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Keywords: Payer Enrollment Specialist, Location: USA

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Contracting & Credentialing Specialist

credentialing and re-credentialing of healthcare providers. The Contracting & Credentialing Specialist ensures that payer agreements...; and familiarity with credentialing software, PECOS, and payer enrollment processes; or an equivalent combination of education...

Location: Tucson, AZ
Posted Date: 20 Oct 2025
Salary: $70165.68 per year

Credentialing Specialist

management team with any issues pertaining to credentialing and provider payer enrollment Participates in Health Plan meetings.../ Flexible Spending Account/ Dependent Care Account Annual Performance Bonus Job Position: Credentialing Specialist...

Company: Rendr
Location: New York City, NY
Posted Date: 18 Oct 2025

Customer Service Specialist

to live with dignity, independence, and comfort. ActivStyle is currently hiring for a dedicated Customer Service Specialist... new carrier is entered Responsible for contacting patient when documentation received does not meet payer guidelines...

Company: ActivStyle
Location: Brevard, NC
Posted Date: 09 Oct 2025

HC/Principal Edifecs Specialist- Business Consulting

programs. Understanding issues related to claims, encounters and enrollment processes in healthcare Payer sector...Job Description Principal - Edifecs Specialist Infosys Consulting is seeking a skilled and experienced Principal...

Company: Infosys
Location: USA
Posted Date: 07 Oct 2025
Salary: $168000 - 234000 per year

Henderson - Credentialing Specialist

payer enrollment. Requirements: High school diploma or general education degree (GED) and one to two years of medical...: The Credentialing Specialist will oversee the Credentialing process for providers working as Employees or Independent...

Posted Date: 03 Oct 2025
Salary: $20 - 22 per hour

Documentation and Revenue Specialist

Position Purpose The Documentation and Revenue Operations Specialist play a critical role in supporting providers.... Educate providers on coding updates, payer policies, and documentation best practices. 2. Coding & Charge Reconciliation...

Company: Renown Health
Location: Reno, NV
Posted Date: 01 Oct 2025

Credentialing Specialist HCS

schedule: 8:00 am - 4:30 pm M - F Summary: The Credentialing Specialist This requires electronic collection, processing... and organizing significant amounts of enrollment data. Oversee the credentialing process in its entirety from start to finish...

Location: Buffalo, NY
Posted Date: 20 Sep 2025

Insurance Pre-Auth Specialist I

process and requirements to ensure all government and other payer requirements are met for accurate organizational... direction to patients on the appropriate appeal procedures for denials. Understands insurance/payer policy language, benefits...

Company: Memorial Health
Location: Springfield, IL
Posted Date: 30 Nov 2025
Salary: $16.5 - 24.82 per hour

Insurance Pre-Auth Specialist I

process and requirements to ensure all government and other payer requirements are met for accurate organizational... direction to patients on the appropriate appeal procedures for denials. Understands insurance/payer policy language, benefits...

Posted Date: 29 Nov 2025
Salary: $16.5 per hour

Access Specialist I

enrollment for services; Enters/updates all demographic information, financial/billing information, caregiver contact... information, and additional information needed to complete patient record; Verifies third party payer coverage; Collects self...

Company: SoutheastHEALTH
Location: USA
Posted Date: 19 Nov 2025

Senior Reimbursement Specialist

-based analysis requests; providing Mercy-wide and regional provider enrollment support for hospital providers...; and, preparing various industry and payer surveys. Performs these tasks in a manner which is consistent with the values and mission...

Company: Mercy
Location: Chesterfield, MO
Posted Date: 19 Nov 2025

Access Specialist I

enrollment for services; Enters/updates all demographic information, financial/billing information, caregiver contact... information, and additional information needed to complete patient record; Verifies third party payer coverage; Collects self...

Company: SoutheastHEALTH
Location: USA
Posted Date: 16 Nov 2025

Enterprise Clinic Access Specialist I

enrollment for services; Enters/updates all demographic information, financial/billing information, caregiver contact... information, and additional information needed to complete patient record; Verifies third party payer coverage; Collects self...

Company: SoutheastHEALTH
Location: Enterprise, AL
Posted Date: 15 Nov 2025

Revenue Cycle / Patient Accounts Specialist III, Back

; and processing payer denied claim and underpayments; researching, coping, and mailing member-financial records to the respective... of payer; applying insurance to a patient account; interviewing patients to determine coverage; partnering with vendors...

Location: Pasadena, CA
Posted Date: 15 Nov 2025

Renal Dialysis Financial Specialist - Hemodialysis - FT - Day

coverage, determines priority of payer and acquires identification, signatures, pre-certifications and/or authorizations... for services that will facilitate processing claims by payer and facilitates maximum utilization, efficiency, and minimal procedure...

Company: Capital Health
Location: USA
Posted Date: 08 Nov 2025

Medical Sales Specialist

in-servicing, exhibits and conferences; enabling prescribing entities to become self-sufficient through enrollment and utilization... working knowledge of all 3rd party payer requirements Manage the pre-authorization process for new medical orders Provide...

Company: Rep-Lite
Location: Colorado
Posted Date: 09 Oct 2025

PATIENT REGISTRATION SPEC

Overview: Patient Registration Specialist, Admitting & Registration Full Time, 80 Hours Per Pay Period, Day Shift... || Responsibilities: Collects co-payments/deposits based on verification information obtained, generates receipts to the payer...

Company: Covenant Health
Location: Knoxville, TN
Posted Date: 03 Dec 2025

HCAI - MEDICAL BILLING AND CODING - TRAINING PROGRAM

to apply does NOT guarantee acceptance, as participation is subject to HCAI enrollment guidelines. Health Care Access... apply. Internet Stipend $35/month for 44 weeks MBC Description: The Medical Biller and Coder Specialist is responsible...

Company: Ochin
Location: California
Posted Date: 27 Nov 2025

Med Staff Operations Analyst | Credentialing | Variable | Full Time

Staff Administration function through project leadership and staff education. Areas of expertise include Government payer... initiatives, provider enrollment and credentialing/privileging projects. Develops education plans and formats, conducts training...

Posted Date: 27 Nov 2025

Credentialing Representative 2 (HYBRID)

Professionals with respective state boards and payer enrollment. Relies on education, critical thinking skills, and judgment... enrollment and renewal, and payer enrollment in accordance with each entity's medical staff bylaws, rules and regulations...

Posted Date: 26 Nov 2025