Provider Enrollment Specialist: Payer & CMS Expert
Ventra Health, Inc.
Ventra Health is seeking a Provider Enrollment Specialist to support the enrollment process by researching payer issues, resolving CMS-related denials, and coordinating with clients and operations. You will manage enrollment applications and ensure provider numbers are linked to the correct client groups. The role requires an associate degree and ideally 1+ year of enrollment experience. Candidates should be detail-oriented, analytical, and capable of working in a team to meet strict deadlines #J-18808-Ljbffr Ventra Health, Inc.
$28.23 - $37.27 per hour
...WelbeHealth, our Outreach and Enrollment Team is the first touchpoint... .... The Medicaid Enrollment Specialist focuses on successfully enrolling... ...Enrollment (MOE) team and provides back-up and support to... ...ensure compliance with DHCS and CMS guidelines and policies (for...Cms- ...We are looking to fill a Scientist II or III - Metrology Specialist position working as a full-time employee of Parexel FSP on long-term... ...Parexel Parexel FSP includes the CMC Operations group. We provide pharmaceutical and biopharmaceutical companies with qualified...CmsFull time
$83.78k
...of positive change. The Reimbursement Specialist II is responsible for preparation of... ...support of the Wage Index submission to CMS including acting as the point person for... ...package. The starting rate of pay is provided for informational purposes only and is not...CmsHourly payFull timePart timeApprenticeshipWork experience placementRemote workHome officeShift workNight shiftWeekend workAfternoon shift$97.01k
...Senior Safety Specialist The Senior Safety Specialist, under the direction of the Dir, Network... ..., and Local regulations. Travel and provide support to all HMH facilities, including... .../AHJ (i.g. OSHA, EPA, NJDEP, TJC, CMS, etc), mediation projects (e.g., asbestos...CmsHourly payFull timePart timeApprenticeshipWork experience placementInterim roleWork at officeLocal areaShift workNight shiftWeekend workAfternoon shift- ...CROJob Title: Client Partner - Healthcare (Payers & PBMs)Experience Level: 10+ years in IT... ...transformation for payers, PBMs, and providers.We are seeking an experienced Client Partner... ...automationInteroperability & data exchange solutions (CMS mandates, FHIR, TEFCA)IT Managed Services...CmsContract workShift work
$35k - $50k
...career development. Summary The Provider Revalidation Field Representative serves... ...community. This role supports provider enrollment and revalidation initiatives to ensure healthcare providers remain compliant with CMS, state, and federal participation requirements...CmsFull timeWork at officeFlexible hours- ...the staffing industry. As a Staffing Specialist/Account Manager, you will use your... ...services to closing client agreements Provide excellent service to both clients and candidates... ..., Dental and Vision Benefits plus ESOP enrollment. Base salary plus unlimited...Base plus commissionFull time
- ...Passionate About Kids Or The Sport Of Swimming, You're At The Right Place You may be our next great Office Assistant/Event and Enrollment Specialist at SafeSplash South Plainfield! At SafeSplash, we believe swimming is a life skill. Therefore, we approach each one of our...Work at office
- ...currently recruiting talented and motivated individuals to join our team as Eligibility Specialists. As an Eligibility Specialist, you will provide technical assistance to applicants enrolled in childcare assistance programs (CCAP), review eligibility in accordance with NJ...Work at office
$71.9k - $113.2k
Job Description Associate Specialist, Engineering –Platform Assembly and Packaging Technical Leadership Join our Packaging and Assembly... ...Leadership is integral to this mission. Essential Responsibilities: Provide packaging and assembly knowledge to ensure scientific rigor,...For contractorsWork experience placementInternshipLocal areaRelocationVisa sponsorshipFlexible hoursShift work- WelbeHealth, LLC. is seeking a Medicaid Enrollment Specialist to join our Outreach and Enrollment team in Newark, NJ. This role focuses on enrolling prospective participants in Medi-Cal and supporting the enrollment workflow across DPSS interactions. The ideal candidate...
- ...seeking Mail Handler Assistants to join our nationwide teams. Open to candidates with all experience levels, with thorough training provided to help you succeed. You will work with a diverse team to ensure efficient mail handling and distribution in a dynamic environment...
