Enrollment Specialist
1 week ago
The Enrollment Specialist plays a critical role in ensuring that physicians are enrolled in and maintain active credentialing status with governmental agencies and commercial managed care insurers/networks. This position requires a comprehensive understanding of the managed care industry, including physician credentialing and contracting requirements.
Key Responsibilities- Manage credentialing activities for initial credentialing, re-credentialing, and credentials modification.
- Communicate effectively with internal departments, physicians, and managed care companies to achieve the necessary results required in the credentialing process.
- Develop and maintain relationships with managed care payers to ensure timely and accurate credentialing.
- Stay up-to-date with changing regulations and industry developments to ensure compliance and optimal credentialing outcomes.
- High School Diploma/GED required; Bachelor's degree preferred.
- 3-5 years of experience with physician credentialing and/or physician contracting requirements in a managed care environment.
- Comprehensive knowledge of the managed care industry, including physician credentialing and contracting requirements.
- Ability to communicate effectively both verbally and in writing.
- A challenging and rewarding work environment.
- Competitive compensation and generous paid time off.
- Excellent medical, dental, vision, and prescription drug plans.
- 401(K) with company match.
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Enrollment Specialist
16 hours ago
King of Prussia, Pennsylvania, United States UHS Full timeJob Title: Enrollment SpecialistAt UHS, we are seeking a highly skilled Enrollment Specialist to join our team. As an Enrollment Specialist, you will play a critical role in ensuring that our physicians are enrolled in and maintain active credentialing status with governmental agencies and commercial managed care insurers/networks.Responsibilities:Manage...
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Enrollment Specialist
3 weeks ago
King of Prussia, Pennsylvania, United States Foundations for Living Full timeJob SummaryWe are seeking a highly skilled Enrollment Specialist to join our team at Foundations for Living. As an Enrollment Specialist, you will play a critical role in ensuring that our physicians are credentialed and enrolled in various healthcare networks and programs.Key ResponsibilitiesManage the credentialing process for physicians, including initial...
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Enrollment Specialist
2 weeks ago
King of Prussia, Pennsylvania, United States Foundations for Living Full timeJob SummaryWe are seeking a highly skilled Enrollment Specialist to join our team at Foundations for Living. As an Enrollment Specialist, you will play a critical role in ensuring that our physicians are credentialed and enrolled in various healthcare networks and programs.Key ResponsibilitiesManage the credentialing process for physicians, including initial...
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Enrollment Coordinator
4 weeks ago
King of Prussia, Pennsylvania, United States Worldwide Insurance Services Full timeJob OverviewWe are seeking an Enrollment Specialist to effectively manage the enrollment processes within our organization. The role involves handling all eligibility and financial transactions as designated, maintaining regular communication with brokers and clients regarding enrollment and payment matters. The Enrollment Specialist will assist brokers and...
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Enrollment Specialist K-12 Special Education
3 weeks ago
King of Prussia, Pennsylvania, United States Agora Cyber Charter School Full timeAbout the RoleAgora Cyber Charter School is seeking a highly skilled and dedicated Enrollment Specialist to join our team. As an Enrollment Specialist, you will play a critical role in supporting the Special Education Teachers, Directors, and Assistant Directors, as well as newly enrolled special education students.Key ResponsibilitiesReview special...
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Enrollment Coordinator
4 weeks ago
King of Prussia, Pennsylvania, United States Worldwide Insurance Services Full timePosition OverviewWe are seeking an Enrollment Specialist to facilitate the enrollment process within our organization. The primary responsibilities include managing eligibility and financial transactions, as well as maintaining communication with brokers and clients regarding enrollment and payment matters. This role also involves assisting brokers and...
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Physician Credentialing Specialist
4 days ago
King of Prussia, Pennsylvania, United States Foundations for Living Full timeJob SummaryWe are seeking a highly skilled Physician Credentialing Specialist to join our team at Foundations for Living. As a key member of our healthcare team, you will be responsible for ensuring that our physicians are credentialed and enrolled with managed care organizations in a timely and efficient manner.ResponsibilitiesManage the credentialing...
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Insurance Claims Coordinator
2 weeks ago
King of Prussia, Pennsylvania, United States Worldwide Insurance Services Full timeJob DescriptionOverviewAt Worldwide Insurance Services, we're committed to delivering exceptional customer experiences. As a Global Service Center Specialist, you'll play a vital role in ensuring our members receive the highest level of service and support.Key ResponsibilitiesCustomer Service: Provide timely and effective resolution to customer inquiries,...
