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Must have experience in Provider Enrollment, Credentialing, Accounts Receivable, Denials, and Insurance Follow up. Oversee the Provider Enrollment process including application/notification submission with Commercial and Government payors and credentialing activities, in coordination with department staff, Managed Care, Credentialing Processing Centers (CPCs.
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Certification/Registration/Licensure: - Must have current healthcare provider BLS for Healthcare provider certification from one of the following: - American Heart Association - American Red Cross - Military Training Network - Must meet and maintain licensing and registration requirements as delineated by the Medical Staff Bylaws, Medical Staff Rules and Regulations, and Credentialing Policies/Procedures.
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1+ years of Enrollment experience within GEHA. May attend daily Open Enrollment/ID Card meetings and give appropriate updates. Researching and interpreting enrollment/eligibility questions for many different and unusual plans and offering technical direction on how to move forward with the call and/or enrollment entry resolution.
$19.47 - $38.08 an hourFull-timeRemoteExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Assist leadership in assessing, planning, organizing, and implementing designated advanced practice provider activities. Certification/Registration/Licensure - Must have current healthcare provider CPR course completion card from American.
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Serve as a subject matter expert on provider enrollment processes, regulations, and compliance requirements. Collaborate with the Provider Enrollment leaders to identify training needs and develop strategies for continuous improvement.
$65,000 - $85,000 a yearFull-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
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Provider Enrollment Specialist II - Health Plan Enrollment. Complies with Medicare and Medicaid provider enrollment guidelines. Coordinates Medicare and Medicaid enrollment/re-enrollment and managed care credentialing and contracting processes for providers.
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Integrative Emergency Services, LLC ("IES") is looking for a Provider Enrollment Specialist to support the division in facilitating the enrollment (submitting of applications) of both the Provider Groups and individual providers with the various government and insurance healthcare payors, network managed care contracting plans, and third-party billing entities that require provider enrollment.
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Open Enrollment position is also relevant to job seekers with various work experiences such as: Business Manager Finance Marketing Banking Regional and Territory Sales Office Appointment Setter Tele Teacher Support Customer Service Real Estate and Auto Sales Retail Educators Graduates Agent Financial Services Assistant Leasing Accountant Coordinator Representative Transitioning Military Personnel Business Graduates.
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The Enrollment Specialist has primary responsibility for enrolling members in our Health Management programs: Ongoing Condition CARE, Maternity CARE and Wellness CARE. Duties include setting up a case in our documentation platform, Aerial, and documenting recruitment activities in Aerial.
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Take charge of hospital-based provider staffing initiatives, encompassing mid-level providers, to streamline the coverage model. The Senior Director of Physician and Provider Recruitment is a pivotal role as they are responsible for strategically attracting and retaining qualified medical professionals.
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Title: Nurse Practitioner - Advanced Practice Provider. Nurse Practitioners practice in our outpatient practices on a collaborative care team composed of a physician, nurse practitioner or physician assistant, medical assistants, a dedicated medical scribe, and support from registered nurses and care managers.
$105,000 - $148,500 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Attend open enrollment sessions or in person provider meetings as requested. The Provider Relations Representative possesses an integration of inter-personal, administrative, and specialized skill sets.
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3 plus years of clinical experience as an Advanced Practice Provider (APP) performing the same or similar job duties. - 5 plus years of clinical experience as an Advanced Practice Provider (APP) in any field.
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Three years of experience as a registrar, enrollment or admissions clerk or any other district position associated with the collection and data entry into a student information system are preferred.
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Maintain knowledge and expertise in eligibility, enrollment and billing; and program specifications for U.S. Family Health Plan, Medicare, Medicaid, and or the Federal marketplace. Enters information during the enrollment process that assists claims personnel in claim adjudication including COB.
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Title: provider enrollment Company: Baptist Health Alabama in Dallas, TX
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