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Provider Enrollment Coordinator Jobs

Provider Enrollment Support Coordinator (Dentaquest) Remote
By DentaQuest At United States
2 years of experience in business environment.
Excellent verbal and written communication skills.
Proficiency in the use of Cactus credentialing software preferred.
High School diploma or equivalent
Proficient in the use of Excel.
Proficient in general computer software (Word, Outlook, PowerPoint).
Outreach & Enrollment Coordinator Jobs
By Mindoula At United States
Data entry and database management are required.
Experience working on, leading or participating in sales, outreach, engagement, and/or enrollment campaigns.
Customer service experience is required.
Experience working with high-risk, complex adults preferred.
Experience with Electronic Medical Records preferred.
Be a positive ambassador of Mindoula Health.
Provider Integration Coordinator Jobs
By Inova Health System At ,
Experience with provider credentialing and management of the onboarding process
Supports work streams associated with provider integration which may include change management initiatives, system development initiatives, program implementations, etc.
Serves as support for staff and peers for educational and professional skills within the onboarding space.
Draws valid conclusions for recommendation to management for decision making to suggest potential alternatives using data analysis.
Superior Critical Thinking Skills and Ability to take a proactive approach
Supports the effectiveness of each programs processes and timelines, collaboratively working with the Directors of Operation and Hiring Managers.
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
Enrollment Coordinator (100% Remote) Jobs
By Interwell Health At United States
Experience in a healthcare setting, working with patients and knowledge of HIPAA compliance is a plus
Follow established company policies and procedures and apply acquired job skills to accomplish daily enrollment/ disenrollment operations/processes
2+ years of experience in patient support, customer service, call center, or sales
Fertility benefits and 12 week, fully paid parental leave
Meet or exceed set goals, such as rate of enrollments/engagements, call volume, and documentation quality
Determine eligibility for related plan members to ensure compliance. Obtain missing information for enrollment completion
Provider Enrollment Quality Control & Training Lead
By BlueCross BlueShield of South Carolina At , Columbia, Sc
One (1) year of PIMS (Provider Information Management Systems) experience
Conduct training needs analysis based on quality control results. Recommend training materials and subject matter to management.
2 years of provider network enrollment/certification experience.
Bachelor's degree in any major. or 4 years of job-related work experience.
Our comprehensive benefits package includes:
We are committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities.
Provider Services Coordinator (Outbound)
By Evolent Health At United States
Other duties as assigned by management.
Continue to prioritize the employee experience and achieved a 90% overall engagement score on our employee survey in May 2022.
Recognizes the compliance and regulatory requirements for each health plan and each medical product and assures actions meet these requirements.
Manages Coordinator Help Inbox to resolve non-standard case issues.
Experience with computer and keyboard use while talking and typing (minimum 35 WPM) simultaneously.
Minimum 1 year of Customer Service experience.
Provider Communication Coordinator Jobs
By Elevance Health At United States
Prior healthcare industry experience and document/process management skills are strongly preferred.
Strong knowledge of Microsoft Office (Word, Excel, Adobe PDF) is strongly preferred.
Job Family: PND > Provider Relationship Account Mgmt
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Coordinates activities/data with vendors and internal partners to ensure execution against contractual and requested services, including invoice reconciliation, reporting, etc.
Contributes to department work streams and new or improved methods or processes to support increased efficiencies, economies, and operational excellence.
Open Enrollment Coordinator Jobs
By Elevance Health At United States
Provides strategic and tactical support to Open Enrollment Coordinators and Account Management Teams
Manages OE intranet site administration and content.
Manages promotional budget for National and Local Accounts.
Manages meeting data to include meeting logistics, tracking of orders, recruitment of meeting facilitators and capturing meeting feedback.
Experience in healthcare industry preferred.
Experience in developing PowerPoint presentations
Member Enrollment Coordinator Jobs
By PrudentRx At Tampa, FL, United States
Complete all necessary continued learning and training requirements per department and company need
1 to 2 years Call Center experience in fast-paced setting
Excellent written and communication skills
Experience with Salesforce or other CRM software
Shift start times range from 10:00a - 11:30am Est Monday- Friday [Excepting applicants in EST, CST, MST time zone]
Equipment and hardware provided. Interviewing, orientation, and training are conducted virtually.
Enrollment Operations Coordinator Jobs
By Auburn University At , Auburn, Al $40,100 - $64,200 a year
Minimum Skills, License, and Certifications
Collaborates with campus stakeholders to provide opportunities for their information to be used and shared via the telecounsleors.