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Safety Specialist in Construction
2 weeks ago
King of Prussia, Pennsylvania, United States ARCO a Family of Construction Companies Full timeAbout YouWe are seeking a highly motivated and detail-oriented individual to join our team as a Construction Safety Intern/Co-op. As a key member of our safety team, you will have the opportunity to assist our Safety Managers in various aspects of construction safety.What We Can OfferWe are dedicated to the well-being of our associates and are proud to be...
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Behavioral Health Specialist
1 day ago
King of Prussia, Pennsylvania, United States CCRES, Educational & Behavioral Health Services Full timeJob Title: Behavioral Health TechnicianCCRES, Educational & Behavioral Health Services is seeking a skilled Behavioral Health Technician to join our team in Montgomery County, PA.Job Summary:We are looking for a dedicated and compassionate individual to provide behavioral health support to students with special needs in school, home, and community settings....
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Behavior Health Specialist
4 days ago
King of Prussia, Pennsylvania, United States CCRES, Educational & Behavioral Health Services Full timeBehavior Health Technician Job DescriptionCCRES, Educational & Behavioral Health Services is seeking a skilled Behavior Health Technician to join our team in Montgomery County, PA.Job SummaryWe are looking for a dedicated and compassionate individual to provide assistance to students with behavior disorders in the school, home, and community setting. As a...
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Global Service Center Representative
2 weeks ago
King of Prussia, Pennsylvania, United States Worldwide Insurance Services Full timeJob DescriptionOverviewAt Worldwide Insurance Services, we're committed to delivering exceptional customer experiences. As a Global Service Center Specialist, you'll play a vital role in ensuring our members receive the highest level of service and support.Key ResponsibilitiesCustomer Service: Provide timely and effective resolution to customer inquiries,...
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People Operations Specialist
4 weeks ago
King of Prussia, Pennsylvania, United States Helping Hands Family Full timePosition Overview: The HR Business Partner serves as a strategic consultant to the organization, addressing HR-related challenges and facilitating the development and execution of HR policies, programs, and initiatives that align with business goals. In this advisory capacity, you will collaborate with leadership in your designated area to enhance team...
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Enrollment Specialist
2 months ago
King of Prussia, United States Worldwide Insurance Services Full timeJob DescriptionJob DescriptionWe are hiring for an Enrollment Specialist to join the team! The Enrollment Specialist role will process all eligibility and financial transactions as assigned; regularly correspond with brokers and clients regarding enrollment issues, payment issues; assists brokers and FSAs with inquiries regarding eligibility, fulfillment...
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Enrollment Specialist K-12 Special Education
3 weeks ago
King of Prussia, United States Agora Cyber Charter School Full timePOSITION: Enrollment SpecialistPOSITION TERM: 12 MonthREPORTS TO: Assistant Director of Special Education OperationsDATE: September 2023Our Mission The mission of the Agora Cyber Charter School is to provide an innovative, intensive academic preparation that inspires and educates students to achieve the highest levels of academic knowledge and skills. Agora...
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School-Based Counseling Specialist
2 weeks ago
King of Prussia, United States Aldersgate Part time $25Work PT during the school day! Two or more days per week during the school year Master's Degree Strongly Preferred; will consider those enrolled in relevant masters program The hourly rate is $25 to beginSchool Districts Served:AbingtonCheltenhamColonialJenkintownLower MerionLower MorelandMethactonNorristownSpringfield TownshipUpper...
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Global Service Center Specialist
4 weeks ago
King of Prussia, United States Worldwide Insurance Services Full timeJob DescriptionJob DescriptionNew Class Starting in October!There is something that makes GeoBlue a special place to work. We're proud to offer the best of both worlds: a place where professional ambition meets work-life balance.GeoBlue’s Global Service Center (GSC) is open 24/7/365 to service our globally mobile members. Our Global Service Center...
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Global Service Center Specialist
3 weeks ago
King of Prussia, United States Worldwide Insurance Services Full timeJob DescriptionJob DescriptionNew Class Starting in October!There is something that makes GeoBlue a special place to work. We're proud to offer the best of both worlds: a place where professional ambition meets work-life balance.GeoBlue’s Global Service Center (GSC) is open 24/7/365 to service our globally mobile members. Our Global Service Center...
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Individual Sales Support Specialist
2 months ago
King of Prussia, United States Worldwide Insurance Services Full timeJob DescriptionJob DescriptionWe are seeking a Sales Support Specialist to join our Individual Sales team! The Individual Sales Support Specialist is an entry-level position and will help support our Individual Sales team. The overall goal is to assist in increasing the profitability of GeoBlue by supporting the Sales Directors, Managers, and a large Broker...
