Healthcare Enrollment Specialist
3 days ago
Integrated Resources Inc. is a premier staffing firm recognized for its exceptional service and integrity. We deliver high-quality talent to meet the needs of our clients. This position is responsible for developing and overseeing processes to ensure that all billing providers are credentialed and enrolled into commercially contracted health plans, Medicare, Medi-Cal, and Tricare.
Key Responsibilities- Develop and implement processes to ensure accurate and timely credentialing and enrollment of billing providers.
- Work with leadership at Medicare and DHCS to interpret changes in State and Federal regulations and develop new processes as necessary.
- Collaborate with billing agents and contracted health plans to resolve billing issues.
- Stay up-to-date on Federal, State, and Managed Care regulations to ensure compliance.
- Bachelor's degree or equivalent combination of education and experience.
- Minimum of 8-10 years of work experience in a healthcare environment with a focus on provider enrollment, managed care, and health plans.
-
Healthcare Enrollment Specialist
2 weeks ago
San Francisco, California, United States Integrated Resources Inc. Full timeIntegrated Resources, Inc. is a leading staffing agency known for its exceptional service and integrity in the healthcare sector. Established in 1996, we have earned a reputation for delivering top-tier talent consistently across various specialty areas, including Information Technology (IT), Clinical Research, Rehabilitation Therapy, and Nursing.Position...
-
Healthcare Enrollment Specialist
1 week ago
San Francisco, California, United States Integrated Resources Inc. Full timeIntegrated Resources, Inc. is a leading staffing agency known for its exceptional service and integrity since 1996. Our commitment is to deliver top-tier talent consistently across various sectors, including Information Technology (IT), Clinical Research, Rehabilitation Therapy, and Nursing.Position OverviewThe role of the Health Plan Enrollment Analyst...
-
Healthcare Enrollment Specialist
2 weeks ago
San Francisco, California, United States Integrated Resources Inc. Full timeIntegrated Resources, Inc. is a leading staffing agency known for its exceptional service and integrity since 1996. Our commitment is to deliver top-tier talent consistently across various sectors, including Information Technology (IT), Clinical Research, Rehabilitation Therapy, and Nursing.Position OverviewThe role of the Health Plan Enrollment Analyst is...
-
Healthcare Enrollment Specialist
1 week ago
San Francisco, California, United States Integrated Resources Inc. Full timeIntegrated Resources, Inc. is a leading staffing agency known for its exceptional service and integrity since 1996. Our commitment is to deliver top-tier talent consistently across various sectors, including Information Technology (IT), Clinical Research, Rehabilitation Therapy, and Nursing.Position OverviewThe role of the Health Plan Enrollment Analyst...
-
Healthcare Enrollment Specialist
1 week ago
San Francisco, California, United States Integrated Resources Inc. Full timeIntegrated Resources, Inc. is a leading staffing agency recognized for its exceptional service and integrity in the professional specialty sector since 1996. Our commitment is to deliver top-tier talent consistently across various fields, including Information Technology (IT), Clinical Research, Rehabilitation Therapy, and Nursing.Position OverviewThe role...
-
Healthcare Enrollment Specialist
2 weeks ago
San Francisco, California, United States Integrated Resources Inc. Full timeIntegrated Resources, Inc. is a leading staffing agency known for its exceptional service and integrity since 1996. Our mission is to deliver top-quality talent consistently across various sectors, including Information Technology (IT), Clinical Research, Rehabilitation Therapy, and Nursing.Position OverviewThe role involves developing and managing processes...
-
Healthcare Enrollment Specialist
7 days ago
San Diego, California, United States A-Line Staffing Solutions Full timeAbout the RoleA-Line Staffing Solutions is seeking a skilled Customer Service Representative to join our team in a major consulting company. As a Customer Service Representative, you will be responsible for providing exceptional support to clients, helping them navigate the enrollment process, and answering their questions about health care and pension...
-
Enrollment Specialist
2 weeks ago
San Jose, California, United States Actiondayprimaryplus Full timeAbout Action Day SchoolsSince 1968, Action Day Schools has been a prominent figure in the Bay Area's childcare and private education sector. We are committed to delivering exceptional care and fostering individual growth and development in children. As we continue to expand, we are looking for dedicated and proactive professionals who share our vision of...
-
Enrollment Specialist
2 weeks ago
San Jose, California, United States Actiondayprimaryplus Full timeAbout Action Day SchoolsSince 1968, Action Day Schools have established themselves as leaders in the Bay Area's childcare and private education sector. We are committed to delivering exceptional care that fosters individual growth and development in a nurturing environment.Position SummaryAs an Enrollment & Admissions Specialist, you will be essential in...
