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Credentialing Specialist Distro

Salt Lake City, Utah

Remote

Credentialing Specialist Department: Credentialing Reports To: Credentialing Manager Location: Salt Lake City, UT preferred (open to remote for the right candidate) Employment Type: Full-time Classification: Non-Exempt About Allevio At Allevio, we’re on a mission to empower healthcare practice owners by removing the operational and administrative roadblocks that can get in the way of exceptional patient care. #HireFinder #LI-PROMOTED #LI-Remote $0 - $0 a year We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.

30+ days ago

Credentialing Specialist II HCA Healthcare Inc

Salt Lake City, UT

Identifies and analyzes potential compliance flags and master the skill set through experience to collaborate with practitioners on sensitive issues and other external organization, such as drug addiction centers or anger management centers, to accurate document or resolve sensitive and confidential practitioner issues. Mastered competency and acquired extensive experience through review of Data Integrity Reviews, Specialist Reviews, and Compliance Reviews, that supports precise accurate identification of potential practitioner issues and flagging of practitioner risk.

9 days ago

Credentialing Specialist II Part Time HCA Healthcare Inc

Salt Lake City, UT

Job Summary and Qualifications The Credentialing Processing Center Specialist II is responsible for s afeguard ing the patient well-being and elevating clinical excellence across our healthcare enterprise by meticulously ensuring hospitals and other healthcare facilities possess comprehensive, verified practitioner legally required credentials. Identifies and analyzes potential compliance flags and master the skill set through experience to collaborate with practitioners on sensitive issues and other external organization, such as drug addiction centers or anger management centers, to accurate document or resolve sensitive and confidential practitioner issues.

9 days ago

PSR / Credentialing Specialist Surgery Partners Inc

Saratoga Springs, UT

GENERAL SUMMARY OF DUTIES: The Patient Services Representative performs general business office functions that may include some or all of the following: Traching and assisting with physician credentialing; Other tasks as needed; Charge capture and over-the-counter payment posting; Insurance verification and eligibility; Insurance pre-authorization/pre-certifications; Counseling patients and families on insurance and payment issues prior to surgery. Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the billing system in an accurate and timely manner.

18 days ago

Specialist, Provider Network Administration Molina Healthcare Inc

Salt Lake City, UT

Responsible for accurate and timely validation and maintenance of critical provider information on all claims and provider databases, and ensures adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. At least 3 years of health care experience, to include experience in claims, provider services, provider network operations, and/or hospital/physician billing, or equivalent combination of relevant education and experience.

30+ days ago

Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare Inc

West Valley City, UT

Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.

30+ days ago

Credentialing & Revenue Specialist Utah Partners for Health

Midvale, UT

$26–$31.25 / hour

The Credentialing & Revenue Specialist manages provider credentialing and privileging, payer enrollment, and assigned revenue-cycle activities for Utah Partners for Health. Maintain centralized tracking of provider credentialing, privileges, payer enrollment, expirations, revalidations, outstanding issues, and revenue-readiness.

9 days ago

Human Resource Benefits Specialist - AFS Corporate Office (Salt Lake City, UT) Associated Food Stores, Inc

Salt Lake City, UT

$26.57–$29.52 / hour

Working closely with employees, managers, insurance carriers, brokers, payroll, and HR partners, this role supports benefit operations, employee education, reporting, audits, and process improvements. Join us as a Benefits Specialist and play a key role in supporting our team members through exceptional benefits administration, employee service, and compliance while helping create a positive employee experience.

30+ days ago

Provider Enrollment Specialist University of Utah

SALT LAKE CITY, UT

The Provider Enrollment Specialist is responsible for obtaining and coordinating all necessary provider enrollment applications for billing to Medicare, Medicaid and Contracted Insurance Payers. Handles telephone communications and written correspondence with providers and fiscal intermediaries in an efficient and effective manner that facilitates the Provider Enrollment process.

10 days ago

US Field Reimbursement Manager, Rare Neurology, Hematology, & Nephrology(Oregon, Nevada, Utah) Alexion Pharmaceuticals Inc

Utah, UT

Maintain accurate documentation and operational reporting related to customer interactions, account plans, HCP office education, and case-related activity in CRM and other approved systems, while managing work in alignment with annual priorities, key performance indicators, territory objectives, project priorities, and approved budget parameters. Demonstrated technical aptitude and working proficiency in using iPad and Laptop and working proficiency in CRM, Microsoft Word, Excel, PowerPoint, and Outlook; willingness to travel with equipment to coordinate daily with key partners on education and case work.

4 days ago

Customer Service Representative TEKsystems

Salt Lake City, UT

We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.

