Credentialing and Provider Enrollment Specialist
1 week ago
This position plays a critical role in ensuring the University of Virginia's compliance with delegated credentialing and enrollment processes for healthcare providers. The successful candidate will be responsible for managing the enrollment process, including tracking applications, resolving issues, and maintaining accurate records.
Key Responsibilities- Manage the enrollment process for healthcare providers, including tracking applications and resolving issues
- Collaborate with the Insurance Processing Unit to resolve provider-related claim denials
- Work with payors to ensure accurate and timely enrollment information
- Coordinate with UPG Legal, UVA HR, and UVA Clinical Staff Office to facilitate timely enrollment of leased professional providers
- Authorize updates to the provider professional billing record in EPIC
- Collaborate with UPG IPU to resolve provider-related claim denials and act as liaison between payor and UPG
- Assist with payor transparency by communicating discrepancies between payor and UPG/UVACHMG enrollment information
- Responsible for updating and entry of all physician and allied health professional credentialing information into the Symplr provider database
- Assist with projects related to new practice locations for UPG and UVACHMG, including relocation and changes
- Maintain confidentiality of credentialing and enrollment information
- Provide backup coverage to the others on the enrollment team
- High school graduate or equivalent required; Bachelor's Degree preferred
- 5 years prior experience in a healthcare environment
- Experience working accurately under time pressures
- Experience anticipating end users' problems
- Intermediate knowledge of and experience utilizing a personal computer
- Intermediate word processing and spreadsheet skills
- Basic knowledge of database software or willingness to attain such within 6 months of hire
-
Charlottesville, Virginia, United States University of Virginia Full timeAbout the RoleThis position plays a critical role in ensuring the University of Virginia's compliance with delegated credentialing and enrollment processes for healthcare providers. The successful candidate will be responsible for maintaining accurate and up-to-date enrollment information for Medicare, Medicaid, and managed care payors.Key...
-
Charlottesville, Virginia, United States Virginia Jobs Full timeJob SummaryThis position will assist Virginia Jobs and UVA Community Health Medical Group (UVACHMG) in complying with all delegated credentialing and enrollment processes to maintain provider eligibility to bill Medicare/Medicaid/Department of Defense and managed care payors for the provision of professional health care services.Key...
-
Clinical Nurse Specialist
2 weeks ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timeJob Title: Advanced Practice Provider - Clinical Nurse SpecialistCompany: Commonwealth of VirginiaThis position plays a vital role within the leadership framework of the healthcare facility, supporting both adult and pediatric solid organ transplant clinical operations while ensuring quality, safety, and adherence to regulatory standards. The Advanced...
-
Healthcare Provider
2 weeks ago
Charlottesville, Virginia, United States University of Virginia Full timePosition Overview: The clinician will be responsible for delivering comprehensive medical services, including the evaluation and management of patients across various settings such as clinics, hospitals, and outpatient facilities, in accordance with their professional qualifications and specialty.Key Responsibilities:Collaborate with the medical leadership...
-
Charlottesville, Virginia, United States Commonwealth of Virginia Full timePosition Overview The Commonwealth of Virginia is seeking a dedicated and experienced leader to fill the role of Vice Provost for Student Enrollment and Financial Services. This pivotal position will oversee the Student Financial Services (SFS) department during a transformative period, emphasizing the importance of accessibility and support for...
-
Pediatric Advanced Practice Provider
1 week ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timePosition OverviewThe Pediatric Advanced Practice Provider is responsible for delivering high-quality healthcare services to pediatric patients across various clinical environments. This role encompasses the assessment and management of children in settings such as outpatient clinics, hospitals, and community health facilities.Key...
-
Clinical Nurse Specialist
2 weeks ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timePosition Title: Advanced Practice Provider - Clinical Nurse SpecialistOrganization: Commonwealth of VirginiaThis position plays a vital role within the leadership framework of the transplant facility, enhancing both Adult and Pediatric solid organ transplant clinical operations while ensuring adherence to quality, safety, and regulatory standards. The...
-
Business Intelligence Specialist
5 days ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timeAbout the RoleWe are seeking a highly skilled and detail-oriented Data Specialist to join our team at the Commonwealth of Virginia. As a Data Specialist, you will play a critical role in supporting our Institutional Research and Analytics (IRA) unit by providing accurate data, reliable information, and expert analysis to inform decision-making.Key...
-
Visual Communications Specialist
1 week ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timePosition Title: Visual Communications SpecialistThe Commonwealth of Virginia is seeking a creative and detail-oriented individual to fill the role of Visual Communications Specialist. This position is integral to the Enrollment Division and its associated departments, focusing on the development of compelling marketing and communication materials.Contribute...
