OR · On-site
Verify provider data via internal databases and external agencies; set up/test EFT accounts * Enter and update provider information in enrollment databases and directories * Communicate with ...
OR · On-site
Verify provider data via internal databases and external agencies; set up/test EFT accounts * Enter and update provider information in enrollment databases and directories * Communicate with ...
OR · On-site
Verify provider data via internal databases and external agencies; set up/test EFT accounts * Enter and update provider information in enrollment databases and directories * Communicate with ...
Long Beach, CA · Remote
$93.90K - $118.50K/yr
This role serves as a hybrid position focused on supporting provider lifecycle management operations through data analysis, reporting, workflow optimization, system enhancements, and cross-functional ...
Long Beach, CA · Remote
$93.90K - $118.50K/yr
This role serves as a hybrid position focused on supporting provider lifecycle management operations through data analysis, reporting, workflow optimization, system enhancements, and cross-functional ...
Overview To maintain accurate provider information by entering necessary data elements into several database systems. Works closely with team members and other departments to research and resolve ...
Overview To maintain accurate provider information by entering necessary data elements into several database systems. Works closely with team members and other departments to research and resolve ...
Provider data modernization and quality automation * Accelerate analytics, automation, and reporting tied to enterprise financial value * PRIME replacement and legacy reporting reengineering
Provider data modernization and quality automation * Accelerate analytics, automation, and reporting tied to enterprise financial value * PRIME replacement and legacy reporting reengineering
Provider data modernization and quality automation * Accelerate analytics, automation, and reporting tied to enterprise financial value * PRIME replacement and legacy reporting reengineering
Provider data modernization and quality automation * Accelerate analytics, automation, and reporting tied to enterprise financial value * PRIME replacement and legacy reporting reengineering
Analyze complex problems pertaining to claim payments, The Analyst will act as a liaison between the Auditing, Benefits Configuration and Provider Data Departments. Provides additional support to ...
Analyze complex problems pertaining to claim payments, The Analyst will act as a liaison between the Auditing, Benefits Configuration and Provider Data Departments. Provides additional support to ...
Frequently contacts practitioners, insurance representatives and other provider staff for compilation of provider data * Complies with NCQA, Medicare and Medicaid standards, department procedures and ...
Quick apply
Frequently contacts practitioners, insurance representatives and other provider staff for compilation of provider data * Complies with NCQA, Medicare and Medicaid standards, department procedures and ...
The Senior Provider Network Operations Analyst responsible for maintaining current provider data and provider reimbursement setup, and to address provider and state inquiries as they relate to claim ...
The Senior Provider Network Operations Analyst responsible for maintaining current provider data and provider reimbursement setup, and to address provider and state inquiries as they relate to claim ...
Raleigh, NC · On-site +1
Data review for accuracy and completeness of Letters of Intent (LOIs), Letters of Agreement (LOAs), contracts and/or credentialing information * Accurate entry and proper maintenance of provider data
Raleigh, NC · On-site +1
Data review for accuracy and completeness of Letters of Intent (LOIs), Letters of Agreement (LOAs), contracts and/or credentialing information * Accurate entry and proper maintenance of provider data
$160K - $185K/yr
We are seeking an exceptional Data Scientist to join our Garner Health Intelligence team to help build and evolve our provider data insights. You'll work with our clinical researchers, data ...
$160K - $185K/yr
We are seeking an exceptional Data Scientist to join our Garner Health Intelligence team to help build and evolve our provider data insights. You'll work with our clinical researchers, data ...
The Senior Provider Network Operations Analyst responsible for maintaining current provider data and provider reimbursement setup, and to address provider and state inquiries as they relate to claim ...
The Senior Provider Network Operations Analyst responsible for maintaining current provider data and provider reimbursement setup, and to address provider and state inquiries as they relate to claim ...
Baltimore, MD · Hybrid
$85.50K - $107.80K/yr
Must have previous Federal Healthcare/CMS Stars data experience working with leadership on provider data issues, accuracy, and provider data interactions with claims and claims platforms. Knowledge ...
Baltimore, MD · Hybrid
$85.50K - $107.80K/yr
Must have previous Federal Healthcare/CMS Stars data experience working with leadership on provider data issues, accuracy, and provider data interactions with claims and claims platforms. Knowledge ...
