Top 70 Enrollment specialist Jobs in Annapolis Md

Provider Credentialing Specialist I (Remote) - Dental
CareFirst BlueCross BlueShield —Baltimore, MD
- $38,520 - $70,620 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- 401(k)
Caregiver Support Specialist (Remote)
FreedomCare —Baltimore, MD
- $23 - $26 an hour
- Home Health
- 1 year
- Communication skills
- Commuter assistance
- Health insurance
Quick Apply
Support Specialist: Crisis - Riviera Beach Elementary
Anne Arundel County Public Schools —Pasadena, MD
- Full-time
- Classroom
- Microsoft Excel
- Microsoft Outlook
6d
Part Time ID Card Specialist (Personnel Assistant II); Annapolis, MD
Magellan Health —Annapolis, MD
- Part-time
- Microsoft Excel
- Mid-level
- High school diploma or GED
11d
Medicaid Enrollment Specialist (Parole and Probation)
HealthCare Access Maryland —Baltimore, MD
- $57,990 a year
- Microsoft Word
- Microsoft Outlook
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
Database and Visualization Specialist (Remote)
National Experienced Workforce Solutions —Beltsville, MD
- $170,560 a year
- Part-time
- Remote
- Microsoft Word
- Microsoft Access
- 11+ years
- Work from home
Quick Apply
District Enrollment Specialist - MD 2
Learning Care Group, Inc., —Baltimore, MD
- $25.75 - $28.50 an hour
- Full-time
- Microsoft Excel
- Up to 50% travel
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
12d
HSPD-12: Government Badging & Credentialing Specialist
Electrosoft —Lanham-Seabrook, MD
- $30,000 - $40,000 a year
- Mid-level
- Administrative experience
- High school diploma or GED
Quick Apply
Testing / Section 508 Specialist- Remote (DC, MD, VA Locals Only)
Swingtech —Greenbelt, MD
- Full-time
- Remote
- Mid-level
- 3 years
- Bachelor's degree
- Health savings account
- AD&D insurance
Quick Apply
Outreach Specialist
Anne Arundel County Community Action Agency —Annapolis, MD
- $35,000 - $45,000 a year
- Weekends as needed
- Spanish
- English
- Mid-level
- Wellness program
- 403(b) matching
Quick Apply
Community School Site Specialist (26-27)
Baltimore City Public Schools —Baltimore, MD
- Online Application
- School experience
- Mid-level
- Team management
- Retirement plan
Admissions Support Specialist
Anne Arundel Community College —Arnold, MD
- $15 an hour
- Temporary
- Mid-level
- Office
- University
Call Center Specialist
Healthcare For the Homeless Inc —Baltimore, MD
- $17.50 - $20.00 an hour
- Full-time
- Spanish
- HIPAA
- High school diploma or GED
Quick Apply
Academic Specialist: 12 Month (High School English)
Anne Arundel County Public Schools —Annapolis, MD
- Extended hours
- School experience
- Microsoft Excel
- Microsoft Outlook
4d
Benefits Eligibility Specialist
Healthcare For the Homeless Inc —Baltimore, MD
- $40,333 - $48,400 a year
- Online Application
- Spanish
- Writing skills
- HIPAA
- Paid parental leave
- Loan repayment program
Quick Apply
Client Intake & Conversion Specialist
The Jaklitsch Law Group —Upper Marlboro, MD
- $50,000 - $70,000 a year
- Weekends as needed
- No experience needed
- In-person
- Entry level
- Health insurance
- Dental insurance
Quick Apply
Client Services Specialist- Family Engagement (Early Childhood Education)
COMMUNITY ACTION COUNCIL OF HOWARD COUNTY MD INC —Columbia, MD
- $57,013 - $62,000 a year
- Full-time
- Microsoft Excel
- Computer literacy
- English
11d
Enrollment & Family Engagement Specialist (Part-Time)
Bambini Montessori Academy —Gambrills, MD
- $18 - $21 an hour
- Part-time
- School experience
- Mid-level
- Children
Quick Apply
Local Enrollment Specialist (Clinical Trial Patient Recruitment)
American Clinical Research Services Opco LLC —Linthicum Heights, MD
- $50,000 - $70,000 a year
- Full-time
- Spanish
- Microsoft Outlook
- Sales
Quick Apply
Credentialing Specialist
One Federal Solution —Glenarden, MD
- Customer service
- Mid-level
- Administrative experience
Quick Apply

