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Managed Care/ Payer Enrollment Specialist
3 weeks ago
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
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Managed Care/ Payer Enrollment Specialist
2 months ago
Morgantown, United States Mon Health Full timeWith 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....
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Patient Service Specialist
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Patient Service Specialist
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Insurance Claim Specialist
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Direct Market Manager
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Direct Market Manager
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Morgantown, United States ThinkTank Full timeThinkTank 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...
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Direct Market Manager
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Morgantown, United States ThinkTank LLC Full timeJob 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...
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HR Benefits Specialist, Mobile
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HR Benefits Specialist, Mobile
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HR Benefits Specialist
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Morgantown, United States CommuniCare Full timeJob 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...
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HR Benefits Specialist
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Morgantown, United States CommuniCare Full timeJob 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...
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Pharmacy Business Coordinator
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Morgantown, United States West Virginia University Health System Full timeWelcome! 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...