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Minimum of 5 years of experience in provider enrollment management, with at least 3 years in a leadership role, preferably in a multi-specialty healthcare setting. Prepare and present reports, presentations, and updates to senior management, providing insights into enrollment activities, performance metrics, and strategic recommendations.
$135,000 - $150,000 a yearFull-timeExpandUpdated 1 month ago - UpvoteDownvoteShare Job
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PESC (Provider Enrollment Specialist Certification) Experience/Knowledge of CAQH, Availity and other provider related credentialing/enrollment databases. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
Full-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Request and organize supporting documentation to accompany various provider enrollment applications from multiple departments, including but not limited to PHI Health, LLC and/or PHI Group, Inc. Corporate Operations, Corporate Compliance, Legal, Risk Management, Tax, Patient Financial Services, Aviation, Clinical and Financial Services.
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Other duties include follow-up on open applications with providers or payors, including escalation to the Provider Enrollment Account Management team or Strategic Pricing and Analytics (SPA) Managed Care Team for resolution.
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Assist Provider Data Management (PDM) team in data entry of key provider demographics and data integrity projects including but not limited to outreaching for additional details required to update CACTUS Credentialing Software's database and directory.
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The Provider Enrollment and Credentialing Manager plays a crucial role in ensuring the efficient and compliant onboarding of healthcare professionals within United Urology Group (UUG), and its affiliates.
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Jump-start your career as a Provider Enrollment Specialist today. If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Provider Enrollment Specialist opening.
$15 - $21.44 an hourFull-timeExpandUpdated 1 month ago - UpvoteDownvoteShare Job
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Responsible for all operations within the Credentialing department at UUG, the effective and efficient processing of all initial and re-credentialing for UUG practice affiliate providers who are on staff with external hospitals, UUG Ambulatory Surgery Centers (ASC), and the Provider Enrollment process for all markets UUG conducts business operations, under established policies and procedures, and accreditation and regulatory requirements.
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50%) + Resolves enrollment issues through collaboration with physicians, non-physicians, office staff, management, contracting, insurers, and others as identified. Provider Enrollment Specialist at Highmark Health in Boise, Idaho, United States Job Description Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Coordinates and facilitates the enrollment of Allegheny Clinic professional providers with various payers for professional services reimbursement.
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Reviews all applications and other provider enrollment information for thoroughness and completion prior to being sent to government entities, managed care plans or internal department and management.
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Provides regular updates and presents issues that require management involvement to the Associate Director of Provider Enrollment. Serves as a working Supervisor, performing job functions associated with Provider Enrollment and claims (AR) management.
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You have at least 3 years of direct Medical Insurance Denials Management experience, Central Billing Office experience preferred. Medical Collections and Provider Enrollment experience required.
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JOB TITLE : Provider Enrollment Specialist/Credentialing. Knowledge of Governmental and Private Provider enrollment processes and applications for Louisiana and other States.
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In addition, the Provider Enrollment Specialist II will assist Management in maintaining provider enrollment goals for all divisions. Performs other job-related duties within the job scope as requested by Provider Enrollment Management.
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Validates the data to be housed on provider databases and ensures adherence to business and system requirements of customers as it pertains to contracting, network management, and credentialing.
$19.66 - $20.64 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago
management job Title: provider enrollment in IN, Pennsylvania
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