-
Enrollment and Outreach Specialist
2 weeks ago
San Jose, California, United States Welbehealth Full timeAt WelbeHealth, we are redefining senior care by offering a comprehensive healthcare solution to our most at-risk senior population, acting as both a care provider and care planner for the participants we support.Under the supervision of the Marketing, Outreach, Enrollment, and Eligibility (MOEE) Director, the Enrollment and Outreach Specialist is...
-
Patient Enrollment Specialist
2 weeks ago
San Luis Obispo, California, United States Conversio Health Careers Full timeJob OverviewThe Patient Enrollment Specialist plays a crucial role in guiding patients through the onboarding process, ensuring a seamless transition from initial contact to timely order fulfillment. This position involves proactive follow-up on necessary documentation such as prescriptions, diagnosis codes, and copay approvals, while maintaining a strong...
-
Enrollment Specialist II/III
2 weeks ago
San Diego, California, United States Workshops for Warriors Full timeWorkshops for Warriors is a nonprofit organization established to support veterans and wounded warriors in securing careers in advanced manufacturing. Our mission focuses on providing exceptional training, recognized credentials, hands-on experience, and job placement services at no cost to veterans. We are dedicated to revitalizing America's advanced...
-
Healthcare Support Specialist
2 weeks ago
San Francisco, California, United States LMG Healthcare Full timeJob OverviewThe Healthcare Support Specialist plays a vital role in ensuring the smooth operation of a medical facility. This position involves a variety of responsibilities including managing phone communications, relaying important messages, confirming patient demographics and insurance details, as well as coordinating appointment schedules.Key...
-
Certified Enrollment Advisor
2 weeks ago
San Francisco, California, United States Marin City Health and Wellness Center Full timeCertified Enrollment Counselor at Marin City Health and Wellness CenterThe Certified Enrollment Counselor plays a vital role in promoting community awareness regarding health coverage options under the Affordable Care Act. This position focuses on guiding individuals through the enrollment process for various health programs, including Covered California and...
-
Enrollment and Outreach Specialist
2 weeks ago
San Jose, California, United States WelbeHealth Full timePosition OverviewAt WelbeHealth, we are dedicated to revolutionizing senior care by offering a comprehensive healthcare solution to our most at-risk senior population, acting as both a care provider and care planner for the participants we support.Under the supervision of the Marketing, Outreach, Enrollment, and Eligibility (MOEE) Director, the Outreach and...
-
Enrollment and Outreach Specialist
2 weeks ago
San Jose, California, United States WelbeHealth Full timePosition OverviewAt WelbeHealth, we are dedicated to revolutionizing senior care by offering a comprehensive healthcare solution tailored to our most at-risk senior population, acting as both a care provider and a care plan for the participants we support.Reporting to the Director of Marketing, Outreach, Enrollment, and Eligibility (MOEE), the Outreach and...
-
Enrollment and Outreach Specialist
1 week ago
San Jose, California, United States WelbeHealth Full timePosition OverviewAt WelbeHealth, we are redefining senior care by offering a comprehensive healthcare solution tailored to our most at-risk senior population, acting as both a care provider and care planner for the participants we support.Under the supervision of the Marketing, Outreach, Enrollment, and Eligibility (MOEE) Director, the Outreach and...
-
Pediatric Healthcare Specialist
2 weeks ago
San Francisco, California, United States Physician Providers Mgmt. Corp. Full timePediatric Healthcare Specialist Opportunity in Tennessee We are excited to present a remarkable opportunity for a Board Eligible or Board Certified Pediatric Healthcare Specialist seeking a Hospital Employed role with a well-established Medical Group in Tennessee. This practice is currently supported by one full-time physician who has dedicated 7 years to...
-
Breast Imaging Specialist
2 weeks ago
San Francisco, California, United States Medicus Healthcare Solutions Full timeJoin a Leading Healthcare TeamA prominent healthcare facility is seeking a skilled Breast Imaging Specialist to enhance their radiology department.Position Highlights:Consistent coverage opportunitiesWork Schedule: Daytime hours, 8 AM to 5 PMNo on-call duties requiredDaily Patient Volume: 10-15 screening exams, 6-8 diagnostic evaluations, and 1 procedureMust...
-
Enrollment Support Specialist
3 days ago
San Jose, California, United States Carrington College Full timeJob DescriptionAbout Us: Carrington College is a leading provider of higher education, offering degree programs and certificates in business, medical, and technical fields. Our mission is to empower students to achieve their goals through hands-on training and real-world experience.Job Summary: We are seeking a highly motivated and customer-focused...