Credentialing and Enrollment Specialist
4 days ago
We are seeking a highly organized and detail-oriented Credentialing and Enrollment Specialist to join our team at Virginia Jobs. As a key member of our enrollment team, you will play a critical role in ensuring the timely and accurate enrollment of healthcare providers with government and managed care payors.
Key Responsibilities- Assist in the enrollment process for new physicians and allied health professionals, including tracking applications and ensuring timely issuance of provider numbers.
- Work with the Insurance Processing Unit to resolve provider issue denials and ensure accurate billing 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 and maintain confidentiality of credentialing and enrollment information.
- Provide backup coverage to the enrollment team and assist with projects related to new practice locations.
- High school graduate or equivalent required; Bachelor's degree preferred.
- 5 years' prior experience in a healthcare environment, with experience working accurately under time pressures and anticipating end users' problems.
- Intermediate knowledge of and experience utilizing a personal computer, word processing, and spreadsheet skills.
As a Credentialing and Enrollment Specialist at Virginia Jobs, you will have the opportunity to work in a dynamic and fast-paced environment, collaborating with a team of professionals to ensure the highest level of accuracy and efficiency in healthcare provider enrollment. We offer a competitive salary range of $52,083.20 to $83,907.20 annually, depending on experience.
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Credentialing and Enrollment Specialist
1 week ago
Charlottesville, Virginia, United States Virginia Jobs Full timeJob SummaryWe are seeking a highly organized and detail-oriented Credentialing and Enrollment Specialist to join our team at Virginia Jobs. This role will be responsible for assisting with delegated credentialing and enrollment processes to maintain provider eligibility to bill Medicare/Medicaid/Department of Defense and managed care payors.Key...
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Credentialing and Provider Enrollment Specialist
3 weeks ago
Charlottesville, Virginia, United States University of Virginia Full timeJob SummaryThis 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...
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Credentialing and Provider Enrollment Specialist
4 weeks ago
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...
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Charlottesville, Virginia, United States Virginia Jobs Full timeJob SummaryThis position plays a critical role in ensuring the accuracy and efficiency of delegated credentialing and provider enrollment processes for UPG and UVACHMG. The successful candidate will be responsible for handling enrollment information for Medicare and Medicaid, completing enrollment applications, and working with payors to resolve issues....
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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...
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Visual Communications Specialist
3 weeks 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...
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Business Intelligence Specialist
3 weeks 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...
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Charlottesville, Virginia, United States Commonwealth of Virginia Full timeJob Title: Data Specialist for Institutional Research and AnalyticsWe are seeking a highly motivated and detail-oriented Data Specialist to join our team at the University of Virginia. As a Data Specialist, you will play a critical role in supporting the Institutional Research and Analytics (IRA) unit in providing accurate data, reliable information, and...
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Travel Nurse ICU Specialist
7 days ago
Charlottesville, Virginia, United States GO Healthcare Staffing Full timeTravel Nurse ICU Specialist OpportunityWe have an exciting travel nurse position available for an ICU specialist at a reputable healthcare facility in Charlottesville, VA.The ideal candidate will have at least 2 years of experience in ICU and hold an active RN license, as well as BLS and/or ACLS certification from the American Heart Association.What Sets Us...
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Authorization Specialist II
4 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...
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Plastic Surgery Specialist
10 hours ago
Charlottesville, Virginia, United States University of Virginia Full timeOpportunity for a Plastic Surgery SpecialistWe are seeking a highly skilled and motivated Plastic Surgery specialist to join our team at the University of Virginia. The successful candidate will have a passion for both hand and upper extremity surgery and lower extremity salvage and general reconstructive plastic surgery.Responsibilities:Perform a wide range...
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Telemetry Monitoring Specialist
4 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...
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Patient Care Specialist
3 weeks 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...
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Clinical Authorization Specialist
3 weeks 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...
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Authorization Specialist II
4 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...
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Clinical Nurse Specialist
4 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...
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Employment Specialist I
2 weeks ago
Charlottesville, Virginia, United States Rappahannock Goodwill Industries Inc Full timeJob SummaryRappahannock Goodwill Industries is seeking an Employment Specialist I to assist visitors with their job search and use of equipment in the Resource Room. This role involves assessing and connecting customers with appropriate workforce resources, programs, and partners.Key ResponsibilitiesGreet visitors and provide assistance with equipment...
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Pharmacy Specialist
1 week ago
Charlottesville, Virginia, United States Virginia Jobs Full timeJob SummaryWe are seeking a highly skilled Pharmacy Specialist to join our team at Virginia Jobs. As a Pharmacy Specialist, you will provide pharmacy services in a specialty area under the direct supervision of a licensed pharmacist/licensed independent practitioner.Key ResponsibilitiesProvide advanced technical skills and ownership for the work area.Work...
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Math Intervention Specialist
2 weeks ago
Charlottesville, Virginia, United States Albemarle County Public Schools and Government Full timeAbout the RoleWe are seeking a highly skilled and dedicated Math Intervention Specialist to join our team at Albemarle County Public Schools and Government. As a Math Intervention Specialist, you will play a critical role in supporting students in achieving academic success in mathematics.Key ResponsibilitiesDevelop and implement effective math intervention...
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Registered Dietitian
3 weeks 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...