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Golden Steps ABA
Overview
The specialist is responsible for acquiring insurance contracts, managing provider files, and processing credentialing applications for government and commercial payers. They also maintain CAQH accounts and collaborate with the billing department to negotiate contract rates.
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Compensation
Salary not listed
Posted
17 days ago
Thornbury Community Services
Provide complex clinical care and daily living support to a young male in a community setting. Build trust with families and empower the child to achieve goals and engage in social activities.
£44 / HOUR
1 month ago
DRISCOLL HEALTH PLAN
The specialist will manage the credentialing matrix, focusing on getting providers credentialed with Government payors first, and act as a liaison for accurate credentialing and revalidation processes to ensure organizational financial viability. Duties include enrolling providers in Medicare, Medicaid, and commercial insurance plans, updating locations, and performing necessary revalidations.
Bowen Health
The Provider Enrollment Coordinator is responsible for managing the timely enrollment of licensed providers with private payers, Medicaid, and Medicare, while also overseeing staff credentialing and completing necessary provider privileges according to governing body requirements. Key duties include performing various enrollment functions using systems like CAQH and NPI, tracking applications, resolving enrollment issues, and managing recredentialing and privilege documentation.
3 months ago