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Will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, and Network Management to setup systems to ensure accuracy of payments processing. MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Odyssey Staffing has an Internal Medicine physician need for a clinic in Rockport, ME starting in May. Ideal provider would have Board certification, License and updated certifications upon start date.
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Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid (where applicable). Knowledge of provider credentialing processes with internal and external stakeholders.
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Under general supervision of the Director of Revenue Cycle, the Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by hospitals, Medicare, Medicaid and other healthcare entities.
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Utilize knowledge & skills set to accurately complete Medicare, Tricare, and Medicaid Programs provider enrollment application. 2 years of progressively responsible experience in a business office or managed care credentialing setting with specific experience in provider enrollment.
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As a Provider Credentialing Specialist, you will be responsible for overseeing the credentialing and primary source verification processes for practitioners and healthcare organizations.
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Job Title: Provider Credentialing Specialist. Experience Required: 1+ Year of Provider Credentialing or Similar Experience. Maintain the minimum volume of delegated provider entries in CACTUS to meet productivity expectations, in line with departmental requirements.
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Fill out provider applications for contracted payers-Blue Cross products, Blue Shield products, Medicare, Medicaid, Tricare, ACN, etc. Credentialing and Billing Specialist ( PRN ) at Trinity Health in Boise, Idaho, United States Job Description Employment Type: Part time Shift: Day Shift Description: Saint Alphonsus Health System has an opportunity for an individual with billing experience to join our team.
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Minimum of one year paralegal/legal assistant experience, preferably in healthcare environment or experience in Medicare or Medicaid provider enrollment or private payer enrollment/credentialing.
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Experience in other provider related healthcare departments such as credentialing, provider relations or contracting preferred. Samaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans; SHP is also the third-party administrator for Samaritan Health Services self-funded employee health benefit plan.
Full-timeRemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Facilitates monthly credentialing for medical and allied health professional staff to ensure compliance with the Medical Staff Bylaws, Centers for Medicare and Medicaid Services (CMS), National Committee for Quality Assurance (NCQA), URAC, as well as State regulatory requirements and all other accreditation requirements.
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Must be able to secure credentialing through identified agencies (Medicare, Medicaid, etc. Participates in provider staff meetings to develop problem-solving techniques, and acquire team-building skills.
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The Provider Enrollment Analyst (I) is responsible for coordinating the provider enrollment and payer credentialing efforts for contracted FPA providers with Medicare and Medicaid.
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Federally Qualified Health Center (FQHC) Medicaid and Medicare billing experience is required. Under the supervision of the Director of Finance, the Billing Manager is responsible for the day-to-day operations of billing services and provider enrollment.
Full-timeExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
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Extensive experience with the full range of network development, ranging from selecting providers, contracting, credentialing, provider feedback, to provider services. Experience with Commercial, self-funded, and Medicare Advantage network requirements.
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