Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Provider Enrollment Specialist: Payer & CMS Coordination

Ventra Health, Inc.

Ventra Health, Inc. is seeking a Provider Enrollment Specialist to work with the Provider Enrollment Manager to identify and resolve payer enrollment issues and denials, contacting CMS and other payers via phone, email, or web. You will manage CMS Medicare and State Medicaid applications, track revalidation dates, maintain provider demographics across enrollment systems, and collaborate with Clients and Revenue Cycle Management to keep enrollment active and error-free. #J-18808-Ljbffr Ventra Health, Inc.

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Provider Enrollment Specialist: Payer & CMS Coordination in New York, NY vacancy
  • $55k - $65k

     ...have an immediate opening for a Senior Payer Enrollment Specialist to join our remote team at US...  ...commensurate with experience) This role provides the opportunity to grow within a nationally...  ..., and APPs across insurance plans Coordinate the addition of new service locations... 
    Suggested
    Full time
    Contract work
    Part time
    Work at office
    Immediate start
    Remote work
    Monday to Friday

    Ovation Fertility

    New York, NY
    1 day ago
  • DescriptionThe Provider Enrollment Analyst (I) is responsible for coordinating the provider enrollment and payer credentialing efforts for contracted FPA providers with Medicare and...  ...ResponsibilitiesEnrolls and terminates providers with CMS and other government programs by... 
    Cms
    Hourly pay
    Traineeship
    Local area

    Mount Sinai Health System

    New York, NY
    4 days ago
  • $20 - $30 per hour

     ...candidates for this Enrollment Ancillary Coordinator position. This position...  ...services are provided. Maintains and updates...  ...mentoring to the Enrollment Specialists and Ancillary...  ...the understanding of payer credentialing nuances...  ...hospital. Must have CMS, MD Staff, Adobe Pro... 
    Cms
    Permanent employment
    Contract work
    Work at office
    Local area
    Remote work

    Visium Resources, Inc.

    New York, NY
    13 hours ago
  • $55k - $65k

     ...the leading virtual medical practice for women and children, providing care across pregnancy, postpartum, pediatrics, menopause,...  ...families nationwide. About the Role Your North Star: Manage payer enrollments, and payer re-enrollments across clinician types for our existing... 
    Suggested
    Remote work
    Flexible hours

    Pomelo Care

    New York, NY
    3 days ago
  • $50k - $70k

     ...care, and accessibility. We don't just provide therapy; we empower seniors to...  ...Position Summary The Provider Enrollment & Credentialing Specialist is a vital role that ensures our clinicians...  ..., a deep understanding of Medicare/CMS guidelines, and the ability to navigate... 
    Cms
    Remote work

    Total Life Inc.

    New York, NY
    5 days ago
  • $126.42k - $189.63k

     ...Health community. Working at Alignment Health provides an opportunity to do work that really...  .... Together. The Director of Provider Enrollment is responsible for leading provider enrollment...  ...enrollment operations comply with CMS, NCQA, State, and accreditation requirements... 
    Cms
    Contract work

    E2E Alignment Healthcare USA, LLC

    New York, NY
    4 days ago
  • EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our...  ..., visit Job Title: Provider Enrollment Specialist MUST LIVE IN ONE OF OUR 18 States:...  ...Responsibilities Enroll providers with payers by providing information to the payers... 
    Live in
    Work at office
    Immediate start
    Remote work
    Flexible hours

    Eye Care Partners Career Opportunities

    New York, NY
    13 hours ago
  •  ...goals, we're looking for a Payer Credentialing Specialist to join our Operations...  ...credentialing providers across a number of geographies...  ...certifications, and work history. Coordinate payer enrollment applications and updates...  ...compliance with NCQA, CMS, state, and payer-... 
    Cms
    Local area
    Remote work
    Work from home

    Knownwell

    New York, NY
    5 days ago
  •  ...seeking an experienced Provider Credentialing Specialist to support U.S.-...  ...understand the full provider enrollment lifecycle, from...  ...-credentialing and payer follow-up, and who...  ...resolve outstanding items Coordinate with providers to...  ...with PECOS and CMS enrollment portals Experience... 
    Cms
    Full time
    Contract work
    Work at office
    Remote work
    Home office