- ...families. Why Apply 1. Make a Difference: Join a team dedicated to protecting families and children through financial services, providing peace of mind and security to those who need it most. 2. Work from Home: Enjoy the convenience and flexibility of working remotely...Remote workWork from home
$28.23 - $37.27 per hour
...WelbeHealth PACE helps seniors stay in their homes and communities by providing medical care and community-based services. Our values and participant focus lead the way no matter what. The Enrollment Specialist plays a key role in guiding the eligibility process, helping...Night shiftAfternoon shift- ...end configuration and customization knowledge in the areas of: SOM. Familiarity with Convergent Charging, and Convergent Invoicing (Provider Contract, Billable item management, Consumption Item management, Billing Process, Invoicing process, Billing plan, Re-rating &...CmsContract work
- ...Reimbursement Specialist II The Reimbursement Specialist II is responsible for preparation of Medicare, Champus and Chapter 160 cost... ...IRIS. Coordination and support of the Wage Index submission to CMS including acting as the point person for the Wage Index audits....CmsHome office
- ...16Company: HAN Staffing JOB DESCRIPTION BRIM SOM Technical Strong High-tech experience in Subscription Order Management (SOM), Provider Orders, Provider Contracts, Convergent Charging & Invoicing Having 8-9 years of knowledge in CRM/BRIM SOM Technical area. Having...CmsContract work
$87.3k - $137.4k
Job DescriptionThe Payroll Senior Specialist is responsible for ensuring the accurate, timely, and compliant delivery of payroll services... ....This position serves as a key liaison with ADP and provides expertise for payroll operations, tax compliance, garnishment...Full timeFor contractorsLocal areaRelocation packageFlexible hours- ...ARE STILL ACCEPTING APPLICATIONS*** The Physician Advisor provides physician-to-physician reviews, clinical guidance, education,... ...determinations (inpatient vs. observation) in alignment with CMS and payer guidelines Provide clinical oversight related to length of...CmsRemote work
$26 - $30 per hour
...We are currently recruiting for an Occupancy Specialist to join our team at Westfield Senior Citizen Housing! In this role, you will... ...Housing Corporation in a positive way. Promote teamwork in providing services to residents No smoking in the building or while operating...Hourly payFull timeFlexible hours- ...for change and release activities. Communicate upcoming changes and releases to affected teams and users. Manage expectations and provide status updates. Identify opportunities to streamline and automate change and release processes. Implement tools and workflows to increase...CmsLocal areaRelocation
$117k - $184.2k
Job DescriptionWe are seeking a Sr. Specialist in Technical Product Management with deep expertise... ..., and supply operations.Act as a user expert, deeply understanding the motivations,... ...document activities using company-provided toolsCollaborate effectively across matrixed...Full timeFor contractorsLocal areaVisa sponsorshipFlexible hours$117k - $184.2k
...Please click here if you need an accommodation during the application or hiring process.As an Equal Employment Opportunity Employer, we provide equal opportunities to all employees and applicants for employment and prohibit discrimination on the basis of race, color, age,...Full timeFor contractorsLocal areaVisa sponsorshipFlexible hours$87.3k - $137.4k
...External Capabilities group in Small Molecule Process Research & Development within our Research & Development Division.The role will provide day-to-day operational and administrative support for clinical drug substance development and manufacturing projects conducted with...Full timeFor contractorsWork experience placementInternshipWork at officeLocal areaRemote workOverseasFlexible hours$117k - $184.2k
Job DescriptionRole SummaryThe Senior Specialist, Cybersecurity Engineering is a hands-on security engineer responsible for securing our... ...process.As an Equal Employment Opportunity Employer, we provide equal opportunities to all employees and applicants for employment...Full timeFor contractorsLocal areaVisa sponsorshipFlexible hours$87.3k - $137.4k
Job DescriptionNon-Sterile Specialist, EngineeringPosition SummaryThis Engineer position provides on-site engineering support for the Rahway, NJ FLEx (Formulation, Laboratory & Experimentation) center, supporting non-sterile operations within Our Company's Research Labs...Full timeFor contractorsLocal areaMonday to FridayFlexible hoursShift workAfternoon shift- ...quality resident care is always maintained. Job Functions: Provide Speech Language Pathologist services to residents in accordance... ...complete compliant and medically necessary documentation from CMS expectations in NetHealth EMR system Education &...CmsFull timeTemporary workLocal area
- ...quality resident care is always maintained. Job Functions: Provide physical therapy assistant services to residents in accordance... ...complete compliant and medically necessary documentation from CMS expectations in NetHealth EMR systems Education & Requirements...CmsFull timeTemporary workLocal area
$30.44k - $63k
...Lawn Specialist 117 Corporate Blvd, South Plainfield, New Jersey 07080 TruGreen accepts... ...their outdoor spaces. You'll deliver expert treatments backed by TruGreen's proven... ...visits and calls Measure properties and provide quotes for TruGreen services Maintain...Local area$15.92 - $19.44 per hour
...the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare... ...Position Overview We are seeking a Health Information Specialist to support front desk operations and Release of Information...Hourly payFull timeImmediate startMonday to Friday
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