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Enrollment Services Specialist
2 months ago
City of Saint Peters, United States St. Charles Community College Full timeJob DescriptionJob DescriptionSt. Charles Community College (SCC) is located just west of St. Louis, in the heart of growing St. Charles County. At SCC, we have a passion for student success. We serve a growing diverse student population, and we are committed to increasing the diversity of our faculty and staff who will help prepare our students for a global...
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Financial Counselor
2 months ago
King of Prussia, United States Ensemble Health Partners Full timeThank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the...
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Participant Advocate
3 months ago
Charter Township of Clinton, United States PACE Southeast Michigan Full timeJob DescriptionJob DescriptionPARTICIPANT ADVOCATEJOB SUMMARY:Under the supervision of the Intake Manager, the Participant Advocate is responsible for ensuring the smooth introduction and onboarding of all new enrollees into the PACE Southeast Michigan (PACE SEMI) Program. This includes – but is not limited to – escorting new intakes through their...
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Participant Advocate
3 months ago
Charter Township of Clinton, United States PACE Southeast Michigan Full timeJob DescriptionJob DescriptionPARTICIPANT ADVOCATEJOB SUMMARY:Under the supervision of the Intake Manager, the Participant Advocate is responsible for ensuring the smooth introduction and onboarding of all new enrollees into the PACE Southeast Michigan (PACE SEMI) Program. This includes – but is not limited to – escorting new intakes through their...
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Product Quality Assurance Specialist
4 weeks ago
Isle of Palms, South Carolina, United States BOEING Full timeJob OverviewAt Boeing, we are dedicated to innovation and teamwork to enhance the world around us.From the depths of the ocean to the vastness of space, you can engage in meaningful work with a company that values diversity, equity, and inclusion.We strive to create a welcoming, respectful, and inclusive environment for all team members, providing ample...
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Supervising Aquatics Recreation Specialist
4 weeks ago
City of San Diego, United States Disability Solutions Full timeJOB INFORMATION See NOTE(S) below for future wage increases and/or additional compensation opportunities. Supervising Aquatics Recreation Specialist positions coordinates the work of, and provide overall supervision to, subordinate staff engaged in facility safety and drowning prevention. Plan, develop and administer specialized recreation aquatic programs...
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Research Specialist
2 months ago
City of Saint Peters, United States St. Charles Community College Full timeJob DescriptionJob DescriptionSt. Charles Community College (SCC) is located just west of St. Louis, in the heart of growing St. Charles County. At SCC, we have a passion for student success. We serve a growing diverse student population, and we are committed to increasing the diversity of our faculty and staff who will help prepare our students for a global...
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Township of Neptune, United States OneStaffMedical Full timeWe. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy...
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Travel Registered Nurse RN Mother Baby
2 weeks ago
Township of Neptune, United States OneStaffMedical Full timeWe. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy...
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U10/Camp Tennis Director
2 weeks ago
Village of Roslyn, United States Sportime Clubs, LLC Full timeSince 1994, SPORTIME has been proud to operate the finest tennis and sports facilities in New York State. SPORTIME has 15 facility locations, most recently adding the iconic Port Washington Tennis Academy, now SPORTIME Port Washington, the largest indoor racket sports facility on Long Island. SPORTIME currently offers 194 indoor and outdoor tennis courts and...
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Entry Level Desktop Support Role
4 weeks ago
WASHINGTON, District of Columbia, 20402, US Year Up Full timeYear Up is a one-year or less, intensive job training program that provides young adults with in-classroom skill development, access to internships and/or job placement services, and personalized coaching and mentorship. Year Up participants also receive an educational stipend.The program combines technical and professional training with access to...
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Payroll Specialist
1 month ago
City of Industry, United States CEMCO, LLC Full time $30 - $35Job DescriptionJob DescriptionSUMMARYTo perform this job successfully, an individual must have advanced knowledge of HR and payroll practices and be able to perform each essential duty satisfactorily. Under the direction of the Director of Human Resources, process payroll for Company employees at all locations and provide all related reports and documents....
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LPN Home Health Care Specialist
6 days ago
City of La Follette, Tennessee, United States Amedisys, Inc. Full timeAbout Amedisys, Inc.Amedisys, Inc. is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system.Job SummaryWe are seeking a highly skilled and compassionate Licensed Practical Nurse (LPN) to join our team in providing patient-centered care in the comfort of their own...
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Helicopter Mechanic
2 weeks ago
City of San Diego, United States Disability Solutions Full timeJOB INFORMATION See NOTE(S) below for future wage increases and/or additional compensation opportunities. Helicopter Mechanic positions perform skilled and technical work including inspecting, repairing, overhauling, maintaining, servicing, and cleaning Bell 212/412 and Sikorsky S70i helicopters; examine and interpret information received from pilots...