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Provider Data And Enrollment Specialist Ii Jobs

Provider Enrollment Specialist Jobs
By MCR Health, Inc At Bradenton, FL, United States
Working knowledge of Managed Care and insurance payor plans required
1+ years' experience in provider enrollment required (2+ preferred)
1+ years' experience using an electronic credentialing software preferred (Cactus a plus)
Experience with delegated credentialing preferred
Excellent listening and interpersonal skills
Complete insurance enrollment applications for our new providers
Provider Enrollment Specialist Jobs
By Methodist Le Bonheur Healthcare At , Memphis, 38104
Skill and proficiency with Microsoft Office and databases.
Ability to handle assignments independently and demonstrate analytical skills, human relations, problem solving and interpersonal contacts.
Ability to function with minimal supervision.
Provides administrative and technical support to the provider credentialing and re-credentialing process.
Conducts primary source of verification for prospective and current providers.
Responsible for administrative support duties for the department.
Remote Provider Enrollment Specialist Ii
By Envision Healthcare At , Fort Lauderdale, 33309
Manage roster submission, review, and data entry.
Partner with Manager to communicate any payer maintenance activity updates required.
Demonstrate a systematic approach in carrying out assignments; methodical in planning and performing; effective prioritization skills.
1-2 years of experience as described.
Working knowledge of Microsoft Office Suite and Provider Enrollment proprietary software.
is a remote position, allowing the
Provider Data Analyst Ii
By MultiPlan Inc. At , Remote $18 - $24 an hour
JOB REQUIREMENTS (Education, Experience, and Training):
Communication (written, verbal, listening) organization, telephone, interpersonal, analytical and data entry skills
Minimum High School Diploma and 5 years' relevant experience; Bachelors' degree in a related field is preferred
Ability to use software, hardware and peripherals related to job responsibilities including MS Office products
Required licensures, professional certifications, and/or Board certifications as applicable
14. Ensure compliance with HIPAA regulations and requirements.
Provider Enrollment And Credentialing Specialist
By Bikham Information Technologies At , Remote
Knowledge and experience with CRMs
5+ years of experience in client-facing roles required
Knowledge of US Healthcare would be a big plus
Healthcare sales experience is a big plus
Working for a successful company where employees are highly respected and not micromanaged.
Being available to speak on the phone with providers and team members when needed during work hours.
Specialist Ii, Provider Recruitment Operations
By Teladoc Health At , Remote $70,000 - $75,000 a year
Data Management and Reporting (45%)
Assist with completion and execution of employment offers and independent contractor contracts, licensing, and credentialing.
Collaborate with key stakeholders, hiring managers and provider recruiters to ensure best practice and process adherence.
Verify credentialing application materials are completed correctly and confirm provider meets the minimum requirements of each position.
Synthesize and share knowledge with candidate regarding necessary credentialing materials dependent on provider state licenses.
Maintain an organized database of candidates, including contact information, qualifications, and recruitment status.
Enrollment Specialist Ii Jobs
By UST HealthProof At United States
Participate in projects as assigned by management
Be responsible to verify and maintain all applicable eligibility requirements
3-5 years of professional experience in processing Medicare enrollment transactions
Experience with CMS interfaces and systems for managing the Medicare Advantage enrollment and billing functions
Be responsible for preparing, processing, and maintaining enrollment and disenrollment requests
Be responsible to review and process CMS transactions
Provider Enrollment Specialist - Washington
By Privia Health At United States
Resolution of Salesforce cases and management of issues and the team resolving the cases is a key element in this role.
Must be able to function independently, possess demonstrated flexibility in multiple project management
The Enrollment Specialist will manage all payer data in CredentialStream for both the group and the individual providers.
2+ years’ experience in payer enrollment function
Verity or other credentialing experience preferred
Demonstrated skills in problem solving and analysis and resolution
Provider Enrollment Specialist Clerk
By Peraton At United States
May assist in the work of less experienced clerks.
Basic knowledge of the administrative methods, and an acumen to develop the required administrative skills of the job.
High School Diploma and a minimum of 1 to 2 years of experience.
Specific level of software skills as required by the work unit.
Previous Medicare Part B Provider Enrollment experience
Detail-oriented and have excellent verbal and written communications skills.
Enrollment Data Analyst Jobs
By nTech Workforce At Owings Mills, MD, United States
This position is 100% remote
2-3 years experience in a data analytics-type role.
Proven experience in healthcare enrollment and eligibility processes (EDI 834)
Experience in identifying and resolving enrollment-related issues and errors.
Excellent communication skills both written and verbal.
Resources need to be local to Eastern and Central Time Zones
Provider Enrollment Spec Ii (Remote)
By Mercy At Springfield, MO, United States

The Provider Enrollment Specialist II works with applicants, management and executives to complete the enrollment applications according to government regulations for all Physicians, Non-Physician ...

