Managed Care/ Payer Enrollment Specialist

3 weeks ago


Morgantown, United States Mon Health Full time

With a patient centered culture, the Managed Care/Payer Enrollment Specialist will manage daily activities related to providing operational support for Payer Enrollment. This role manages accounting and information systems in support of Managed Care/Payer Enrollment and develops strategies for improving levels of reimbursement under managed care agreements. Develops and helps guide organizational structure and processes necessary to support managed care agreements and is responsible for working directly with Managed Care Organizations to resolve enrollment and administrative escalations occurring with Managed Care contracts.

Requirements

High school diploma or equivalent required. Bachelor's degree preferred.

Requirements

One to three years of current provider credentialing experience required. Previous Hospital Credentialing experience required. Basic to working knowledge of Centers for Medicaid and Medicare and Managed Care concepts including Managed Medicare/Medicaid requirements, Disclosure of Ownership and Control Interest, and applicable laws/statutes/regulations. Previous experience working with hospital contracts or demonstrated knowledge of contract principles, and interpretation of contract language

Certified Provider Credentialing Specialist (CPCS) certificate preferred or willingness to sit for CPCS within one (1) year of hire



  • Morgantown, United States Mon Health Full time

    With a patient centered culture, the Managed Care/Payer Enrollment Specialist will manage daily activities related to providing operational support for Payer Enrollment. This role manages accounting and information systems in support of Managed Care/Payer Enrollment and develops strategies for improving levels of reimbursement under managed care agreements....


  • Morgantown, United States Healthworks Full time

    Overview When patients enter our center in Morgantown, we want them to have an exceptional experience - starting at the front desk. That's where you come in. As a patient service specialist, you'll manage both the patient side and business side of our center. The front desk is your station to be a patient advocate, communicate with individuals via email and...


  • Morgantown, United States Healthworks Full time

    Overview When patients enter our center in Morgantown, we want them to have an exceptional experience - starting at the front desk. That's where you come in. As a patient service specialist, you'll manage both the patient side and business side of our center. The front desk is your station to be a patient advocate, communicate with individuals via email and...


  • Morgantown, United States WVU Medicine Full time

    Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Responsible for managing patient account balances including accurate claim submission,...

  • Direct Market Manager

    4 weeks ago


    Morgantown, United States ThinkTank LLC Full time

    Job DescriptionJob DescriptionThinkTank Telecom, LLC is actively seeking a motivated and entrepreneurial Direct Market Manager to lead our expansion efforts in West Virginia - Morgantown. 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...

  • Direct Market Manager

    3 weeks ago


    Morgantown, United States ThinkTank Full time

    ThinkTank Telecom, LLC is actively seeking a motivated and entrepreneurial Direct Market Manager to lead our expansion efforts in West Virginia - Morgantown. 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 significant sales performance...

  • Direct Market Manager

    3 weeks ago


    Morgantown, United States ThinkTank LLC Full time

    Job DescriptionJob DescriptionThinkTank Telecom, LLC is actively seeking a motivated and entrepreneurial Direct Market Manager to lead our expansion efforts in West Virginia - Morgantown. 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...


  • Morgantown, United States International Staffing Consultants, Inc. Full time

    We are currently looking for a Clinical Oncology Specialist (COS) to join our Oncology sales team! The territory will encompass all of West Virginia, stretching slightly into Maryland, covering areas including Cumberland and Oakland, MD. It will also extend into Pennsylvania, including Washington and Canonsburg, PA, and reaching over to Somerset, PA.The COS...


  • Morgantown, United States Crescent City Recruitment Group Full time

    We are currently looking for a Clinical Oncology Specialist (COS) to join our Oncology sales team! The territory will encompass all of West Virginia, stretching slightly into Maryland, covering areas including Cumberland and Oakland, MD. It will also extend into Pennsylvania, including Washington and Canonsburg, PA, and reaching over to Somerset, PA.The COS...


