Credential and Managed Care Coordinator
4 weeks ago
Overview: Virginia Oncology Associates, the largest group of medical professionals in Hampton Roads and Northeast North Carolina devoted exclusively to cancer care and blood disorders, has an exciting opportunity for a Credentialing Managed Care Coordinator for our office in Norfolk. ***Please take this quick survey once you've submitted your resume to complete the application process: Credential and Managed Care PI Survey Responsibilities: Credentials and re-credentials providers according to quality standards and company policies and procedures. Notifies providers of licensure expirations and submits licensure applications and renewal forms with payment to State agencies and appropriate departments. Recommends process improvements. Maintains current provider licensure files and provides information to hospitals and other healthcare providers as appropriate. Requests and completes hospital credentialing and privileges applications for providers. Obtains and maintains provider participation in managed care plans in a timely manner and communicates information to practice sites and business office. May implement and maintain the contract management system to include terms of the contract, providers credentialed to the payer and other contracted service providers (labs, hospitals). May complete EOB analyses or fee schedule variance reporting on a monthly basis for the top Managed Care payers according to policy and procedure. May produce monthly managed care reports and implement new analysis tools to assist in reporting functions. May maintain expected reimbursement by CPT code for the top payer contracts in each market and communicate changes to system librarian. May develop and provide maintenance of proformas for all contracts. Supports Network Contracting Representative/Manager in general administrative functions. Trains junior and practice staff with respect to credentialing contracts, policies and procedures. Other duties as requested or assigned. Qualifications: High school diploma or equivalent required. Technical certification or Associates Degree a plus. At least five (5) years of credentialing related work experience required. Proficiency with computer systems and Microsoft (Office Outlook, Word, Power Point, and Excel) required. CPCS certification is preferred.
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Credential and Managed Care Coordinator
6 days ago
Norfolk, United States US Oncology Full timeOverview Virginia Oncology Associates, the largest group of medical professionals in Hampton Roads and Northeast North Carolina devoted exclusively to cancer care and blood disorders, has an exciting opportunity for a Credentialing Managed Care Coordinator for our office in Norfolk. Please take this quick survey once you've submitted your resume to complete...
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CREDENTIAL AND MANAGED CARE COORDINATOR
2 weeks ago
Norfolk, VA 23510, USA, United States US Oncology, Inc. Full timeOverviewVirginia Oncology Associates, the largest group of medical professionals in Hampton Roads and Northeast North Carolina devoted exclusively to cancer care and blood disorders, has an exciting opportunity for a Credentialing Managed Care Coordinator for our office in Norfolk.* Please take this quick survey once you've submitted your resume to complete...
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Team Coordinator, Patient Care Services
2 days ago
Norfolk, United States Sentara Healthcare Full time**Sentara Norfolk General Hospital is hiring a Team Coordinator, Patient Care Services RN for the Emergency Department.** **This position is full-time/evening position 3p-11p (will consider other evening shifts)** **Minimum Experience Required: Level 2 Trauma (Level 1 Preferred)** Position shares the 24/7 responsibility to assist the manager for the daily...
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Home Health Care Agency Sales/Marketing
3 weeks ago
Norfolk, United States Royal Care Inc Full timeJob DescriptionJob DescriptionJob DescriptionHome Health Care agency with an office in Norfolk,Virginia is looking for a Contract/Full/part time Home Care / Health Care Sales/Marketing Coordinator (Marketer) in State of Virginia.Responsibilities and DutiesThe Home Care /Healthcare Sales & Marketing Coordinator will have experience in developing and implement...
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Office Coordinator
1 week ago
Norfolk, United States Eastern Virginia Medical School Full timeOverview Supervise the activities of the Department of OBGYN and Division of Maternal Fetal Medicine's administrative and HIS staff. Execute routine administrative assistant assignments including dictated, written, or composed correspondence. Perform a variety of general administrative support duties. Provide direct assistance to physicians, supervisor, and...
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Care Professionals
2 weeks ago
Norfolk, United States Spring Hills Home Care Virginia Beach Full timeSpring Hills Home Care Virginia Beach - QUALIFICATIONS: Must have at least one year of certifiable experience in home care, private-duty home care setting, community health agency, hospital or med-surg clinical rotation in a nursing school or have at lease one year of verifiable work experience in an unrelated field and if in an employed state where...
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Foster Care Case Manager
2 weeks ago
Norfolk, United States Elevance Health Full timeLocation: Candidate must reside in the state of Virginia and may support the counites that encompass the Tidewater / Eastern Virginia region . While primarily remote, occasional visits to facilities or meeting members face to face in their homes will be required. Counites may include: Newport News Portsmouth Norfolk VA Beach Chesapeake The Foster Care...
