Denver Preschool Program (DPP), Denver Public Schools Identification (DPS ID) numbers, and data entry.
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The Provider Enrollment Specialist provides support and completion of provider enrollment applications for governmental and non-governmental payers for MPOWERHealth/Acquisition Billing clients.
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High School Diploma or GED and 7-10 years of experience in contract management, provider relations or provider enrollment in lieu of bachelor's degree. 7-9 years in provider relations, payor contracting, provider enrollment, payor configuration or provider-facility credentialing Required.
$65,190 - $97,785Full-timeExpandApply NowActive JobUpdated Today
enrollment provider jobs
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