Provider Recruiter Ii
By Teladoc Health At United States
Must have outstanding oral and written communication skills.
Bachelor’s degree in related field preferred or relevant experience
Physician/Provider Recruitment Professional (CPRP) certification highly preferred
Meet recruitment targets for employed and contracted providers established by Teladoc Health annual operating plan.
Guides all provider recruitment activities in a manner that conforms to applicable laws. Recruits within legal and corporate guidelines
Demonstrated interpersonal effectiveness with all levels of leadership and all types of providers (e.g., physician, advanced practice providers, etc)
Provider Enrollment & Credentialing Specialist, Dentaquest
By DentaQuest At United States
Verify potential and existing providers licensure, NPI, insurance, CDS, DEA certificate, education, hospital privileges, board certification.
Monitors and reports provider complaints and utilization management reports
Assist management in the implementation of department process improvements.
Assist with the ongoing NCQA certification activities.
Associate degree or equivalent experience required.
Excellent oral and written communication skills.
Provider Enrollment Specialist-Florida Jobs
By Privia Health At United States
Resolution of Salesforce cases and management of issues and the team resolving the cases is a key element in this role.
Must be able to function independently, possess demonstrated flexibility in multiple project management
The Enrollment Specialist will manage all payer data in CredentialStream for both the group and the individual providers.
2+ years’ experience in payer enrollment function
Verity or other credentialing software experience preferred
Demonstrated skills in problem solving and analysis and resolution
Provider Enrollment Specialist Jobs
By Grow Therapy At United States
Work with the Revenue Cycle Management team on any Credentialing related claim denials.
You’re a behavioral health credentialing expert. You’ve communicated with payors directly in the past, and you meet the following requirements:
Our dedication to mental health guides our culture. Wellness benefits include (but are not limited to):
Flexible working hours and location (remote OR in-office, your choice!)
In-office lunch and biweekly remote lunch on us!
Monitor the follow up process applications, and communicate with the payors directly to ensure that applications are staying on-track.
Provider Enrollment Specialist - Remote
By US Anesthesia Partners, Inc. At , Remote
Two years of enrollment experience including Medicare and Medicaid experience.
ESSENTIAL DUTIES AND RESPONSIBILITIES (include but not limited to):
Maintain the accuracy of provider NPPES and CAQH accounts.
Populate and prepare enrollment applications for providers.
Responsible for following up on outstanding enrollment information and/or paperwork from providers.
Review provider applications for accuracy and completeness.
Provider Enrollment Specialist Jobs
By Medical Specialists of the Palm Beaches Inc At , Boynton Beach, 33437, Fl
Maintains knowledge of current health plan and agency requirements for credentialing providers.
Tracks license and certification expirations for all providers to ensure timely renewals.
Excellent written and oral communication skills.
Strong organizational, problem-solving, and interpersonal skills.
Ability to manage priorities and workflow.
One to two years of related experience
Provider Enrollment Specialist -Remote
By Gainwell Technologies LLC At , , Ct $32,700 - $40,900 a year
Collaborate with team members, management and clients to resolve client inquiries; cross-train new resources in customer service processes
Provide knowledgeable responses to basic client questions; elevate more complex cases to appropriate staff as needed
2 or more years of customer service experience in any industry
Knowledge of basic help desk software, computer software and Microsoft Office applications
Strong problem-solving skills to bring inquiries to effective resolution
Strong customer service skills with an emphasis on written and oral communication to respond to inquiries professionally
Provider Data Specialist (Remote)
By Providence At Vancouver, WA, United States
Be primarily responsible for the management of provider contracts
Serve as a contact for contracting, contracting questions & education
2+ years' experience in healthcare administration (I.e. Claims, Customer Service, Provider, Relations, or another related field)
3+ years experience working in claims processing
Required Qualifications For This Position Include
Preferred Qualifications For This Position Include
Provider Enrollment Specialist Jobs
By NOCD Inc. At ,
Maintains up-to-date knowledge of regulations and policies related to provider enrollment
Provides guidance to providers on the enrollment process and requirements
Knowledge and understanding of the enrollment, credentialing and billing processes.
College education (degree a plus)
Computer skills and Excel, Word, Google Suite, Adobe DC Pro, and others
The individual will have excellent communication and documentation skills and be able to follow direction and instruction