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LocumTenens.com
Alpharetta, GA, United States
Overview Check out our current job openings and apply today! This is the beginning role to a long-term career with our company. LocumTenens.com has been leading the way in a booming healthcare industry since 1995. Locum Tenens is a Latin phrase meaning, “to substitute for.” When hospitals are understaffed, they rely on us to find them the right
Job Source: LocumTenens.comUSHEALTH - Atlanta (DGN-AT)
Roswell, GA, United States
Job Description Job Description Make The Difference: Our clients are looking for viable alternatives to their current benefit programs and as a result of current economic conditions, the demand for our products and services has never been greater! Our OE Specialists can make a real difference in people's lives. You'll work directly with Americas
Job Source: USHEALTH - Atlanta (DGN-AT)MedCura Health
Stone Mountain, GA, United States
Overview The Outreach and Enrollment Specialist serves as the initial contact and main point of field contact between the Community Health Centers (CHC's) and current and potential members. This position also performs varied health insurance enrollment related duties including responding to requests for information; generating interest in enrollme
Job Source: MedCura HealthWaystar
Duluth, GA, United States
ABOUT THIS POSITION The Enrollment Specialist is responsible for facilitating the EDI enrollment process for our new clients as they walk through the Implementation progress. This will include gathering provider information, completing EDI agreements and working with our clients, vendors, payers and assigned Waystar Implementation Team to ensure e
Job Source: WaystarGeorgia State University
Dunwoody, GA, United States
Description: Enrollment Services Specialist, Senior Registrar's Office Georgia State University In the Office of the Registrar, Enrollment & Registration is looking to fill Enrollment Services Specialist, Senior position located at our Dunwoody, Ga office . The primary responsibility of the Enrollment Services Specialist, Sr. position is to p
Job Source: Georgia State UniversityWaystar
Duluth
**ABOUT THIS POSITION** In this role, the Strategic Enrollment Support Specialist will work directly with assigned strategic clients post implementation and assist with all enrollment related needs. **WHAT YOU'LL DO** + Dedicated Enrollment support responsible for all enrollment cases, requests, follow up & communication + Identifies opportunities
Job Source: WaystarHigheredmilitary
Kennesaw, GA, United States
**Senior Enrollment Customer Service Counselor** Kennesaw, GA **Type:** Full-Time **Posted:** 10/18/2021 **Senior Enrollment Customer Service Counselor** **Job ID:** 235090 **Location:** Kennesaw, Georgia **Full/Part Time:** Full Time **Regular/Temporary:** Regular *A leader in innovative teaching and learning, Kennesaw State University offers unde
Job Source: HigheredmilitarySynergy Healthcare Solutions
Dunwoody
Administration | 55000-65000 per year | 1040 Crown Pointe Pkwy, Dunwoody, GA, USA | Salary | Synergy Healthcare Services - Atlanta | Full Time **Licensing & Certification Specialist** **Health Care Billing** **This role is onsite in our Atlanta, GA office.** **Perks and Benefits** + **Pay rate:** Competitive salary, along with holiday pay and unlim
Job Source: Synergy Healthcare SolutionsAlpharetta, GA, United States
Overview
For over 22 years, Premier Anesthesia has been a highly trusted anesthesia practice management partner for healthcare organizations nationwide. With a wealth of knowledge and skill in hospital-based anesthesia practices, they focus on developing and managing anesthesia services tailored to the needs of their clients, medical staff and communities. From recruitment to efficient management, Premier Anesthesia is dedicated to ensuring optimal patient and client outcomes.
Premier Anesthesia is a national anesthesia management company solely focused on building and managing the best anesthesia teams in the industry. The organization's leadership brings extensive experience in hospital-based physician staffing, recruiting and management. Premier Anesthesia is part of the award-winning Jackson Healthcare® family of companies.
The Provider Enrollment Coordinator is responsible for preparing and submitting credentialing applications and supporting documentation for the purpose of enrolling individual clinicians and provider groups with payers. In this role, you will ensure the setup of the clients for electronic claims submission and electronic remittance advice. You will follow up on the status of applications for clinicians and payers and track the progress on all pending applications. The primary responsibility will be to collect and manage all credentialing documents for our providers, submit enrollment applications to insurance companies and track their progress. Coordinate on boarding documents with recruiting and hospital credentialing.
ESSENTIAL FUNCTIONS AND BASIC DUTIES
Collect and manage all credentialing documents for providers payer enrollment
Register providers with CAQH, along with managing organization linkage
Submit enrollment applications to insurance companies and follow-up until enrollment is completed
Keep up to date provider enrollment processes and track provider participation levels
Complete re-credentialing for established providers as required by payers
Enter and maintain all Provider information in the credentialing database
Meet required turnaround times and accuracy rates
Perform ongoing research to correct data so it does not create duplicate provider, locations, payees, and participations
Interacts with physicians, physician office personnel, hospital personnel, insurance company personnel and patients demonstrating superior customer service
Maximizes the use of available technologies to improve revenue cycle workflow and maximize collections
Performs other duties as necessary or assigned
Conducts job duties in accordance with the Corporate Values and Culture - Others First - Others before self - Wisdom - Do the wise thing - Growth - Keep getting better
QUALIFICATIONS - EDUCATION, WORK EXPERIENCE, CERTIFICATIONS:
Education/Certification: High School Diploma or equivalent Experience preferred
0-3 years of experience in provider enrollment
KNOWLEDGE, SKILLS, AND ABILITIES: Knowledge of medical insurance carrier policies and procedures, and State and Federal rules and regulations
Medicare, Medicaid, and Commercial Payer Provider Enrollment knowledge
Knowledge of PECOS
Working knowledge for CMD Skills/abilities
Strong organizational, planning, and decision-making skills
Ability to adapt to a changing environment
Strong written and verbal communication skills
Ability to work effectively in a fast-paced environment
Proficiency in Microsoft Office, particularly Excel and Word
Professional written and verbal communication and interpersonal skills require
Ability to effectively communicate with team members, supervisors, client staff and insurance contacts
Ability to maintain complete confidentiality in handling sensitive enrollment issues
EEO Statement
Premier Anesthesia is an EEO/AA Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all of our associates.
Email Alert for Provider Enrollment Specialist jobs in Alpharetta, GA, United States
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