Top 194 Enrollment Jobs in Belvidere, Il

Provider Enrollment Credentialing Coordinator 1
Mercy Health System Corporation —Rockford, IL
- $20.72 - $33.15 an hour
- Full-time
- Word processing
- Basic math
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
Student Success Advisor
160 Driving Academy —Rockford, IL
- $25.00 - $27.50 an hour
- Remote
- Spanish
- Microsoft Outlook
- English
- Opportunities for advancement
Quick Apply
7d
Admissions Counselor (35095)
Northern Illinois University —DeKalb, IL
- $44,000.16 a year
- Part-time
- Mid-level
- University
Senior Payroll & HR Compliance Specialist
MTL Manufacturing Inc —Beloit, WI
- $70,000 - $85,000 a year
- Full-time
- 5 years
- Office
- Finance
Quick Apply
3d
Part Time Field Service Support Technician - East St Louis, IL
Connect America —Illinois
- $15 an hour
- Full-time
- Ability to climb stairs
- Driver's License
- Driving
- Mileage reimbursement
8d
CDL-A Team Truck Driver - Dedicated Lane
Covenant Transport —Rockford, IL
- Call employer
- Dedicated
- Clean driving record
- Owner-operator
- Disability insurance
- Health insurance
Quick Apply
CDL-A Team Truck Driver - Dedicated Lane
Covenant Transport —Loves Park, IL
- Call employer
- Dedicated
- Clean driving record
- Owner-operator
- Disability insurance
- Health insurance
Quick Apply
Tenure-Track Faculty: Phlebotomy
Heartland Community College —Illinois
- $48,356 - $65,034 a year
- 8 hour shift
- Classroom
- RN License
- Mid-level
- Health savings account
- Disability insurance
2d
Part Time Educator (Harvard, Illinois)
Right at School —Harvard, IL
- Part-time
- Background check
- Classroom
- CPR Certification
- Disability insurance
- Health insurance
Quick Apply
Community Solar D2D Sales Representative
Vibe Sales —Rockford, IL
- $75,000 - $100,000 a year
- Full-time
- 18 years or older
- Residential
- Smartphone
Quick Apply
Entry Level Sales Representative
JE Business Inc —Rockford, IL
- $50,000 - $65,000 a year
- Weekends as needed
- 18 years or older
- In-person
- Restaurant experience
- Paid time off
Quick Apply
Program Manager (Harvard, IL)
Right at School —Harvard, IL
- Part-time
- Background check
- CPR Certification
- Current TB test
- Disability insurance
- Health insurance
Quick Apply
Locum | Physician Psychiatry
CompHealth —Illinois
- $185 - $220 an hour
- Psychiatry
- Mid-level
- Outpatient experience
Care Manager, LTSS - Field travel in Rock County, WI
Molina Healthcare —Beloit, WI
- $24.00 - $46.81 an hour
- Full-time
- Experience working with individuals with disabilities
- Mid-level
- Driver's License
- Health insurance
Class A CDL Tank Hazmat OTR Driver
Breckenridge Trucking, Inc. —Illinois
- $80,000 - $120,000 a year
- Full-time
- Hazmat Endorsement
- Pass drug screening
- CDL A
- Paid holidays
- Disability insurance
Quick Apply
Senior People & Culture Generalist - Bilingual
Addison Group —Illinois
- $75,000 - $85,000 a year
- Monday to Friday
- Spanish
- HIPAA
- English
- Health insurance
- Dental insurance
Quick Apply
3d
Admission Counselor
Rockford University —Rockford, IL
- $40,000 - $47,000 a year
- Weekends as needed
- Background check
- Customer service
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply
3d
Spanish Bilingual Remote Customer Service Representative
VIMO INC —Rockford, IL
- $19.00 - $20.50 an hour
- Full-time
- Remote
- Background check
- 18 years or older
- Spanish
- Paid training
- Health insurance
Quick Apply
Deflection Specialist - NWIDI
Treatment Alternatives for Stronger Communities —Rockford, IL
- $44,676 - $47,000 a year
- Full-time
- Addiction Medicine
- Mid-level
- Presentation skills
- Paid holidays
- Disability insurance
Quick Apply
Case Manager
Treatment Alternatives for Stronger Communities —Rockford, IL
- $44,676 - $47,650 a year
- Online Application
- Background check
- Mid-level
- Communication skills
- Paid holidays
- Disability insurance
Quick Apply
9d

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Provider Enrollment Credentialing Coordinator 1

Mercy Health System Corporation -
Rockford, IL

Quick Apply

Job Details

Full-time
$20.72 - $33.15 an hour

Benefits

Paid parental leave
Health savings account
Caregiver leave
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Parental leave
Vision insurance
Employee discount

Qualifications

Accounting systems
Committee work
McKesson
Claim investigation
Expiration dates monitoring
Medicare
Managed care
Provider database maintenance for medical credentialing
Word processing
Spreadsheets
Maintaining patient confidentiality
Basic math
Provider enrollment for medical credentialing
Mid-level
3 years
Medicare regulations
Centers for Medicare and Medicaid Services (CMS)
Healthcare provider information
Interdisciplinary policy and procedure development experience
Medicaid regulations
Medicaid
Productivity software
Associate's degree
Healthcare software applications
Medical claim status updates
Medical billing insurance follow-up