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Kitchen and Nutrition Coordinator
4 weeks ago
Norfolk, United States The Well Full timeJob DescriptionJob DescriptionJob Title: Kitchen and Nutrition CoordinatorLocation: Northern Hills Child CareJob Type: Full TimeSummary: We are seeking a dedicated Kitchen and Nutrition Coordinator to join our child care team. This role involves overseeing the food preparation and nutrition planning, maintaining clean and sanitary conditions in the kitchen,...
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Office Coordinator
2 weeks ago
Norfolk, Virginia, United States Eastern Virginia Medical School Full timeOverview: Supervise the activities of the Department of OBGYN and Division of Maternal Fetal Medicine’s administrative and HIS staff. Execute routine administrative assistant assignments including dictated, written, or composed correspondence. Perform a variety of general administrative support duties. Provide direct assistance to physicians,...
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Client Service Coordinator
2 weeks ago
Norfolk, United States Banfield Full timeThe Client Service Coordinator ("CSC") drives the flow of clients and pets through the hospital, maximizes the productivity of the veterinary medical team (in terms of numbers of clients and pets), ensures good communication with associates and clients, and coordinates the care of clients and pets in a happy, welcoming, friendly and efficient manner,...
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Client Service Coordinator
4 weeks ago
Norfolk, United States Banfield Full timeThe Client Service Coordinator ("CSC") drives the flow of clients and pets through the hospital, maximizes the productivity of the veterinary medical team (in terms of numbers of clients and pets), ensures good communication with associates and clients, and coordinates the care of clients and pets in a happy, welcoming, friendly and efficient manner,...
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Procurement Coordinator
2 weeks ago
Norfolk, United States Flatiron Construction Full timeAs a Procurement Coordinator on the $3.3BN Hampton Roads Bridge Tunnel Expansion Project (HRBT) in Virginia, you will be the specialist for all Construction Material and Sub Contract procurement, in conjunction with the rest of the department. The Hampton Roads Connector Partners JV (HRCP) consisting of Dragados, VINCI, and Flatiron has been selected to...
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Foster Care Case Worker
4 days ago
Norfolk, United States True Team Medical Full timeJob DescriptionJob DescriptionAt Embrace Treatment Foster Care, our mission is to provide foster children in our comminutes with the best chance at success. Through our CARE model, we provide support, coordination, trainings and guidance to help forever shape a child's life and provide them with a future filled with opportunity. Join our team today to...
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Activities Coordinator
2 days ago
Norfolk, United States Cherokee Federal Full time**Activities Coordinator** This position requires an active **Secret **clearance. CN3S is seeking an employee capable of providing administrative and coordination support services for the Marine Theater Security Cooperation (TSC) section of Marine Forces North. The contractor shall provide support services to assist security cooperation events with partner...
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Authorization Coordinator I
5 hours ago
Norfolk, United States Sentara Healthcare Full time**Sentara Health **is hiring an **Authorization Coordinator I**, **Remote** **in the** **Peninsula area of Virginia**. Responsible for review of the clinical information received from physicians, department queues and other clinical providers, ensuring clinical data is substantial enough to authorize services for both 1 time visit account types and...
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Director Managed Care Medical
2 days ago
Norfolk, NE, United States Oxford Management Group LLC Full timeOur wonderful resident to caregiver ratio helps make this mission possible! As a Resident Care Director (LPN or RN), your benefit package includes: Medical, dental, vision, and a complimentary life insurance policy PTO for both full time and part time team members, Including a “Celebrate You” Day! Cell Phone Discounts We are looking for positive...
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Project Coordinator and Technical Writer
3 weeks ago
Norfolk, United States A. Reddix & Associates Full timeJob DescriptionJob DescriptionDescription:The primary duty of the Project Coordinator and Technical Writer role is to provide project coordination and technical writing support related to projects supporting stakeholder outreach support of federal programs in relation to the Affordable Care Act (ACA), Health Insurance Marketplaces, and other federal policy....
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Residency Program Specialist I
2 weeks ago
Norfolk, United States Eastern Virginia Medical School Full timeOverview The Residency Program Specialist I position has three levels with varying educational requirements and position responsibilities. Performs a wide variety of administrative support and problem-solving duties of a confidential nature for the department. The allocation of time is at the discretion of the department leadership, and the major...
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Acute Care Hospital Laboratory Manager Cytology
2 weeks ago
Norfolk, United States Clinical Management Consultants Full timeA nationally recognized hospital is looking for an Acute Care Hospital Laboratory Manager to join their team. They are seeking someone with previous experience in the acute care setting and specializing in Cytology. This is an exciting opportunity to Manager, Acute Care, Hospital, Laboratory, Healthcare, Staffing
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Workers' Compensation Coordinator
2 days ago
Norfolk, United States Sentara Healthcare Full timeCoordinates the administrative functions of the workers' compensation program for Sentara Healthcare and manages the processes in compliance with all regulations and standards. Exercises good judgment and manages risks effectively. Current knowledge Worker, Compensation, Coordinator, Administrative, Healthcare, Health