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2+ years of experience in managed care OR medical insurance experience (can include credentialing providers, provider relations, medical billing, provider administration) 6+ months of medical claims experience (credentialing of a provider OR practice, HCFA forms (1500 Form), UB OR hospital claims forms, reimbursement claim forms.
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JOB REQUIREMENTS: Provider Data Specialist Administration - 1265 John Q.Hammons Drive, 1265 John Q. Hammons Dr. , Madison, Wisconsin, UnitedStates of America Req #1617 Thursday, March 14, 2024 Group HealthCooperative of South Central Wisconsin.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Knowledge and experience with Office Management, Business Management, HR tasks, Medical Billing, Coding, & Health Insurance Claim Submission, Insurance Credentialing, Patient Registration and Scheduling, Payroll and other Accounting tasks, A/R Management, and use of Electronic Medical Records/EHR software are all highly valued, but not all required to apply.
Full-timeExpandUpdated 27 days ago - UpvoteDownvoteShare Job
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The Coordinator I, Provider Credentials is also accountable for ensuring the pharmacy credentialing process meets Navitus’ policies, complies with URAC standards, and ensures that Navitus does not allow non-qualified pharmacies to participate and non-qualified prescribers to process claims.
Full-timeRemoteExpandUpdated 17 days ago - UpvoteDownvoteShare Job
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Provider Enrollment Analyst / Credentialing. Ensure all provider enrollment data is properly controlled and tracked to ensure applications are approved or denied within standards of timeliness established by department and Centers for Medicare and Medicaid Services (CMS.
Full-timeRemoteExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Meet all provider compliance requirements, including but not limited to inspections, audits and credentialing, ensuring non-compliant Vendors are not performing services for MTM. Assist with/participate/facilitate regular provider town hall meetings.
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Provider Data Specialist. The positionwill also work closely with internal contracting, credentialing, andquality management staff to ensure information is obtained andmaintained as required by regulatory and governing bodies.
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Be part of something remarkable As an Advanced Practice Provider, you'll play an integral role in our inpatient and ambulatory care teams by providing high-quality, cost-effective care to patients.
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May be responsible for accurate and timely physician and other provider credentialing. The Administrative Assistant provides administrative support to CEO or management team to ensure efficient operation of the facility by conducting research, preparing reports, handling information requests and performing clerical functions such as filing, preparing correspondence, answering phone calls, receiving visitors, arranging conference calls, ordering supplies and other program materials, and scheduling meetings.
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ASAP start for 13 weeks SNF experience required Active WI license required 40 hours/week guaranteed We provide complimentary housing and travel We arrange and cover costs for licensing and malpractice We simplify the credentialing and privileging process We provide first-day medical insurance and 401(K) Your personal recruiter handles every detail, 24/7 Provider compensation offers are based on skill level, experience, and qualifications.
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The Advanced Practice Provider will be responsible for caring for patients, maintaining accurate and current patient records and scheduling and administering follow-up appointments as required.
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