Current jobs related to Provider Enrollment Specialist - Boston - Children's Hospital Boston
-
Enrollment Specialist
3 months ago
East Boston, United States Catholic Charities Archdiocese of Boston Full timeJob DescriptionJob DescriptionThe enrollment specialist is responsible for researching, coordinating and enrolling families in Catholic Charities centers and family child care homes throughout the greater Boston and North Shore area. The Enrollment Specialist provides parents with program information to support the best early care and education decisions for...
-
MassHealth Enrollment Specialist
3 weeks ago
Boston, United States Harbor Health Services, Inc. Full timeHarbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harbor provides medical, behavioral health, dental, and support services to more...
-
MassHealth Enrollment Specialist
2 months ago
South Boston, United States Harbor Health Services Full timeHarbor Health Services is seeking a talented MassHealth Enrollment Specialist to join our team at the Elder Service Plan in Mattapan, MA. Harbor Health also operates two Programs for All-Inclusive Care for the Elderly(PACE)/Elder Service Plans in Mattapan and Brockton, providing comprehensive healthcare, transportation and social services for more than 580...
-
Enrollment Intake Nurse Specialist
3 weeks ago
Boston, United States Element Care Full timeJob SummaryElement Care is seeking a skilled Enrollment Intake Nurse Specialist to join our team. As a key member of our enrollment team, you will play a critical role in prioritizing, organizing, and adapting the PACE enrollment process to meet the individualized needs of potential participants.Key ResponsibilitiesEnrollment Team FunctionsConduct initial...
-
Patient Enrollment Specialist, Guidance
4 weeks ago
Boston, Massachusetts, United States Vertex Pharmaceuticals Full timeJob Overview:As a Patient Enrollment Specialist within the Guidance & Patient Support team, you will play a crucial role in ensuring patients receive the support they need. Vertex Pharmaceuticals is a leading global biotechnology firm dedicated to advancing scientific breakthroughs to develop transformative therapies for individuals facing serious and...
-
Enrollment Specialist
3 months ago
Boston, United States YMCA of Greater Boston Full timeJob DescriptionJob DescriptionDescriptionUnder the direction of the Business Manager of Child Development, the Enrollment Specialist will provide a variety of clerical and financial support to the Child Development Department, establishing and maintaining department records; coordinating assigned projects; compiling and distributing a wide variety of...
-
Clinical Enrollment Specialist
3 weeks ago
Boston, MA , USA, United States Element Care Full timeJob SummaryElement Care is seeking a highly skilled Clinical Enrollment Specialist to join our team. As a key member of our enrollment team, you will play a vital role in prioritizing, organizing, and adapting the PACE enrollment process to meet the individualized needs of potential participants and ensure census goals are achieved.Key...
-
Intake and Enrollment Specialist
3 months ago
Boston, United States Action For Boston Community Development Full timeIntake and Enrollment Specialist - ESOL ProgramDepartment: Education, Training, and Youth Services Employment Type: Permanent - Full Time Location: Downtown Boston - Temple Place Description The English for Speakers of Other Languages (ESOL) program provides community members services to learn English or improve their ability to speak, read and write in...
-
Geriatric Healthcare Enrollment Specialist
5 days ago
Boston, MA , USA, United States Element Care Full timeJob SummaryWe are seeking a skilled and compassionate Geriatric Healthcare Enrollment Specialist to join our team at Element Care. As a key member of our enrollment team, you will play a vital role in prioritizing, organizing, and adapting the PACE enrollment process to meet the individualized needs of potential participants.Key ResponsibilitiesConduct...
-
Student Enrollment Specialist
4 weeks ago
Boston, Massachusetts, United States Uncommon Schools Full timeJob OverviewUncommon Schools is a nonprofit organization dedicated to delivering exceptional K-12 education in underserved communities. We proudly maintain a diverse workforce, with over 60% of our educators and staff identifying as people of color. Currently, we operate 53 schools across five cities, serving more than 20,000 students. Our graduates achieve...
-
Student Enrollment Specialist
3 weeks ago
Boston, Massachusetts, United States Uncommon Schools Full timePosition OverviewThis position plays a vital role in supporting our Roxbury Prep schools by executing essential student enrollment activities. The individual will be accountable for student enrollment across a designated group of schools, collaborating with school personnel to achieve enrollment objectives. This role requires leveraging personal and...
-
Spanish Speaking Enrollment
2 months ago
Boston, United States Comprehensive Development Full time**Job** **Spanish Speaking Enrollment & Match Support Specialist, Community-Based Mentoring** Posted by | Boston, MA **Spanish Speaking Enrollment & Match Support Specialist, Community-Based Mentoring** Boston, MA Temporarily Remote Big Sister Boston is seeking an Enrollment & Match Support Specialist for our Site-Based Mentoring team. The Site-Based...
-
Enrollment Nurse Specialist
4 weeks ago
Boston, Massachusetts, United States Commonwealth Sciences, Inc. - Health Care Services Full timePosition OverviewAs an integral member of the PACE Interdisciplinary Team, the Enrollment Nurse plays a crucial role in the assessment and intake process for the PACE program. This position collaborates with the care team to ensure that participants meet the necessary qualifications and that the program's census remains within required limits. We welcome...
-
Boston, United States Boston University Full timeAbout the Role Boston University Combined Enrollment Services seeks an Enrollment Service Advisor. Enrollment Service Advisors work as members of a team to provide direct customer service and counseling regarding Boston University's enrollment processes that is personal, professional, and confidential. This role uses comprehensive knowledge of the policies...
