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Provider Enrollment Coordinator 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
Sr. Enrollment Coordinator - Remote
By Symetra At United States
Self-starter with excellent organizational and time management skills
Timeline Management for Client Enrollments:
Act as liaison for Regional Account Managers and serve as a single point of contact to support case re-enrollments
Establish and manage assigned cases to ensure all API and EDI files are tested and functioning as expected in production
Want more details? Check out our Symetra Benefits Overview
Bachelor's degree or equivalent work experience required
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 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.
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.
Provider Enrollment Specialist, Local Candidates Remote Option Available
By St. Luke's University Health Network At Allentown, PA, United States
REMOTE OPTION FOR LOCAL CANDIDATES at the discretion of management.
Makes and receives phone calls from providers and practice managers to help resolve payer issues and verify participating status.
Prepares provider enrollment applications and/or written link letters to be sent to payers
Updates & maintains database to show enrollment tracking, effective dates, provider numbers and correct provider demographics.
Scans and files all paperwork and documents to a shared folder for tracking purposes and proof of submission to payers.
Applies for New Jersey licensure for identified providers.
Provider Enrollment Coordinator Jobs
By VCU Health At Richmond, VA, United States
Licensure, Certification, or Registration Requirements for Hire: N/A
Licensure, Certification, or Registration Requirements for continued employment: N/A
Minimum of three (3) years of previous experience in a customer service and/or administrative position
Previous experience using various software applications including MS Office (Access, Word, Excel), e-mail, etc.
Previous experience with CMS, URAC, NCQA and JCAHO Standards
Previous credentialing and provider enrollment experience
Dual Enrollment Program Coordinator
By State of South Carolina At York County, SC, United States
Ability to communicate with educational partners professionally, meet deadlines, self-monitor pace, and produce accurate work.
Facilitates retention and completion by obtaining and distributing Early Alert and Midterm notifications and program completion status.
Develops, updates, and maintains a standard operating procedures manual for dual enrollment that includes an annual operations schedule.
Organize and track progress for projects and report status to supervisor.
Performs other duties as assigned.
Ability to maintain confidentiality, prioritize tasks, and organize completed work and other files for easy retrieval and efficiency.
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 ...

Enrollment Coordinator Jobs
By Chesapeake Dance Center At Chesapeake, VA, United States
A strong understanding of dance or arts-related education programing
Possess strong written and verbal communication skills
Be available to work remotely and independently
Responsibilities of the role will include
Ideal candidates will possess the following skills/traits:
●Excellent Verbal and Written Communication Skills
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
Enrollment Coordinator Jobs
By 1st Credentialing At United States
This is not a management position but it is a leadership role.
We do not consider any primary source experience for this job.
NEED A GREAT NEW JOB!
Alabama, Florida, Georgia, Indiana, Oklahoma, Nevada, North Dakota, North & South Carolina, Texas, Tennessee,
Enrollment Operations Coordinator Jobs
By Keypath Education At United States
1+ years of experience in Higher Education required
Proficient with Adobe Acrobat or equivalent document management software
Evaluates transcripts for admission requirements and transfer credit
Performs other duties and responsibilities as assigned by supervisor
Transfer credit evaluation experience highly desired
Excellent written and oral communication skills
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 Engagement Coordinator Jobs
By UST At United States
Two years experience in a related field with demonstrated knowledge that provides the necessary knowledge, skills, and abilities.
Experience in the healthcare industry, specifically in an outpatient physician's office or in a clinic management position is required.
Functions as the primary contact at the site level for program management.
A relevant combination of education and experience may be considered in lieu of a degree.
Manages and coordinates the creation, distribution, and collection of documentation and coding improvement tools.
Immediately alerts the Manager of challenges/barriers in the practice environment impeding the successful attainment of program goals.
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

Are you looking for an exciting opportunity to join a dynamic team and make a difference in the healthcare industry? We are looking for an experienced Provider Enrollment Coordinator to join our team! As a Provider Enrollment Coordinator, you will be responsible for managing the provider enrollment process, ensuring accuracy and compliance with all applicable regulations. You will also be responsible for providing customer service to providers and other stakeholders. If you are a detail-oriented individual with excellent communication and organizational skills, we want to hear from you!

Overview:

Provider Enrollment Coordinators are responsible for ensuring that healthcare providers are enrolled in the appropriate insurance plans and that all necessary paperwork is completed and submitted in a timely manner. They must be knowledgeable about the various insurance plans and regulations, and must be able to effectively communicate with providers and insurance companies.

Detailed Job Description:

Provider Enrollment Coordinators are responsible for managing the enrollment process for healthcare providers. This includes researching and evaluating different insurance plans, completing and submitting enrollment applications, and ensuring that all necessary paperwork is completed and submitted in a timely manner. They must also be able to effectively communicate with providers and insurance companies, and must be knowledgeable about the various insurance plans and regulations.

What is Provider Enrollment Coordinator Job Skills Required?

• Knowledge of insurance plans and regulations
• Excellent communication and interpersonal skills
• Attention to detail
• Ability to work independently and as part of a team
• Ability to multitask and prioritize tasks
• Proficiency in Microsoft Office

What is Provider Enrollment Coordinator Job Qualifications?

• Bachelor’s degree in a related field
• Previous experience in a healthcare setting
• Knowledge of insurance plans and regulations
• Ability to work independently and as part of a team

What is Provider Enrollment Coordinator Job Knowledge?

• Knowledge of insurance plans and regulations
• Knowledge of healthcare industry
• Knowledge of medical terminology
• Knowledge of HIPAA regulations

What is Provider Enrollment Coordinator Job Experience?

• Previous experience in a healthcare setting
• Previous experience in a customer service role
• Previous experience with insurance plans and regulations

What is Provider Enrollment Coordinator Job Responsibilities?

• Research and evaluate different insurance plans
• Complete and submit enrollment applications
• Ensure that all necessary paperwork is completed and submitted in a timely manner
• Communicate with providers and insurance companies
• Monitor enrollment status and ensure accuracy
• Maintain accurate records and update databases