Top 69 Provider enrollment Jobs in Albany, Ny

Payer Enrollment Coord II
University of Rochester —Albany, NY
- $19.04 - $26.63 an hour
- Full-time
- Remote
- Mid-level
- EMR systems
- 1 year
Children and Family Services Specialist 1 / Trainee 1 / 2 (NY HELPS)
State of New York - Children & Family Services, Office of —Rensselaer, NY
- $53,764 - $85,138 a year
- Full-time
- Background check
- Doctoral degree
- Office
9d
Children and Family Services Specialist 1/Trainee 1/2 (NY HELPS)
State of New York - Children & Family Services, Office of —Rensselaer, NY
- $53,764 - $85,138 a year
- Full-time
- Background check
- Doctoral degree
- Office
8d
Intake Coordinator
Living Resources Corp —Albany, NY
- $26.50 - $27.75 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid training
- Dental insurance
Quick Apply
2d
Revenue Cycle Analyst
University of Rochester —Albany, NY
- $26.75 - $36.11 an hour
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Bachelor's degree
2d
Social Care Manager-Capital Region
Healthy Alliance —Schenectady, NY
- $52,950 - $60,892 a year
- Email
- Hybrid work
- 5 years
- HIPAA
- Mid-level
- Health savings account
- Disability insurance
Community Health Outreach Educator
Planned Parenthood of Greater New York —Schenectady, NY
- $22 - $23 an hour
- Weekends as needed
- Mid-level
- Office
- Ability to climb stairs
- Health savings account
- AD&D insurance
Customer Service Specialist II
General Dynamics Information Technology —Albany, NY
- $18.27 - $24.73 an hour
- Hybrid work
- Microsoft Excel
- Mid-level
- No travel
Auditor
Penda Aiken —Albany, NY
- Temporary
- Microsoft Excel
- Computer literacy
- High school diploma or GED
Quick Apply
7d
Senior Program Manager, Workforce Development
State of New York - Empire State Development, NYS —Albany, NY
- $75,000 - $80,000 a year
- Full-time
- Hybrid work
- Background check
- 5 years
- Office
Food Programs Evaluation Specialist 1, Food Programs Evaluation Specialist Trainee 1 (NY HELPS), Box OEP-293/03732
State of New York - Education Department, State —Albany, NY
- $66,951 - $85,138 a year
- Full-time
- Background check
- Doctoral degree
- Residential
- Paid parental leave
- Paid holidays
1d
Medical Payment Poster
Workit Health —Albany, NY
- $25 an hour
- Full-time
- In person
- Google Workspace
- Customer service
- Writing skills
- Paid parental leave
- Health savings account
Quick Apply
Research Scientist 2 (3 positions)
State of New York - People With Developmental Disabilities, Office for —Albany, NY
- $82,326 - $104,230 a year
- Multiple hires
- Microsoft Word
- Background check
- Mid-level
- Paid parental leave
- Paid holidays
Statewide Support Services Coordinator
New York Association on Independent Living —Albany, NY
- $58,000 - $62,000 a year
- Email
- Hybrid work
- Background check
- Management
- Experience working with individuals with disabilities
- Health insurance
- Dental insurance
Quick Apply
Licensed Health Insurance Agents
Sagility —New York State
- $20 - $21 an hour
- Seasonal
- Remote
- Spanish
- HIPAA
- English
- Paid training
Preschool Teacher, Spec Ed
PARSONS CHILD & FAMILY CENTER —Schenectady, NY
- $58,000 - $68,250 a year
- Full-time
- Classroom
- Management
- Mid-level
- Continuing education credits
- Paid holidays
Quick Apply
People Operations Manager
Wright Electric —Malta, NY
- $75,000 - $140,000 a year
- Full-time
- Pass drug screening
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
8d
Human Resources Coordinator
Inovabed —Guilderland Center, NY
- $45,000 - $55,000 a year
- Full-time
- Mid-level
- Office
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
1d
Senior Program Manager, Workforce Development
Empire State —Albany, NY
- $75,000 - $80,000 a year
- Hybrid work
- 5 years
- Office
- Analysis skills
Quick Apply
Payment Integrity Coordinator
Public Partnerships LLC —Latham, NY
- $50,000 - $53,000 a year
- Full-time
- Microsoft Word
- Microsoft Excel
- Mid-level
Quick Apply

