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The Credentialing Onboarding Specialist reports to the Credentialing and Enrollment Manager and will be a key member of the Revenue Support Team. This role is primarily focused on ensuring the timely, accurate and efficient new provider onboarding and electronic billing support for all Benevis dentists and offices with payors.
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Key stakeholder departments include, configuration, provider relations, provider credentialing, provider enrollment, claims, medical management and payment integrity.
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Maintains current provider profiles in the BMG Credentialing database SyMed OneApp. Performs initial development of Enrollment Portfolio for newly hired providers and assists in auditing established provider files.
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In lieu of degree, will consider individual with directly related experience in provider enrollment and/or credentialing in health care setting. Track status of a carrier enrollments, update provider enrollment systems, and notify the appropriate EPIC Team, when necessary, as approval is obtainedWork with the other Professional Billing Office (PBO) departments, PCPO, the Partners Central Verification Office on any enrollment related issues that arise with the provider billingServe as a resource to providers, appointments coordinators, and PBO regarding the enrollment process.
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Assists with the coordination of hospital privileging, credentialing and provider enrollment processes in collaboration with Associate Administrators. Assists with maintenance of both internal and external EAP provider records.
$39,000 - $45,000 a monthExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Credentialing Time Frame: Active Medicaid - 2 weeks, New Medicaid enrollment Provider 90 - 120 days. This facility is seeking a Pediatric Dentist for locum tenens support as they look to fill a current need.
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Three (3) to five (5) years of credentialing and/or provider enrollment leadership experience with physicians, Advance Practice Clinicians (APCs), behavioral health, and/or allied providers, in a fast-paced health care environment (hospital, provider group, health plan) – Required.
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As the need arises, manage large volume of inbound and outbound calls related to Medicaid provider enrollment inquiries. Document all provider enrollment inquiries in the call center and/or provider enrollment database.
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We would need an immediate turnaround on the credentialing application and billing enrollment packet. Locum provider will not have a scribe for this assignment and will be responsible for all charting and work completion without an assistant joining them throughout the day.
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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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The Senior Director will provide\ strategic leadership to the HHC System Credentialing Verification Organization (CVO), Medical Staff Office (MSO) and Provider Enrollment teams (PE.
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Serves as administrator for Provider Credentialing/Payer Enrollment database. Updates and maintains Provider Credentialing/Payer Enrollment database. Provider Enrollment Specialist Lead-HP Enrollment Eligibility.
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Facilitates and assists with applicable payers relative to changes of information for provider or facility credentialing and enrollment. Two years or more experience in a role related to health care administration pertaining to institutional or provider enrollment, and/or finance role with reimbursement responsibilities.
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These departments include, but are not limited to: recruiting, scheduling, credentialing, payroll, risk management, documentation education, chart flow, provider enrollment, PSO, compliance, and scribes.
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Advanced knowledge of National Practitioner Data Bank (NPDB), NCQA, TJC, CMS and State Laws and regulations as they pertain to credentialing, Provider enrollment, and Peer Review.
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provider credentialing enrollment jobs
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