-
Neurology Care Provider
6 days ago
Charlottesville, Virginia, United States Sentara Health Full timeJob Summary:Sentara Health is seeking a skilled Office-Based Neurology Specialist to join our team at Sentara Neurology Specialists - Martha Jefferson. As a key member of our multidisciplinary team, you will be responsible for providing high-quality, patient-centered care to our patients in an outpatient setting.Key Responsibilities:Conduct comprehensive...
-
Authorization Specialist II
2 weeks ago
Charlottesville, Virginia, United States Sentara Full timeLocation: Norfolk, VAOverview:Sentara Martha Jefferson Hospital is seeking an Authorization Specialist II for a full-time day schedule. Our hospital, established in 1903, has a long-standing commitment to delivering high-quality clinical care and personalized healthcare services. We pride ourselves on providing a welcoming environment with all private...
-
Patient Care Specialist
6 days ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timeJob SummaryWe are seeking a highly skilled and compassionate Patient Care Specialist to join our team at the Commonwealth of Virginia. As a key member of our healthcare team, you will provide exceptional patient care and support services in a fast-paced medical environment.Key ResponsibilitiesAssist patients with personal care and daily living activities to...
-
Clinical Authorization Specialist
5 days ago
Charlottesville, Virginia, United States Sentara Full timeAbout the Role:Sentara Healthcare is seeking a highly skilled Clinical Authorization Specialist to join our team. As a key member of our healthcare team, you will be responsible for reviewing clinical information received from physicians, department queues, and other clinical providers to ensure that clinical data is substantial enough to authorize services...
-
Authorization Specialist II
2 weeks ago
Charlottesville, Virginia, United States Sentara Healthcare Full timeCity/State Charlottesville, VA Overview Work Shift First (Days) (United States of America) Sentara Martha Jefferson Hospital is seeking an Authorization Specialist II - Full Time Day schedule Qualifications: High School Diploma or Equivalent is required. Experience in Health Insurance Authorizations, Health Insurance Verification, or Registration/Billing is...
-
Clinical Nurse Specialist
2 weeks ago
Charlottesville, Virginia, United States Sentara Healthcare Full timeSentara Healthcare is seeking a dedicated Clinical Nurse Specialist for our MedSurg Unit. This is a full-time night shift role (12-hour shifts) within a renowned healthcare facility. About the Unit: The MedSurg Unit is a 24-bed facility specializing in gastrointestinal care, managing conditions such as gallbladder diseases, appendicitis, bowel...
-
Telemetry Monitoring Specialist
2 weeks ago
Charlottesville, Virginia, United States Sentara Healthcare Full timeLocation Charlottesville, VA Position Overview Shift Details First Shift (Days) Role Summary The Telemetry Monitoring Specialist is responsible for observing, interpreting, and documenting EKG readings for patients under telemetry monitoring. This role is crucial for identifying any irregularities in cardiac rhythms and promptly communicating findings to the...
-
IT Specialist
1 month ago
Charlottesville, Virginia, United States U.S. Army Intelligence And Security Command Full timeThe Information Technology (IT) Systems Analyst (SYSTEMS ANALYSIS) performs a variety of developmental and analytical IT duties in the implementation, maintenance, and troubleshooting of assigned applications. Assists end users in utilizing on-premises and cloud-based IT applications and systems used in carrying out the Center's intelligence analysis and...
-
Registered Dietitian
3 days ago
Charlottesville, Virginia, United States Compass Group Careers Full timeJob SummaryWe are seeking a highly skilled Registered Dietitian to join our team at Compass Group Careers. As an Oncology Nutrition Specialist, you will play a vital role in providing medical nutrition therapy to patients with cancer, including nutrition assessment, diet modification, nutrition education, and intervention.Key Responsibilities:Develop and...
-
Medical Care Provider
2 days ago
Charlottesville, Virginia, United States University of Virginia Full timeJob SummaryWe are seeking a highly skilled Physician Services Specialist to join our team at the University of Virginia. As a key member of our medical staff, you will be responsible for providing exceptional patient care and services.Key ResponsibilitiesAssess and manage patients in various settings, including clinics, hospitals, and assisted living...
-
Employment Specialist I
5 days ago
Charlottesville, Virginia, United States Rappahannock Goodwill Industries Inc Full timeJob SummaryRappahannock Goodwill Industries Inc is seeking an Employment Specialist I to assist visitors with their job search and use of equipment in the Resource Room. The successful candidate will be responsible for assessing and connecting customers with the appropriate workforce resources, programs, and partners.Key ResponsibilitiesGreet visitors and...