Process provider enrollment applications and updates request for provider enrollment into AR Medicaid. Regularly review and analyze data in the Provider Enrollment, Chain, and Ownership System (PECOS) to ensure accuracy and compliance. Handle B-Notice communications with providers regarding issues w...
A healthcare company is looking for an Advanced Practice Provider. ...
Provider Enrollment Specialist - Remote US. ...
Key Responsibilities:Develop and implement standardized provider contracts and contracting strategiesMonitor network adequacy for Medicare and Medicaid servicesOversee development of provider contracting strategies and negotiate contracts with healthcare providersRequired Qualifications:Bachelor's D...
Source, procure and negotiate with potential Service Providers in both a reactive and strategic approach to best support customer needs. Onboard, educate and maintain relationships with Service Providers to ensure continued partnership. Source and procure Service Providers as needed by region, rate ...
A company is looking for a Provider Customer Service Call and Chat Representative in Tennessee. ...
Thriving provider community:* Join our exclusive online community for providers to connect, share resources, and participate in weekly live peer-to-peer case consultations led by a licensed clinician. We prioritize the well-being of our clients and are committed to supporting our providers in delive...
Thriving provider community:* Join our exclusive online community for providers to connect, share resources, and participate in weekly live peer-to-peer case consultations led by a licensed clinician. We prioritize the well-being of our clients and are committed to supporting our providers in delive...
This position is responsible for reviewing claims rejected due to a provider or claims issues. Reviews ETM task list assignment, comments, and processing specific provider-related denials. Identifies and reports provider termination/enrollment issues per policy guidelines. Assembles and forwards app...
In this position, most of your time will be spent on individual sales where you will network to build relationships with telecom providers to sell their broadband engineering services. Because of the size of these sales, $100k-$1M, they’re looking for a resourceful, autonomous sales leader with expe...
As an Associate Director within our network contracting team, you'll guide the development and support of provider networks as well as unit cost management activities through financial and network pricing modeling, analysis and reporting. Guide development of geographically competitive, broad access...
Thriving provider community:* Join our exclusive online community for providers to connect, share resources, and participate in weekly live peer-to-peer case consultations led by a licensed clinician. We prioritize the well-being of our clients and are committed to supporting our providers in delive...
Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health.This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.Anchored in our brand — with heart at its cente...
Ensures all provider services are completely and accurately coded according to approved coding guidelines. Provides coding support to the providers and staff by performing periodic coding reviews, conducting various coding education and training sessions. Educates providers and coding staff within t...
This leader will be responsible for overseeing and transforming the Evolent Provider Solutions team, a talented group of leaders responsible for supporting and engaging provider practices in our specialty Tech and Services business. Operationalize the provider abrasion index and other metrics around...
Provider Customer Service Call and Chat Representative. Serves as the advocate for providers by demonstrating accountability and ownership to resolve issues. Service Providers in a multi - channel environment including call, concurrent chat, as required. Seek to understand and identify the needs of ...
Principles and practices of provider reimbursement methodologies, pricing, and fee schedules for all provider types, including hospital, physician, and ancillary providersProvider contracting, including language, reimbursement methods, and ratesHealthcare industry specific terms and healthcare relat...
Maintains the Provider Data (demographic and contractual) for all network and non-network providers. Provides support for baseline provider data transactions that cannot be administered automatically through the provider database due to system limitations and/or data integrity issues. Performs basel...
Could lead to a permanent hire.Located in PST or CT preferred.The Information Security Analyst II plays a pivotal role in safeguarding digital assets and ensuring compliance with security policies and regulations.Working under the guidance of senior Information Security professionals, this role invo...
Accountable for the strategic alignment, operational success and performance management of assigned provider relationships. Responsible for establishing and maintaining productive, professional relationships with the most complex/high value initiatives and/or highest risk and revenue generating prov...
With over 500 nationwide providers, Skin Clique is at the forefront of reshaping the aesthetics industry, providing a unique opportunity for Advanced Practice Providers (Nurse Practitioners and Physician Assistants) to thrive in a flexible and fulfilling role. At Skin Clique, we prioritize the well-...
We are currently seeking a Sales Director, Healthcare Provider (Remote) to join our team in Los Angeles, California (US-CA), United States (US). Sales Director for Healthcare Provider. A passion for improving healthcare and patient outcomes and recognized as an expert in the Healthcare Provider serv...
PowerPoint presentation expert and strong RFP experience, Must provide work samples at the time of submission.Our organization is seeking an experienced Technical Proposal Manager/PPT Presentation Creator to join our team.The successful candidate will be responsible for developing and managing the p...
Serve as primary contact for providers and act as a liaison between the providers and the health plan. Perform provider orientations and ongoing provider education, including writing and updating orientation materials. Perform duties to act as a liaison between providers, the health plan and Corpora...
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.Among our benefits, Humana provides medical, dental and...