Tampa, FL · On-site
$200K - $280K/yr
Provider Data Management: * Direct the management of provider data, ensuring accuracy and timeliness of provider credentialing and demographic information. * Oversee the implementation of new ...
Tampa, FL · On-site
$200K - $280K/yr
Provider Data Management: * Direct the management of provider data, ensuring accuracy and timeliness of provider credentialing and demographic information. * Oversee the implementation of new ...
Ability to accurately enter, proof, submit data and to identify inaccurate data and process to ... FACETS and/or similar provider data and/or claims processing system. * Effective communication ...
Ability to accurately enter, proof, submit data and to identify inaccurate data and process to ... FACETS and/or similar provider data and/or claims processing system. * Effective communication ...
Provider Relations Referral Authorization Provider Data Maintenance Claims Processing Knowledge/Skills/Abilities Data entry accuracy. Organization and time management. Basic managed care concepts.
Provider Relations Referral Authorization Provider Data Maintenance Claims Processing Knowledge/Skills/Abilities Data entry accuracy. Organization and time management. Basic managed care concepts.
Rochester, NY · On-site
$18.50 - $23.03/hr
... data and verification while maintaining files in payor enrollment software. • Review and validate professional qualifications of providers to guarantee completion of provider applications. • ...
Rochester, NY · On-site
$18.50 - $23.03/hr
... data and verification while maintaining files in payor enrollment software. • Review and validate professional qualifications of providers to guarantee completion of provider applications. • ...
Define and execute the provider analytics roadmap in alignment with product and enterprise data strategy. * Set clear performance expectations, support professional development, and manage ongoing ...
Quick apply
Define and execute the provider analytics roadmap in alignment with product and enterprise data strategy. * Set clear performance expectations, support professional development, and manage ongoing ...
Key all provider demographics & enrollment data into software system. * Scan all related enrollment documents and applications into software system. * Contact health plans to request provider ...
Key all provider demographics & enrollment data into software system. * Scan all related enrollment documents and applications into software system. * Contact health plans to request provider ...
Concord, NH · On-site
$15 - $17/hr
We are seeking a Provider Enrollment Specialist (Junior) to support administrative operations related to provider onboarding, data entry, and record maintenance. * This role is responsible for ...
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Concord, NH · On-site
$15 - $17/hr
We are seeking a Provider Enrollment Specialist (Junior) to support administrative operations related to provider onboarding, data entry, and record maintenance. * This role is responsible for ...
Can navigate Verity to load, run bolt reports and create forms on provider data. * Maintain providers in Avid and the hold queue to release all holds for providers as approved by payers and make sure ...
Can navigate Verity to load, run bolt reports and create forms on provider data. * Maintain providers in Avid and the hold queue to release all holds for providers as approved by payers and make sure ...
$9.38 - $13.94
13% of jobs
$15.48 is the 25th percentile. Wages below this are outliers.
$13.94 - $18.51
37% of jobs
The median wage is $18.60 / hr.
$18.51 - $23.08
26% of jobs
$23.08 - $27.64
11% of jobs
$27.64 - $32.21
4% of jobs
$32.21 - $36.78
4% of jobs
$36.78 - $41.35
1% of jobs
$41.35 - $45.91
1% of jobs
$45.91 - $50.48
1% of jobs
$50.48 - $55.05
1% of jobs
$55.05 - $59.62
1% of jobs
$9
$23
$59

Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 23 days ago
Broadway Ventures is seeking experienced and detail-oriented Provider Enrollment Analysts to support the enrollment process by reviewing, researching, analyzing, and processing provider applications. This role ensures provider file accuracy and compliance with established standards and guidelines.
Worksite & ScheduleThis is a full-time (40-hours/week) position, Monday-Friday.
You will support the full lifecycle of medical provider enrollment, helping ensure accurate provider data and regulatory compliance. Duties include:
In this role, you will gain exposure to:
Work Experience:
Education:
Skills and Abilities:
Software and Tools:
Microsoft Office
Sourced by ZipRecruiter
Business management consulting
11 - 50 Employees
Canton, MS, US
2013