30+ days ago

Program Integrity Investigator TriWest Healthcare Alliance

Salt Lake City, UT

Remote

Full time

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

15 days ago

Home Medical Equipment Assistant Intermountain Health Inc

Salt Lake City, UT

$20.07–$28.59 / hour

The Patient Equipment Care Coordinator I - Facility Campus / Office is responsible for all of the duties assigned to the Patient Equipment Care Specialist - Facility Campus / Office, listed above, with additional responsibilities of general Office / Operations Support: Supports office operations by ordering, stocking, and tracking inventory. Demonstrates keen problem identification skills and resolution abilities and addresses concerns in a timely manner and maintains an understanding of Medicare, Medicaid, and third-party billing requirements and all components of Homecare's equipment order processing system.

9 days ago

Medical Insurance Claims Specialist HCA Healthcare Inc

Kaysville, UT

What you will do in this role: You will perform follow up activities on ac counts to ensure prompt payment You will i dentif y coding or billing errors from EOBs and work to correct the m You will m onitor insurance claims and con tact insurance companies to resolve claims You will u pdat e the patient account record to ident ify actions taken You will assign bad debt to the collection agency You will act as a liaison accounts and administer contracts in coll ection of third party accounts (Medicare and Medicaid) You will complete account reconciliation of accounts turned over to outside agencies You will negotiate payment plans on self-pay accounts You are r esponsible for maintaining accounts rece ivable and creating a reduction in bad debt Qualifications you will need: Minimum (1) year of experience in a medical office setting highly preferred. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses "The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."

22 days ago

Claim Benefit Specialist CVS Health Corp

$17–$28.46 / hour

Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.

30+ days ago

Home Medical Equipment Assistant Intermountain Health

Salt Lake

The Patient Equipment Care Coordinator I – Facility Campus / Office is responsible for all of the duties assigned to the Patient Equipment Care Specialist – Facility Campus / Office, listed above, with additional responsibilities of general Office / Operations Support: Supports office operations by ordering, stocking, and tracking inventory. Demonstrates keen problem identification skills and resolution abilities and addresses concerns in a timely manner and maintains an understanding of Medicare, Medicaid, and third-party billing requirements and all components of Homecare's equipment order processing system.

10 days ago

Patient Access Acute Representative Intermountain Health Inc

$19.41–$28.14 / hour

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. The caregiver ensures that accurate and complete information is collected and entered into the system, verifies insurance and eligibility, collects co-pays and balances, and follows up on pending issues.

22 days ago

Patient Access Acute Representative PRN Intermountain Health Inc

$18.85–$25.61 / hour

30+ days ago

Research Engineer - Computational Materials Science & Self-Driving Materials Discovery Robert Bosch GmbH

Watertown, MA

$140,000–$160,000 / year

The Research and Technology Center North America (RTC-NA) is committed to providing technologies and system solutions for various Bosch business fields primarily in the areas of Human Machine Interaction (HMI), Robotics, Energy Technologies, Internet Technologies, Circuit Design, Semiconductors, Wireless, MEMS Advanced Design, and Healthcare. The Bosch Research and Technology Center North America with offices in Watertown, MA, Sunnyvale, CA, and Pittsburgh, PA is part of the global Bosch Group (www.bosch.com), a company with over 90 billion euro revenue, 410,000 people worldwide, a very diverse product portfolio, and a history of over 125 years.

30+ days ago

System Software Engineer Brooks Automation, Inc.

Chelmsford, MA

$105,593.46–$142,861.74 / year

The qualified candidate will work with a team of software and hardware engineers in supporting industry leading vacuum system platforms including cutting-edge designs, next-generation controls, product extensions, and continuous improvements to system throughput and performance. WHAT YOU'LL BRING: We are looking for an enthusiastic, hands-on engineer with broad capabilities in electromechanical systems who possesses: BSEE / BSCS or similar with a minimum of 5 years of experience OR MSEE / MSCS or similar with a minimum of 3 years of experience.

27 days ago

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Warranty Jobs in Oregon

Credentialing Specialist Distro

Credentialing Specialist II HCA Healthcare Inc

Credentialing Specialist II Part Time HCA Healthcare Inc

PSR / Credentialing Specialist Surgery Partners Inc

Specialist, Provider Network Administration Molina Healthcare Inc

Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare Inc

Credentialing & Revenue Specialist Utah Partners for Health

Human Resource Benefits Specialist - AFS Corporate Office (Salt Lake City, UT) Associated Food Stores, Inc

Provider Enrollment Specialist University of Utah

US Field Reimbursement Manager, Rare Neurology, Hematology, & Nephrology(Oregon, Nevada, Utah) Alexion Pharmaceuticals Inc

Customer Service Representative TEKsystems

Program Integrity Investigator TriWest Healthcare Alliance

Home Medical Equipment Assistant Intermountain Health Inc

Medical Insurance Claims Specialist HCA Healthcare Inc

Claim Benefit Specialist CVS Health Corp

Home Medical Equipment Assistant Intermountain Health

Patient Access Acute Representative Intermountain Health Inc

Patient Access Acute Representative PRN Intermountain Health Inc

Research Engineer - Computational Materials Science & Self-Driving Materials Discovery Robert Bosch GmbH

System Software Engineer Brooks Automation, Inc.

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