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Payer Enrollment Coord II

University of Rochester -
Albany, NY

Apply Now

Job Details

Full-time
$19.04 - $26.63 an hour

Qualifications

Medical billing inquiries
Committee work
Medicare
Provider database maintenance for medical credentialing
Provider enrollment for medical credentialing
E-filing platforms
Mid-level
Taxonomy
Data management
Medicare regulations
Compliance documentation
EMR systems
Healthcare provider information
Interviewing
Medicaid
Insurance provider collaboration
Handling patient inquiries
1 year
Associate's degree

Full Job Description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

Remote Work - New York, Albany, New York, United States of America, 12224

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

Department:

910397 URMC Medical Staff Services

Work Shift:

UR - Day (United States of America)

Range:

UR URG 104 H

Compensation Range:

$19.04 - $26.63

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

Minimizes reimbursement barriers for patients and providers by assisting with determining coverage and access options available for a specific product. May assist healthcare providers with questions related to payer policies, patient assistance, and reimbursement support services. Resolves coverage and reimbursement issues that may create barriers to access for patients. Remains knowledgeable of private payer, Medicare, and Medicaid structure systems and reimbursement processes. Respond to all patient, nursing, and provider account inquiries.

ESSENTIAL FUNCTIONS

Determines practitioner eligibility for enrollment. Completes and processes all paper and/or electronic applications for the government payers and non-delegated commercial payers. Completes applications to revalidate individual providers, as well as University of Rochester groups, with Medicare and Medicaid as required each cycle. Completes new enrollments of APP’s and performs updates regarding changes for enrolled APPs for the commercial delegated payers such as change in locations, tax IDs, etc. Ensures applications and files are securely submitted to the respective entities upon completion and in accordance with the specific requirements. Communicates status of files or other payer enrollment/credentialing information directly to providers, various department representatives, and/or outside organizations, clients or affiliates. Coordinates activities related to the electronic submission of applications through the online Medicare system as well as paper applications. Analyzes application and supporting documents for accurateness and completeness, including all required verifications and documentation. Sets up new University groups with new Tax IDs with the appropriate government payers as needed. Works with team leaders and staff to ensure files and/or applications and revalidations are completed accurately and within the required timeframes.
Documents and tracks the status of provider enrollment applications for Medicaid, Medicare, and some Commercial Payers that are not part of Delegation. Tracks and maintains individual provider specific information in database for the APPs for commercial delegated payers for monthly submission. Completes the Electronic Provider Assisted Claim Entry System enrollment for electronic Medicaid billing for new provider after they are approved by Medicaid, when applicable. Sets up the Electronic Transmitter Identification Number (ETIN) for electronic Medicaid billing for individual and group enrollments, when applicable. Coordinates the transfer of data and electronic information with key leaders, including the hospital electronic medical record team and the delegated commercial payer with contracts.
Collaborates directly with providers and various department representatives, including billing, to obtain information related to practice addresses, taxonomy codes, and to secure provider and authorized official signatures. Communicates the status of the applicants credentialing and payer enrollment files directly to providers and various department representatives and coordinates efforts to obtain necessary information and/or documentation to ensure deadlines are met. Notifies providers and various department representatives when approval and enrollment confirmation is received from the payers. Assists APPs as requested with the CAQH (Committee for Affordable Quality Healthcare) profiles. Collaborates with other University departments to ensure compliance with all standards and policies.
Responds to inquiries from other healthcare organizations and interfaces with internal and external customers on day-to-day payer enrollment issues as they arise. Represents the department for various initiatives and/or committee meetings as needed. Serves as the primary back up to all payer enrollment staff and management. Serves as a Team Peer Interviewer as needed.

MINIMUM EDUCATION & EXPERIENCE

Associate's degree and 1 year of relevant experience required
Or equivalent combination of education and experience

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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Refine Your Search

provider enrollment jobs in albany, ny

Payer Enrollment Coord II

Children and Family Services Specialist 1 / Trainee 1 / 2 (NY HELPS)

Children and Family Services Specialist 1/Trainee 1/2 (NY HELPS)

Intake Coordinator

Revenue Cycle Analyst

Social Care Manager-Capital Region

Community Health Outreach Educator

Customer Service Specialist II

Auditor

Senior Program Manager, Workforce Development

Food Programs Evaluation Specialist 1, Food Programs Evaluation Specialist Trainee 1 (NY HELPS), Box OEP-293/03732

Medical Payment Poster

Research Scientist 2 (3 positions)

Statewide Support Services Coordinator

Licensed Health Insurance Agents

Preschool Teacher, Spec Ed

People Operations Manager

Human Resources Coordinator

Senior Program Manager, Workforce Development

Payment Integrity Coordinator

I want to receive the latest job alert for provider enrollment in albany, ny

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