  • Morgantown, United States Crescent City Recruitment Group Full time

    We are currently looking for a Clinical Oncology Specialist (COS) to join our Oncology sales team! The territory will encompass all of West Virginia, stretching slightly into Maryland, covering areas including Cumberland and Oakland, MD. It will also extend into Pennsylvania, including Washington and Canonsburg, PA, and reaching over to Somerset, PA.The COS...


  • Morgantown, United States International Staffing Consultants, Inc. Full time

    We are currently looking for a Clinical Oncology Specialist (COS) to join our Oncology sales team! The territory will encompass all of West Virginia, stretching slightly into Maryland, covering areas including Cumberland and Oakland, MD. It will also extend into Pennsylvania, including Washington and Canonsburg, PA, and reaching over to Somerset, PA.The COS...


  • Morgantown, West Virginia, United States CommuniCare Full time

    Job DescriptionJob DescriptionMy Health LLC (a subsidiary of CommuniCare Health System) is currently recruiting for an HR Benefits Specialist to support employees in all matters related to insurance benefits. This is a mobile position based in Morgantown, WV.Estimated Pay: $65k-75k/annually.We offer: Full, robust benefit package, 2 weeks vacation, paid sick...


  • Morgantown, United States CommuniCare Health Services Corporate Full time

    My Health is currently recruiting for an HR Benefits Specialist to support employees in all matters related to insurance benefits. This is a mobile position based in Morgantown, WV. Estimated Pay: $65k-75k/annually. We offer: Full, robust benefit package, 2 weeks vacation, paid sick days and holidays. This position involves travel to all 41 of our West...


  • Morgantown, United States CommuniCare Health Services Corporate Full time

    My Health is currently recruiting for an HR Benefits Specialist to support employees in all matters related to insurance benefits. This is a mobile position based in Morgantown, WV. Estimated Pay: $65k-75k/annually. We offer: Full, robust benefit package, 2 weeks vacation, paid sick days and holidays. This position involves travel to all 41 of our West...


  • Morgantown, United States CommuniCare Family of Companies Full time

    My Health is currently recruiting for an HR Benefits Specialist to support employees in all matters related to insurance benefits. This is a mobile position based in Morgantown, WV. Estimated Pay: $65k-75k/annually. We offer: Full, robust benefit package, 2 weeks vacation, paid sick days and holidays. This position involves travel to all 41 of our West...


  • Morgantown, United States CommuniCare Full time

    Job DescriptionJob DescriptionMy Health LLC (a subsidiary of CommuniCare Health System) is currently recruiting for an HR Benefits Specialist to support employees in all matters related to insurance benefits. This is a mobile position based in Morgantown, WV.Contact Information: For more information, please contact Adam McCollum, Division Recruiter at...


  • Morgantown, United States CommuniCare Full time

    Job DescriptionJob DescriptionMy Health LLC (a subsidiary of CommuniCare Health System) is currently recruiting for an HR Benefits Specialist to support employees in all matters related to insurance benefits. This is a mobile position based in Morgantown, WV.Estimated Pay: $65k-75k/annually.We offer: Full, robust benefit package, 2 weeks vacation, paid sick...


  • Morgantown, United States West Virginia Employer Full time

    MINIMUM QUALIFICATIONS - Ability to perform essential duties as outlined below. Valid Drivers License OR Valid Photo ID Card High school Diploma or Equivalent Knowledge of health care insurance claim practices and compliance Knowledge of medical terminology, CPT and ICD-10 codes Knowledge of computers Ability to type and operate normal office equipment...


  • Morgantown, West Virginia, United States WEST VIRGINIA UNIVERSITY RESEARCH CORPORATION Full time

    The Center for Excellence in Disabilities at West Virginia University Research Corporation is currently accepting applications for a (Hybrid) Community Support Specialist. About the Opportunity The purpose of this position is to provide support for the Mentoring & Oversight for Developing Independence with Foster Youth (MODIFY) Program at the WVU Center for...


  • Morgantown, United States West Virginia University Health System Full time

    Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. This position is responsible for conducting payer in-house financial audits, payer...