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Gainwell Technologies LLC
Overview
The specialist will process moderately complex provider applications and requests, ensuring accuracy, and maintain provider data within systems. They will also handle written correspondence, respond to inquiries, research issues, and ensure compliance with policies and procedures.
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Compensation
$37,500 - $53,500 / YEAR
Posted
17 days ago
Specialists are responsible for processing and returning moderately complex provider applications and requests, ensuring accuracy and completeness. This includes entering, verifying, and maintaining provider data within systems while handling correspondence and researching related inquiries.
Responsible for supporting provider enrollment, maintenance, and renewal activities for the Florida Medicaid program. This includes reviewing and processing applications according to federal and state guidelines.
$32,700 - $46,700 / YEAR
28 days ago
Cahaba Medical Care Foundation
Assists in preparing and submitting enrollment applications for healthcare providers and facilities with government and third-party payers. Maintains provider directories and CAQH accounts to ensure claims are not denied due to enrollment errors.
Salary not listed
1 month ago
Zotec Partners
Responsible for completing complex government and commercial payer enrollment applications for clients and physicians. The role involves maintaining necessary documentation and communicating credentialing-related claims issues to stakeholders.
AMERICAN ADVANCED MANAGEMENT
The role manages the administrative process of credentialing healthcare providers with insurance companies and government payers by preparing and submitting applications and tracking their status. Key duties include maintaining accurate provider records, ensuring regulatory compliance, and following up with providers and payers to resolve enrollment issues.
Surgery Partners, Inc
The specialist manages the credentialing process for healthcare providers, ensuring applications are processed efficiently and on time. They also handle the monitoring of initial and renewal applications for staff appointments and clinical privileges.
Jackson Hospital
The coordinator manages the enrollment and credentialing of healthcare providers with various health plans to ensure timely claim payments. They are responsible for maintaining provider documentation, monitoring application statuses, and resolving enrollment issues.
2 months ago
Easterseals MORC
This role is responsible for facilitating the enrollment of new providers to ensure timely billing and collections by preparing and processing enrollment applications for various health plans, including Medicare and Medicaid. Key duties involve maintaining accurate provider data, managing required documentation like licensure and insurance, and ensuring adherence to all enrollment timelines and departmental policies.
MyMichigan Health
This role coordinates and completes all provider enrollment activities for new, locum tenens, and existing providers, communicating progress and issues to various stakeholders. Responsibilities include facilitating administrative enrollment activities, acting as a specialist in the complex enrollment process with decision-making authority, and demonstrating competency in the Visual Cactus database for reporting.
American Vision Partners
The Provider Enrollment Specialist will be responsible for assisting with the administration of the provider enrollment process for both new and existing providers, including preparing and submitting enrollment applications until providers are enrolled with all assigned payers. This role also involves maintaining essential information for the credentialing/re-credentialing process, tracking application statuses using Smart Sheets, and updating various provider portals.
3 months ago
The New England Center for Children
This role involves ensuring accurate documentation of client funding sources, managing authorizations, handling denials, and maintaining comprehensive provider credentialing records for all relevant payers. The specialist must also support obtaining initial authorizations and timely reauthorizations for client services.
$22 / HOUR
Bowen Health
The Provider Enrollment Coordinator is responsible for managing the timely enrollment of licensed providers with private payers, Medicaid, and Medicare, while also overseeing staff credentialing and completing necessary provider privileges according to governing body requirements. Key duties include performing various enrollment functions using systems like CAQH and NPI, tracking applications, resolving enrollment issues, and managing recredentialing and privilege documentation.
Altais
The Provider Enrollment Specialist II independently manages the full lifecycle of provider credentialing, recredentialing, and payer enrollment for specified medical groups, ensuring compliance with various policies and standards. This role involves coordinating payer enrollment, maintaining government payer records, collaborating on EHR system issues, and managing credentialing processes for health plans and medical staff.
$21 - $25 / HOUR
University of Iowa
The coordinator will review and assess the work of Patient Financial Services/Mission employees, overseeing Provider Enrollment monthly against established expectations while working closely with leadership. Key duties include providing direct support, consultation, guidance, and training, as well as supporting monthly quality and productivity assessments and implementing new processes.