Assists with assessing Enrollment Operations materials and messaging for both accuracy and adherence to the brand.
Performs other duties as assigned.
Auburn University is excited to begin the search for an Enrollment Operations Coordinator!
City position is located in:
Onboarding & Enrollment Care Coordinator
By Oshi Health At Nashville, TN, United States
Minimum of 2-3 years experience working in a healthcare coordination, care or case management role, preferably in a digital healthcare environment
Manage key reports and track relevant data to identify successes and drive refinements in operational processes.
Openness and ability to cross-train in additional care coordination tasks and responsibilities to support full cycle member engagement.
Excellent verbal and written communication skills required.
Well organized, ability to manage multiple projects at once, eye for details, and collaborate within and across teams
Virtual-first culture: Work from home anywhere in the US
Onboarding & Enrollment Care Coordinator
By Oshi Health At Baltimore, MD, United States
Minimum of 2-3 years experience working in a healthcare coordination, care or case management role, preferably in a digital healthcare environment
Manage key reports and track relevant data to identify successes and drive refinements in operational processes.
Openness and ability to cross-train in additional care coordination tasks and responsibilities to support full cycle member engagement.
Excellent verbal and written communication skills required.
Well organized, ability to manage multiple projects at once, eye for details, and collaborate within and across teams
Virtual-first culture: Work from home anywhere in the US
Onboarding & Enrollment Care Coordinator
By Oshi Health At Dallas, TX, United States
Minimum of 2-3 years experience working in a healthcare coordination, care or case management role, preferably in a digital healthcare environment
Manage key reports and track relevant data to identify successes and drive refinements in operational processes.
Openness and ability to cross-train in additional care coordination tasks and responsibilities to support full cycle member engagement.
Excellent verbal and written communication skills required.
Well organized, ability to manage multiple projects at once, eye for details, and collaborate within and across teams
Virtual-first culture: Work from home anywhere in the US
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
Project Manager Provider Enrollment Medicaid - Remote
By UnitedHealth Group At , Springfield, 62702, Il
5 + years of project management experience
Proven solid organizational and time management skills
Applies knowledge of provider enrollment business processes and areas of expertise relative to the enrollment and maintenance of Medicaid providers
Works with Project Manager to organize review of project information and documentation including Lessons Learned
5+ years of Medicaid experience
2+ years of provider enrollment experience
Provider Success Coordinator Jobs
By Spring Health At New York, United States
Act as front-line experience drivers for Spring Health Providers by triaging and addressing requests in Zendesk
Drive the continuous improvement of the Provider support experience by identifying and acting on trends, inspiring trust, and building strong relationships
Manage provider data input across relevant systems & tracking documents
At least 1 year of experience in email support, customer service, project coordination, or administrative role
Outstanding written & verbal communication skills with teammates and providers at all levels
Experience working with ZenDesk, SalesForce or similar customer service platforms a plus
Provider Data Coordinator I-Remote
By Illinois Health Plan At , , Il
Create and maintain appropriate databases, including: contract network, authorization, third party liability, provider set up corrections, check requests, among others
Design and generate reports to monitor department activity and State compliance
Update the delegated entity Medicare and Medicaid Attachments on monthly basis
Provide appropriate reports and statistical data to other department designees for the necessary follow up and resolution
General administrative support of assigned department
Provider Enrollment Specialist Jobs
By Ventra Health, Inc. At , Remote $19 - $22 an hour
Establishes close working relationships with Clients, Operations, and Revenue Cycle Management team
Bachelor’s Degree in Healthcare Administration, Business Administration, Benefits, or equivalent training and/or experience preferred
Manages the completion and submission of CMS Medicare, State Medicaid and any other third-party payer applications
At least one (1) year of provider enrollment experience preferred
Working knowledge of physician HIPAA Privacy & Security policies and procedures
Strong oral, written, and interpersonal communication skills
Provider Enrollment Specialist (Remote)
By HR/PR Service Center At , Franklin, Tn
Will communicate with Managed Care on an ongoing basis as to status of payer contracts and other various enrollment issues.
Location FRANKLIN, TN (HR/PR Service Center)Full Time
Location FRANKLIN, TN (HR/PR Service Center)
Ensures the enrollment packets are appropriately signed, complete and accurate, and submitted to payer with necessary attachments, within Newport CARE system.
Coordinates re-enrollment dates and sends out application packets for all practitioners who require re-enrollment.
Tracks all steps taken in enrollment process and logs the actions in Newport CARE (the Credentialing database).

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