-
Geriatric Enrollment Specialist
2 weeks ago
Boston, MA , USA, United States Element Care Full time{"title": "Enrollment Team Member", "content": "Job SummaryElement Care is seeking a skilled Enrollment Team Member to join our team. As a key member of our enrollment team, you will play a critical role in prioritizing, organizing, and adapting the PACE enrollment process to meet the individualized needs of potential participants and ensure census goals are...
-
Enrollment and Billing Operations Specialist
8 hours ago
Boston, Massachusetts, United States Massachusetts Health Connector Full timeAbout the RoleWe are seeking a highly skilled Enrollment and Billing Coordinator to join our team at the Massachusetts Health Connector. As a key member of our operations team, you will play a critical role in supporting the Premium Billing and Notices area by becoming a subject matter expert in operational policies and processes.Key ResponsibilitiesSupport...
-
Enrollment Intake Nurse
3 weeks ago
Boston, United States Element Care Full timeJob SummaryElement Care is seeking a skilled and compassionate Enrollment Intake Nurse to join our team. As a key member of our enrollment team, you will play a vital role in prioritizing, organizing, and adapting the PACE enrollment process to meet the individualized needs of potential participants.Key ResponsibilitiesInitial Appointments: Conduct initial...
-
Enrollment Intake RN
2 weeks ago
Boston, United States Element Care Full timeGreat Life work Balance position with excellent benefits! We are seeking an Enrollment Intake RN who is passionate about providing quality care to the geriatric population. Functions as an integral part of an enrollment team to prioritize, organize, and adapt the PACE enrollment process to meet potential participants' individualized needs and to ensure...
-
Enrollment Coordinator
1 month ago
Boston, United States Uncommon Schools Full timeJob DescriptionJob DescriptionCompany DescriptionUncommon Schools is a nonprofit network of high-performing, public charter schools providing an outstanding K-12 education in historically under-resourced communities. We have proudly built schools that reflect our student population, with more than 60% of our teachers and staff across our network...
-
Geriatric Healthcare Enrollment Specialist
1 week ago
Boston, MA , USA, United States Element Care Full timeJob SummaryWe are seeking a skilled and compassionate Nurse Coordinator to join our team at Element Care. As a key member of our enrollment team, you will play a vital role in ensuring the successful enrollment of potential participants into our PACE program.Key ResponsibilitiesConduct initial appointments to introduce potential participants to our PACE...
Provider Enrollment Specialist
4 months ago
75788BRJob Posting Title:Provider Enrollment SpecialistDepartment:Medical Staff ServicesAutoReqId:75788BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:AdministrationJob Posting Description:Provider Enrollment Specialist will: Coordinate and oversee all aspects of initial credentialing/enrollment for the Managed Care plans for all billable PO and hospital providers. Collaborate with PO Foundations, hospital finance and Medical Staff Services to ensure successful and timely enrollment of all billable providers. Ensure that the credentialing information is sent to the Managed Care plans promptly and maintains compliance with all relevant internal and external policies, procedures and accreditation standards (e.g. Insurance Plan, MCO, and/or State) Ensure accuracy of all CAQH (Council for Affordable Quality Healthcare) data entry for all billable providers. Ensure that attestations are routinely acted upon in the CAQH database. Ensure that the credentialing information in CAQH is kept up-to-date. Ensure that we are compliance with all applicable Managed Care Contracts and Delegated Contracts. Complete all Medicare enrollments for providers via the online PECOS (Provider Enrollment, Chain, and Ownership System) system. Coordinate and oversee all aspects of re-credentialing and/or revalidations for the Managed Care plans for all billable providers, Foundations and the hospital. Follows-up with the departments on any overdue re-credentialing documentation. Maintain and updats MD Staff database with accurate information for all billable providers including uploading copies of all submitted applications and welcome letters to the appropriate plan in the provider’s file. Maintain MD Staff database with enrollment status of applicable providers for all insurance plans to include effective dates and provider ID numbers for all insurance plans the providers enroll with to ensure timely submission of bills. Ensure the database is up to date with all accounting of communications to the relevant plans. Compile, evaluate and present practitioner-specific data collected for review by the Physicians Organization in a comprehensive and timely manner. Document, according to policy and procedure, applicants, and re-applicants with potential issues holistically and comprehensively. Coordinate the out-of-state Medicaid enrollment process for all billable providers by current enterprise policy. Work closely with the billing department to identify providers needing out-of-state Medicaid enrollment via various EPIC Work Queues. Ensure a timely and efficient enrollment in all 50 states by understanding and complying with their various rules and regulations. Update provider’s enrollment status once achieved in the EPIC Work Queues and MD Staff database for the appropriate out-of-state plans to ensure timely access to patient care and billing submission Coordinate the out-of-state Medicaid follow-up process. Ensure a timely and efficient process by coordinating with all appropriate Foundation, hospital, and billing contacts. Ensure physicians are re-enrolled as needed. Update the billing department promptly regarding all provider re-enrollments so that any affected claims can be submitted. Coordinate all enrollment for non-billing providers as required by MassHealth for ordering, referring, and prescribing purposes. To qualify you must have: Two years of post-high school education or an Associate's Degree. 2 years of related experience in a medical office setting. Additional 2 years of directly related provider enrollment experience may be considered with a High School diploma in lieu of a two-year degree. Boston Children’s Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork. #LI-Remote Office/Site Location:WestwoodRegular, Temporary, Per Diem:Regular Remote Eligibility :Part Remote/Hybrid