    Virtual Rockstar

    New York, NY
    3 days ago
  • Gainwell Technologies LLC is seeking a Provider Enrollment Analyst to support healthcare provider enrollment operations remotely within the United States. The role involves reviewing, processing, and maintaining accurate enrollment data in line with policies and regulatory... 
    Remote job

    Gainwell Technologies LLC

    New York, NY
    1 day ago
  •  ...to work safely through coordinated, clinically...  ...Services, a leading national provider of investigative and risk...  ...Medical Cost Projection Specialist to coordinate and...  ...accurate, compliant with CMS guidelines, and serve...  ...and Medicare Secondary Payer (MSP) regulations. Utilize... 
    Cms
    Full time
    Work at office
    Remote work

    ForzaCare

    New York, NY
    1 day ago
  • $66.3k - $79.8k

     ...accuracy standards are met. Coordinates efficient functioning of day-...  ...appeals to enrollees and/or providers. Assists with collecting and...  ...Medicare and Medicaid Services (CMS), Independent Review Entities...  ...from Medicaid, Medicare, other payers, and/or professional medical... 
    Cms
    Work experience placement
    Work at office
    Flexible hours

    VNS Health

    New York, NY
    3 days ago
  • $21 - $22 per hour

     ...Position: Guest Eligibility Specialist I Job Type: Full-Time...  ...on authorizations per payer portals, and faxing...  ...prior authorization. Provide feedback to...  ...Working knowledge of CMS guidelines, contracted...  ...dexterity; eye-hand-foot coordination, use of corrected vision... 
    Cms
    Hourly pay
    Permanent employment
    Full time
    Temporary work
    Work at office
    Remote work
    Monday to Friday
    Shift work

    Recovery Innovations

    New York, NY
    2 days ago
  •  ...Summary: The Charge Capture Specialist II is responsible for...  ...and requirements, including CMS, the State, and payer regulations related to these...  ...coding in Charge Review, providing ongoing education to charging...  ...charging opportunities in coordination with assigned departments... 
    Cms
    Work at office
    Shift work

    5000 Wellstar Medical Group, LLC

    New York, NY
    13 hours ago
  • $55.6k - $92.6k

     ...pharmaceutical manufacturers, providers, pharmacies, governments,...  ...Description The Membership Operations Specialist is an entry-level individual...  ...intake, triage, follow-up coordination, and administrative support....  ...knowledge of GPO, enrollment, and manufacturer workflows... 
    Full time
    Contract work
    Work experience placement
    H1b
    Work at office
    Remote work
    2 days per week

    McKesson

    New York, NY
    5 days ago
  •  ...own terms. The Care Management Coordinator is expected to ensure high...  ...compliance with all departmental and CMS/DOH regulatory requirements....  ...vendors. Processes all newly enrolled cases according to...  ...services/supplies. Coordinates and provides service authorizations to... 
    Cms

    Metropolitan Jewish Health System, Inc.

    New York, NY
    1 day ago
  •  ...Reports to: Building Principal The Enrollment Specialist is charged with recruiting, selecting, and enrolling eligible families...  ...based location. The enrollment specialist also creates, provides, and coordinates services and activities with families and communities that... 
    Work at office
    Local area

    Beanstalk Academy

    New York, NY
    1 day ago
  • MJHS in New York, NY seeks an A&G Coordinator to investigate and respond to member and provider appeals and grievances under CMS and DOH rules. In a non-clinical role, you will help ensure timely decisions and accurate documentation. You will determine the appropriate... 
    Cms

    MJHS

    New York, NY
    2 days ago
  •  ...discrepancies, or compliance issues. Verify that services provided are correctly documented, coded, and billed according to payer and regulatory requirements. Work to maximize...  ...with healthcare regulations, including CMS (Centers for Medicare & Medicaid Services) and third... 
    Cms

    Eye Health America

    New York, NY
    3 days ago
  •  ...Certified Clinical Documentation Specialist (CCDS) through the...  ...with CDI Educator/Manager for provider educational opportunities. As...  ...physician, nurse, or patient care coordinator by utilizing the appropriate...  ...queries Promotes compliance with CMS, Medicare documentation, and... 
    Cms
    Work at office
    Shift work

