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2 Managed Care/ Payer Enrollment Specialist Jobs in Morgantown, WV

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Mon Health
Morgantown, WV | Full Time
$47k-59k (estimate)
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Morgantown, WV | Full Time
$47k-59k (estimate)
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Managed Care/ Payer Enrollment Specialist
Mon Health Morgantown, WV
$47k-59k (estimate)
Full Time | Restaurants & Catering Services 6 Months Ago
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Mon Health is Hiring a Managed Care/ Payer Enrollment Specialist Near Morgantown, WV

With a patient centered culture, the Managed Care/Payer Enrollment Specialist will manage daily activities related to providing operational support for Payer Enrollment. This role manages accounting and information systems in support of Managed Care/Payer Enrollment and develops strategies for improving levels of reimbursement under managed care agreements. Develops and helps guide organizational structure and processes necessary to support managed care agreements and is responsible for working directly with Managed Care Organizations to resolve enrollment and administrative escalations occurring with Managed Care contracts.

Requirements

High school diploma or equivalent required. Bachelor’s degree preferred.

Requirements

One to three years of current provider credentialing experience required. Previous Hospital Credentialing experience required. Basic to working knowledge of Centers for Medicaid and Medicare and Managed Care concepts including Managed Medicare/Medicaid requirements, Disclosure of Ownership and Control Interest, and applicable laws/statutes/regulations. Previous experience working with hospital contracts or demonstrated knowledge of contract principles, and interpretation of contract language

Certified Provider Credentialing Specialist (CPCS) certificate preferred or willingness to sit for CPCS within one (1) year of hire

Job Summary

JOB TYPE

Full Time

INDUSTRY

Restaurants & Catering Services

SALARY

$47k-59k (estimate)

POST DATE

12/02/2023

EXPIRATION DATE

06/11/2024

WEBSITE

monhealth.com

HEADQUARTERS

MORGANTOWN, WV

SIZE

100 - 200

FOUNDED

1943

CEO

ANDY WRIGHT

REVENUE

$10M - $50M

INDUSTRY

Restaurants & Catering Services

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About Mon Health

At Mon Health, we are dedicated to our mission: Enhancing the health of the communities we serve, one person at a time. For generations, Mon Health has played a role in improving the health and wellness of our community. From our flagship hospital, Mon Health Medical Center (formally Mon General Hospital) in Morgantown, West Virginia, Mon Health has grown to include locations throughout North Central West Virginia, Southwestern Pennsylvania and Western Maryland. As we continue to grow, our core values remain the same: Respect: We will treat every person with compassion, courtesy, honesty and d...ignity in each interaction and communication. Excellence: We will perform at the highest standard dedicated to professionalism, proficiency, integrity and safety. Teamwork: We will cultivate relationships with our community, patients, and team members, providing quality care as one family. As a member of our Mon Health family, youll be joining a team recognized for providing a positive, safe patient experience. Year after year, Mon Health earns top national awards in Patient Satisfaction and Patient Safety. Mon Health is a three-hospital system including Mon Health Medical Center and Mon Health Preston Memorial Hospital in Kingwood, West Virginia, and the upcoming addition of Stonewall Jackson Memorial Hospital in Weston, West Virginia. Services include oncology, orthopedics/sports medicine and physical therapy, obstetrics/gynecology, general surgery, imaging services/radiology, pulmonology, primary care, gastroenterology, urology, sleep therapy, dermatology, vein care and wound care. Affiliate Health Services include Mon Health Equipment & Supplies, Mon Health EMS (Ambulance and EMS), Village at Heritage Point (Independent Living) and the Suites and Heritage Point (Residential Care). More
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