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Serve as the primary contact for Provider Enrollment claim denials with payors, SCP Medical Collections, Revenue Integrity, Systems, and Managed Care departments. The Provider Enrollment Claims Specialist directly impacts the financial stability of the Company because he/she is the SCP Health representative who researches and resolves the provider enrollment claim denials with Government and Commercial Payors.
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The Provider Enrollment Specialist plays a vital role within our Payor Strategy Team. This position will be responsible for ensuring that Aspen providers are enrolled with assigned dental plans and remain active.
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The Enrollment Coordinator must ensure that all assignments are completed accurately and in a timely manner in accordance with NYSDOH Medicaid guidelines, MLTC provider regulations, and agency policies and procedures.
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An Enrollment Specialist is a member of the Patient Engagement Specialist (PES) team, telephonically educating and enrolling patients in a Medicare-sponsored care coordination program designed to help the patient better manage their chronic illnesses (diabetes, high blood pressure, COPD, etc.
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A reasonable estimate of the current salary range is $29.00 - $50.50 per hour for the role of Senior Managed Care Specialist ( Provider Enrollment). The Senior Managed Care Specialist (Provider Enrollment) is responsible for managing provider enrollment duties and tasks, implementing and maintaining all data and activities related to the enrollment of hospital employed or contracted physicians into all contracted insurance programs, including State Medicaid programs.
$29 - $50.5 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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This position supports the Enrollment Management (EM) Division by providing them IT assistance with the following areas: ERP (Colleague by Ellucian) Administration, institutional, state and federal reporting and CRM Administration and other areas defined by the Chief Information Officer (CIO) and the Associate Vice President of Enrollment Management (AVPEM.
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The AVCEM should be familiar with the scope of enrollment management best practices within higher education, including predictive data analytics, institutional research, marketing, maximizing the utility of an enrollment CRM, and campus visitor experience.
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Define and manage Group Insurance’s partnership strategy with Human Capital Management partners (Workday, UKG, Dayforce, Oracle, and ADP WFN), Benefits Technology partners (Businessolver, Benefitfocus, bswift, Empyrean, Employee Navigator, Plansource, ADP Nationals, Alight, and Selerix), and Enrollment partners to help drive profitable grow for Group Life, Disability, Absence and Supplemental Health products.
$192,400 - $260,400 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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We are currently seeking an individual to become part of the Product organization, as VP, HR Technology Partnerships & Enrollment Services. The Group Insurance business has been undergoing a transformation which includes expanding HCM, Benefits Technology and Enrollment Services capabilities to drive sustainable, profitable growth.
$192,400 - $260,400 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Self-starter, who can define and establish a HR Technology & Enrollment services roadmap. The leader will also define and ensure successful execution of the HCM and Benefits Technology roadmap which includes integration with external partners via APIs. Furthermore, this role will direct the Enrollment Services function to ensure Group Insurance is maximizing each enrollment opportunity for voluntary benefits.
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10+ years of experience in Group Insurance, with at least 5 years of experience leading a Benefits Technology and/or Enrollment partnership team. The incumbent, through their various teams will be responsible for HCM, Benefits Technology and Enrollment Strategy partnership advancement and relationship management.
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Ensure the team is equipped to support distribution for finalist and stewardship meetings and there is a robust training plan in place to educate the organization related to our HCM, Ben Tech and Enrollment capabilities.
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Novant Health Medical Group is looking for a conscientious, compassionate, and skilled Surgical Advanced Practice Provider (APP) to join our local growing Urology practice of 13 physicians and 13 APPs in Winston-Salem, NC. This position would provide clinical care for urological patients in the acute and ambulatory setting.
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Assistance with obtaining an Affiliate Sex Offender Treatment Provider license including reimbursement for application costs and help with arranging and paying for clinical supervision is available.
$70,000 a yearFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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As an integral team member of MercyOne PHSO's Operations team, the Provider Network & Operations Coordinator assists PHSO leadership on tasks as assigned. Functions including oversight and management for the MercyOne Provider Network Directory, Compliance & auditing, and coordination of projects.
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Title: provider enrollment Company: Baptist Health Alabama in IN, Pennsylvania
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