    WVU Medicine

    New York, NY
    5 days ago
  •  .... We partner with healthcare providers to leverage automation and intelligence...  ...coding guidelines and payer policy. This role operates in...  ...targets.The Coding Specialist also resolves coding-related...  ...full compliance with HIPAA, CMS regulations, and fraud/abuse... 
    Cms
    Hourly pay
    Remote work
    Flexible hours
    Shift work

    Infinx Inc

    New York, NY
    4 days ago
  •  ...fighting poverty and income inequality by providing New Yorkers in need with essential...  ...line. Working under direction of the Enrollment Specialist Supervisor for Fair Fares, the...  ...questions and concerns in a timely manner. Coordinates communication around site‑specific... 
    Work at office
    Local area
    Monday to Friday
    Shift work

    Cityofnewyork

    New York, NY
    4 days ago
  • $135.79k - $178.23k

     ...Manager, Revenue Cycle Management, Provider Operations New York, New...  ..., CCI/NCCI edits, and payer requirements. Establish and...  ...Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist...  ...with credentialing and payer enrollment processes and their... 
    Cms
    Full time
    Work at office
    Flexible hours

    Oscar Health, Inc.

    New York, NY
    5 hours ago
  • $23 - $25 per hour

     ...healthcare organization dedicated to providing compassionate and patient-centered care...  ...are currently seeking a Health Home Enrollment Specialist to join our growing team. This role...  ...program benefits, obtaining consent, and coordinating the necessary documentation. The role... 
    Hourly pay
    Work at office
    Work from home

    Doral Medical and Multi Specialty Facility LLC

    New York, NY
    4 days ago
  • $27.29 - $27.86 per hour

     .... Overview Our Data Collection Coordinator will be responsible for the issuing...  ...Discharge Appeal Rights (CMS - 4105-F) to Medicare beneficiaries, patients enrolled in Medicare Advantage and other...  ...beneficiaries with Medicare as a secondary payer. Responsibilities Collaborate... 
    Cms

    Maimonides Medical Center Inc.

    New York, NY
    4 days ago
  • $21 - $24 per hour

     ...experienced Financial Management Service provider is to assist those eligible Medicaid...  ..., Florida. Job Summary: The Enrollment Specialist serves as the primary point of contact...  ...facilitates timely and accurate enrollment by coordinating required documentation, resolving... 
    Contract work
    Work at office
    Local area
    Remote work

    Public Partnerships | PPL

    New York, NY
    13 hours ago
  •  ...ultimate healthcare experience that provides our members, their families,...  .... JOB SUMMARY: The Field Coordinator is an essential team member...  ...with the care of all members enrolled in CPHL’s managed care plans....  ...with CPHL policies, NY State, CMS, and Federal regulations... 
    Cms
    Work at office

    Centers Plan for Healthy Living

    New York, NY
    4 days ago
  • $40k - $44k

     ...to excellence, respect, and providing high-quality, personalized health...  ...The Care Management Coordinator is expected to ensure high quality...  ...compliance with all departmental and CMS/DOH regulatory requirements....  ...vendors. Processes all newly enrolled cases according to... 
    Cms
    Full time
    Part time
    Flexible hours

    Metropolitan Jewish Health System

    New York, NY
    1 day ago
  • Cortica is seeking an Enrollment Coordinator to serve as the first point of contact for families seeking care. You will guide families through...  ...processing, while collaborating with scheduling teams and providers to meet service level agreements and support #J-18808-Ljbffr... 
    Remote job

    Cortica

    New York, NY
    13 hours ago
  •  ...About the Role The Medical Coding Specialist is responsible for independently reviewing, analyzing...  ...applying established coding guidelines, payer requirements, and organizational...  ...with appropriate modifiers for services provided in the professional fee environment. Reviews... 
    Cms
    Hourly pay
    Temporary work
    Work at office
    Local area
    Immediate start

    Innovaccer

    New York, NY
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Provider Enrollment Specialist: Payer & CMS Coordination. Be the first to apply!