Top 934 Provider enrollment Jobs in Bronx, Ny

Claims Service Correspondent
MetroPlusHealth —New York, NY
- $55,000 - $64,518 a year
- Hybrid work
- Writing skills
- Mid-level
- High school diploma or GED
Quick Apply
Remote Enrollment - Outreach Coordinator
Medsien —New York, NY
- Contract
- Remote
- Older adults
- Communication skills
- Entry level
Quick Apply
PROVIDER CREDENTIALING SPECIALIST
C2Q Health Solutions —Bronx, NY
- $75,000 - $85,000 a year
- Full-time
- Ability to walk for extended periods
- Medical office experience
- Mid-level
8d
Enrollment Supervisor
ADMIN FOR CHILDREN'S SVCS —Manhattan, NY
- $62,868 - $97,593 a year
- Full-time
- Management
- Mid-level
- Office
- Loan forgiveness
1d
CREDENTIALING ANALYST
C2Q Health Solutions —Bronx, NY
- $75,000 - $85,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Research
Care Specialist (NYCE) - Remote
EmblemHealth —New York, NY
- $39,960 - $70,200 a year
- Weekends as needed
- Remote
- Microsoft Outlook
- Research
- Mid-level
People Operations Associate
TriEdge Investments —New York, NY
- $110,000 - $130,000 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Office
- 401(k)
People Team Assistant
Herbert Smith Freehills —New York, NY
- $65,000 - $75,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Office
Program Coordinator
ADMIN FOR CHILDREN'S SVCS —Manhattan, NY
- $62,868 - $97,593 a year
- Full-time
- Public speaking
- Mid-level
- Office
- Loan forgiveness
7d
Administrative Assistant
Children's Aid —Bronx, NY
- $23.62 - $25.27 an hour
- School experience
- Spanish
- Microsoft Excel
Quick Apply
Research Assistant I
Hospital for Special Surgery —New York, NY
- $23.35 - $35.51 an hour
- Full-time
- Customer service
- Ability to lift 50 pounds
- Bachelor's degree
Outbound Enrollment Specialist
Pomelo Care —New York, NY
- $19.23 - $24.04 an hour
- Overtime
- Remote
- Children
- Communication skills
- Entry level
- Paid parental leave
- Health savings account
Contract Virtual Clinical Coordinator
IQVIA —New York, NY
- $33,000 - $82,600 a year
- Full-time
- Remote
- Patient monitoring
- Mid-level
- 3 years
- Work from home
Telephone Representative II (Provider Relations)
1199SEIU Family of Funds —New York, NY
- $49,940.28 a year
- Full-time
- Research
- Mid-level
- High school diploma or GED
- Vision insurance
Workforce Development Coordinator, DECE
New York City Department of Education —Manhattan, NY
- $82,000 - $90,200 a year
- Writing skills
- Mid-level
- Office
- Loan forgiveness
10d
Clinical Supervisor (Psy.D. 100K-135K)
Nassau Psychology P.C. —Lynbrook, NY
- $100,000 - $135,000 a year
- 8 hour shift
- Private practice
- Mid-level
- Master's degree
- Continuing education credits
- Health insurance
Quick Apply
14h
Deputy Chief Operating Officer - Health Plan
MetroPlusHealth —New York, NY
- $300,000 - $325,000 a year
- Hybrid work
- 5 years
- Analysis skills
- Presentation skills
Quick Apply
Educational Specialist - Family Child Care Network
Day Care Council of New York —Jamaica, NY
- $50,000 - $53,000 a year
- Full-time
- Hybrid work
- Bilingual
- Background check
- Google Workspace
- Health savings account
- Health insurance
Quick Apply
Student Services Operations Manager (Full-time)
The College of Westchester —White Plains, NY
- $24.04 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
Registered Dietitian Nutritionist (Bilingual: Mandarin)
POD Health —Brooklyn, NY
- $40 - $50 an hour
- Full-time
- Computer literacy
- Mid-level
- Outpatient experience
- Paid holidays
- Health insurance
Quick Apply
7d

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provider enrollment jobs near bronx, ny

Claims Service Correspondent

MetroPlusHealth -
New York, NY

Quick Apply

Job Details

$55,000 - $64,518 a year

Qualifications

Customer communication
Insurance products customer support
Database systems
Health insurance policy knowledge
Client inquiry handling
Health insurance customer support
High school diploma or GED

Full Job Description

Position Overview

The Claims Service Correspondent is responsible for accurate and timely responses to written claim inquiries received from providers. This individual provides support regarding the adjudication and adjustment of claims for multiple lines of business. They will work closely with Provider Contracting, Medical Management, Enrollment and Membership department, and Claims Processing unit.
Scope of Role & Responsibilities

Act as a key liaison and service representatives for all written provider inquiries and problem resolution.
Respond to all claim inquiries from provider sites including physicians, clinical staff, and site administrators.
Coordinate and track appropriate problem resolution activities with plan personnel in other departments (i.e., Claims, Utilization Management, etc.)
Manage and ensure appropriate follow-up and closure for all inquiries.
Respond to providers’ inquiries in writing and maintain accurate tracking.
Data entry into the Claims Processing and Correspondence Distribution systems.
Perform claim adjustments to correct erroneous payments (overpayments/underpayments).
Perform claim adjustments due to Authorization Appeals and Retro Reviews.
Participate in special projects involving Claim Status Investigations.
Resolve Member Bills referred from Member Services.

Required Education, Training & Professional Experience

High School Diploma required.
Minimum 2 years of experience in claims processing protocols and payment schemes.
Proficiency working in a comparable Claims Processing Database.
Thorough knowledge of health benefits plans.
Must be able to resolve concerns with providers in a professional manner.

Professional Competencies

Integrity and Trust
Customer Service Focus
Functional/Technical skills
Written/Oral Communication

#LI-Hybrid

#MHP50

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Refine Your Search

provider enrollment jobs in bronx, ny

Claims Service Correspondent

Remote Enrollment - Outreach Coordinator

PROVIDER CREDENTIALING SPECIALIST

Enrollment Supervisor

CREDENTIALING ANALYST

Care Specialist (NYCE) - Remote

People Operations Associate

People Team Assistant

Program Coordinator

Administrative Assistant

Research Assistant I

Outbound Enrollment Specialist

Contract Virtual Clinical Coordinator

Telephone Representative II (Provider Relations)

Workforce Development Coordinator, DECE

Clinical Supervisor (Psy.D. 100K-135K)

Deputy Chief Operating Officer - Health Plan

Educational Specialist - Family Child Care Network

Student Services Operations Manager (Full-time)

Registered Dietitian Nutritionist (Bilingual: Mandarin)

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

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