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Provider Credentialing Specialist I (Remote) - Dental

CareFirst BlueCross BlueShield -
Baltimore, MD

Apply Now

Job Details

Full-time
$38,520 - $70,620 a year

Benefits

401(k)

Qualifications

Customer communication
Spreadsheets
Providing information to customers
Employee relationship building
High school diploma or GED
Internal employee customer service
Stakeholder relationship building
Excel data analysis

Full Job Description

Resp & Qualifications

PURPOSE:

This role will credential practitioners for network participation with CareFirst BlueCross BlueShield and accurately maintain all provider data within the enterprise-wide Provider file to supply the organization with provider data, while ensuring compliance with regulatory, accreditation, legal and company requirements and standards.

ESSENTIAL FUNCTIONS:

Analyzes credentialing applications to perform the primary source verification of the appropriate credentials in order for a practitioner to participate in the CareFirst networks. Once verified, accepted and approved, determines the appropriate networks for participation and obtains the appropriate executed contracts to effectuate the professional relationship and structures the provider group accordingly.
Responds to external and internal inquiries regarding provider participation eligibility and criteria, participation status, credentialing, contractual status and provider file updates. Direct focus on the provider experience, providing timely resolution dependable follow-up and proactive measures to ensure successful credentialing is achieved. Professional etiquette, communications and sound decision making is required.
Maintains the provider file, the Provider Information Control (PICS) inventory workflow system and electronic provider files with updated provider information during processes, such as credentialing, recredentialing, demographic updates, terminations and all other provider file maintenance activities.
Responsible for identifying, analyzing and resolving immediate and existing provider file issues. Processes provider file inputs in accordance with applicable state laws and departmental guidelines. Verification of provider data and system release entered into the provider file database, ensuring a successful integration with the other corporate systems.
Prepares written responses to obtain incomplete or missing information and or communicates effectively telephonically.

QUALIFICATIONS:

Education Level: High School Diploma or GED.

Licenses/Certifications Preferred:

Certified Provider Credentialing Specialist (CPCS).

Experience: 3 years physician credentialing experience or health insurance/managed care operations experience in a customer service, claims, billing and enrollment, or call center environment.

Preferred Qualifications:

Bachelor Degree in Business, Healthcare Administration or related field.

Knowledge, Skills and Abilities (KSAs)

Must be proficient in the use of Excel spreadsheets, and an understanding of Pivot tables.
Excellent verbal and written communication and interpersonal skills. Ability to develop and maintain effective relationships with peers, physicians, and medical staff to create confidence, respect and dependability.
Knowledge of medical terminology.
Demonstrated proficiency utilizing reference materials and ability to follow Standard Operating procedures to reduce risk and ensure provider data accuracy and overall quality.
Ability to understand jurisdictional requirements and the legal ramifications of the credentialing and provider file maintenance processes and interpret reasoning for performing verification and/or appropriate actions.

Salary Range: $38,520 - $70,620

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

#LI-LJ1

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Refine Your Search

enrollment specialist jobs in annapolis md

Provider Credentialing Specialist I (Remote) - Dental

Caregiver Support Specialist (Remote)

Support Specialist: Crisis - Riviera Beach Elementary

Part Time ID Card Specialist (Personnel Assistant II); Annapolis, MD

Medicaid Enrollment Specialist (Parole and Probation)

Database and Visualization Specialist (Remote)

District Enrollment Specialist - MD 2

HSPD-12: Government Badging & Credentialing Specialist

Testing / Section 508 Specialist- Remote (DC, MD, VA Locals Only)

Outreach Specialist

Community School Site Specialist (26-27)

Admissions Support Specialist

Call Center Specialist

Academic Specialist: 12 Month (High School English)

Benefits Eligibility Specialist

Client Intake & Conversion Specialist

Client Services Specialist- Family Engagement (Early Childhood Education)

Enrollment & Family Engagement Specialist (Part-Time)

Local Enrollment Specialist (Clinical Trial Patient Recruitment)

Credentialing Specialist

I want to receive the latest job alert for enrollment specialist in annapolis md

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