Payer Enrollment Credentialing Specialist

Position SummaryThis role provides essential support to the Credentialing Coordinator in managing the day-to-day operations and functions of payer enrollment. ResponsibilitiesAssist with the credentialing process for healthcare providers, ensuring accuracy and completeness of applications.Maintain accurate records of provider credentials and contracts with...

DescriptionPOSITION SUMMARY: Provides assistance and support to the Credentialing Coordinator with the day to day operations and functions of payer enrollment. RequirementsMINIMUM QUALIFICATIONS EDUCATION:  High school diploma or equivalent required. SKILLS:  Strong English reading and writing skills Ability to communicate effectively utilizing strong...

DescriptionPOSITIONSUMMARY: Provides assistance and support to theCredentialing Coordinator with the day to day operations andfunctions of payer enrollment.RequirementsMINIMUMQUALIFICATIONSEDUCATION:  High schooldiploma or equivalent required. SKILLS:  Strong English reading and writingskills Ability to communicate effectivelyutilizing strong written and...

Position OverviewThe On-Call Enrollment Specialist III plays a crucial role in supporting our mission at Kaiser Permanente. This position is designed for individuals who are passionate about engaging with the community and educating potential members about our services.Key ResponsibilitiesParticipate in various employer and community events on an on-call...

At Experiential, We partnered with the Federal Lifeline Program to make communication tools accessible to low-income households. Our Entry Level Enrollment Specialist plays an integral part in allowing families to better navigate tough times when the unexpected happens. As an Entry LeveL Enrollment Specialist, you will assist us in creating a strong,...

Job Summary:In addition to the responsibilities listed above, this position is also responsible for attending employer, community, and open enrollment events on an on-call basis to educate members and prospects on Kaiser Permanente products; delivering formal presentations to employees and prospective members; independently monitoring and reporting on...

Job OverviewPOSITION SUMMARY: The Medical Staff Credentialing Specialist plays a crucial role in overseeing the credentialing and re-appointment processes within the organization. This position serves as the primary liaison between senior management and the medical staff, ensuring the seamless execution of operational processes related to credentialing,...

Description: Job Summary: In addition to the responsibilities listed above, this position is also responsible for attending employer, community, and open enrollment events on an on-call basis to educate members and prospects on KP products; delivering formal presentations to employees and prospective members; independently monitoring and reporting on...

EEO SpecialistID:B23NM508NM-001Location:Santa FeProgram:BLMWage/Hr:$35.00Hours/Week:20Minimum Age:55Qualifications:Minimum of 4 year(s) of experience in Federal equal employment opportunity OR HS/GED DegreeExtensive experience preparing the MD-715 reportExperience required with Windows, MS Word, MS ExcelOBIEE; MS SharePoint; MS Teams; MS PowerPointDuties:The...

Job SummaryWe are seeking an EEO Specialist to join our team at National Experienced Workforce Solutions. The successful candidate will be responsible for collecting, analyzing, and displaying statistical data to develop the FY23 MD-715 report in compliance with agency guidelines.Key ResponsibilitiesStatistical Data Analysis: The enrollee will collect and...

Job DescriptionJob DescriptionJob Title: Authorization SpecialistJob Summary: The position of the Authorization Specialist coordinates the utilization review and appeals process as part of the denial management initiatives. This position is responsible for coordinating phone calls, data entry and tracking data from various insurance providers and health...

Job OpportunityThinkTank LLC is seeking a highly motivated and entrepreneurial individual to lead our expansion efforts in the telecommunications industry. As the cornerstone of our mission to enhance connectivity, this role will focus on enrolling new customers into Lifeline and ACP services, managing inventory, and driving significant sales performance in...

Company Overview Santa Fe Recovery Center stands as a premier institution dedicated to the treatment and education of individuals facing substance use disorders and mental health challenges. We emphasize evidence-based methodologies and culturally sensitive care through collaborations with local organizations. Our core mission is to empower individuals to...

POSITION SUMMARY: The individual in this role is accountable for the precise and prompt handling of clinic work queues, which includes charge assessments, claims editing, and follow-up procedures. This position entails effective communication regarding issues and trends among front office personnel, healthcare providers, clinic management, and the revenue...

POSITION OVERVIEWWe are seeking a skilled Anesthesia Nurse Specialist to join our team. This role involves providing anesthesia care in a variety of settings, ensuring patient safety and comfort throughout the procedure.WORK REQUIREMENTSCoverage:Flexibility in scheduling with sporadic and PRN shifts available. Typical shift lengths are 8 or 10...

**Position Title:** Enrollment Service Representative**Position Type:** Regular**** **Salary Range:** $21.06 to $24.21 per hour; commensurate with experience **** **Pay Frequency:** Hourly**A. POSITION PURPOSE** The position of Enrollment Services Representative is vital to the operation of the SCU One Stop Office and to the University. The One Stop is...

Job DescriptionJob DescriptionThinkTank Telecom, LLC is actively seeking a motivated and entrepreneurial Direct Market Manager to lead our expansion efforts in New Mexico - Santa Fe. As the cornerstone of our mission to enhance connectivity, your role will focus on enrolling new customers into Lifeline and ACP services, managing inventory, and driving...

Job SummaryBehavior Change Institute, LLC is seeking a highly motivated and compassionate Behavioral Healthcare Specialist to join our clinical team. As a key member of our team, you will work closely with Board Certified Behavior Analysts (BCBAs) to implement behavioral strategies and improve the quality of life for individuals with Autism Spectrum...

DescriptionPOSITION SUMMARY: The Nurse Professional Development Specialist in collaboration with Clinical Management and Nurse Professional Development Practitioner develop and coordinate of clinical development of curricula and competencies. The Nurse Professional Development Specialist oversees assessment and implementation of clinical staff educational...

Job Opportunity with Travel Nurse SourceJob Title: Travel Nurse RN - PCU SpecialistJob Summary:We are seeking a highly skilled and experienced Travel Nurse RN - PCU Specialist to join our team at Travel Nurse Source. As a Travel Nurse RN - PCU Specialist, you will have the opportunity to work in a dynamic and challenging environment, providing high-quality...