Full Job Description

ESSENTIAL DUTIES AND RESPONSIBILITIES

Understands and maintains an in depth knowledge regarding the requirements for credentialing physicians with Wisconsin and Illinois Medicare, Medicaid, Blue Cross and other third payers as necessary.
Responsible for implementing and obtaining NPI numbers per provider.
Works closely with the Medical Staff Office, Clinic Directors, Clinic Finance, Information Systems and physician recruiters to obtain necessary information on new physicians to complete the credentialing process, in a timely manner, necessary to get claims paid.
Understands the idiosyncrasies of the government forms, which forms are used and what information is necessary for credentialing physicians, physical therapists, CRNAs (Nurse Anesthetists), Physician Assistants, and residents.
Responsible for investigation or follow-up of claims work que.
Understands facility enrollment as appropriate.
Utilizes a system, such as CACTUS, to house and maintain all credentialing information, to include, but not be limited to: when applications are submitted, when payer numbers were received, and what numbers have been assigned to each individual, by location and payer. Ensures confidentiality and accuracy of all credentialing information.
Utilizes the information in Cactus to ensure the re-credentialing process begins prior to any expiration of current statuses/numbers.
Obtains and maintains information necessary for credentialing Illinois physicians with each Mercy laboratory in Illinois with the Illinois Department of Public Aid. Processes information on a timely basis and monitors expiration dates.
As appropriate, is knowledgeable and completes forms/documents as necessary for obtaining provider numbers for Durable Medical Equipment (DME) by location. Monitors expiration dates and initiates the re-certification process in a timely manner.
Responsible for ensuring that all the data maintained in Cactus is current and that all personal information is kept confidential.
Responsible for communicating payer numbers received to a Patient Accounts Application Analyst to ensure the McKesson Plus system is current with the information necessary for timely billing of claims.
Provides reports as necessary for the Credentialing Committee, Patient Accounts, clinics, etc.
Facilitates communication within Mercy Health System on the credentialing process by being an active participant on the Credentialing Committee.
Develops, maintains, and implements policies and procedures necessary to support the credentialing process.
Responsible for educating partners in the application of the credentialing policies and procedures

EDUCATION AND/OR EXPERIENCE

Associate's degree and 1 year of healthcare credentialing/enrollment experience preferred (healthcare facility, managed care setting, CVO, medical staff office, or enrollment), or a minimum of 5 years of experience in credentialing (preferred), or a minimum of 5 years of experience in a healthcare business support area required.
Three years' experience working with Wisconsin and Illinois Medicare and Medicaid credentialing regulations, plus managed care payers preferred.

CERTIFICATION/LICENSURE

N/A
OTHER SKILLS AND ABILITIES
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Computer Skills
To perform this job successfully, an individual should have knowledge of Patient Accounting software; Spreadsheet software and Word Processing software. CACTUS experience a plus.

Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

Reasoning Ability
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

LEVEL OF SUPERVISION

N/A

SUPERVISES

May supervise as designated by Director.

PAY RANGE:

$20.72 - $33.15

Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.

Mercyhealth offers competitive pay and a comprehensive benefits package including:

Medical, Dental, Vision
Life & Disability Insurance
FSA/HSA Options
Generous, accruing paid time off
Paid Parental and caregiver leave
Career advancement and educational opportunities
Tuition and certification reimbursement
Certification Reimbursement
Well-being Programs
Employee Discounts
On-Demand Pay
Financial Education
Annual recognition/awards events
Partner appreciation days
Family entertainment/attractions discount
Community service/improvement opportunities

Click here for more details regarding Mercyhealth Careers Benefit Information.

At Mercyhealth, we don’t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.

Mercyhealth has been nationally recognized for our commitment to our people and culture, including:

#1 in the nation on AARP's Best Employers for Workers Over 50
One of Working Mother magazine's 100 Best Companies for Working Mothers
A Top 50 Company and Top 10 Nonprofit for Executive Women

Quick Apply

Refine Your Search

enrollment jobs in belvidere, il

Provider Enrollment Credentialing Coordinator 1

Student Success Advisor

Admissions Counselor (35095)

Senior Payroll & HR Compliance Specialist

Part Time Field Service Support Technician - East St Louis, IL

CDL-A Team Truck Driver - Dedicated Lane

CDL-A Team Truck Driver - Dedicated Lane

Tenure-Track Faculty: Phlebotomy

Part Time Educator (Harvard, Illinois)

Community Solar D2D Sales Representative

Entry Level Sales Representative

Program Manager (Harvard, IL)

Locum | Physician Psychiatry

Care Manager, LTSS - Field travel in Rock County, WI

Class A CDL Tank Hazmat OTR Driver

Senior People & Culture Generalist - Bilingual

Admission Counselor

Spanish Bilingual Remote Customer Service Representative

Deflection Specialist - NWIDI

Case Manager

I want to receive the latest job alert for enrollment in belvidere, il

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