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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.
Full-timeExpandUpdated 5 days ago - UpvoteDownvoteShare Job
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Some tools may include but are not limited to Authorization Guidelines, Insurance Guidelines, Fee Schedules, NPI (National Provider Identifier), PECOS (the Medicare Provider Enrollment, Chain, and Ownership System) and "How-To" documents.
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Assists in the re/enrollment activities of YVFWC under the direction of the Provider Enrollment Specialist. Notifies Provider Enrollment Specialist of complete applications.
$19 - $23 an hourExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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Customer Service Specialist. Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required. Answer questions about products and services, retail stores, general service line information and other information as necessary based on customer call needs.
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Enrollment activities include on site coverage at hospitals, provider offices, City agencies, community business partners and Community Based Organizations (CBO's). Establish and maintain good working relationships with external business partners such as hospital and provider organizations, City agencies, small businesses, and Community Based Organization personnel where enrollment activities are conducted.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Minimum of 1-2 years of experience in credentialing or provider enrollment. As a Credentialing Assistant, you'll work closely with the Credentialing Specialist. Coordinate with internal departments and external agencies to obtain and update relevant provider information.
$20 - $22 an hourFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Knowledge, Skills & Experience: Proven experience in medical credentialing, licensing, or provider enrollment within a healthcare or life sciences organization Familiarity with credentialing requirements of regulatory bodies, insurance companies, and healthcare facilities.
$40,000 - $50,000 a yearExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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This position is responsible for planning and conducting virtual and on-site New Provider Enrollment Reviews and validating re-enrollment reviews of current Medicaid providers to determine if they meet Medicaid provider enrollment requirements.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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PECOS - Medicare enrollment information), Medicaid Provider Enrollment Portal, custom-built Salesforce database. Provider Enrollment, Chain, and Ownership System. This job assumes responsibility for and assists with completing assignments and managing projects in the areas of state licensing regulations, Medicare certification, Medicaid enrollment, and Medicare required time studies.
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The Provider Enrollment Specialist is responsible for coordinating, monitoring and maintaining the provider enrollment and re-enrollment process in a timely and compliant manner with all government and commercial plans.
Full-timeExpandUpdated 7 days ago - UpvoteDownvoteShare Job
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The Customer Service Specialists works in a fast-paced environment answering inbound calls and making outbound calls. General knowledge of Medicare, Medicaid, and Commercial health plan methodologies and documentation requirements preferred.
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This position answers calls on the toll-free lines and replies to other types of correspondence providing consultative services to providers and external customers regarding enrollment, terminations, re-enrollment, changes of information in the provider files, and billing problems pertaining to provider enrollment.
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Under the direct supervision of the Provider Enrollment Supervisor, the Provider Enrollment Specialist is responsible for maintaining both participating and non-participating provider records in the provider database, mapping claims in the invalid provider queue, resolving provider related issues for claims suspended to Provider Enrollment.
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Experience with Provider Enrollment with insurance carriers preferred. Experience with Provider Enrollment with insurance carriers preferred. Must be familiar with healthcare AR revenue cycle management, preferably in a physician environment, and what is required to attain optimal collection performance standards.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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AO Globe Life s a leading provider of life insurance solutions committed to protecting families and individuals from life's uncertainties. AO Globe Life an equal opportunity employer and values diversity in the workplace.
ExpandApply NowActive JobUpdated 5 days ago
provider enrollment specialist jobs
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