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Provider Enrollment Specialist POSITION SUMMARY Responsible for coordinating provider enrollment for physicians in all government and third party payers. DUTIES/RESPONSIBILITIES •Serves as the liaison between health care providers and NES/ProBill. •Negotiate and track the completion of provider contracts. •Monitors contracts for potential problems and recommends methods to deal with the issue. •Forward completed ProBill applications to the appropriate carrier •Maintain and update provider numbers into database. •Notify IT Department of new provider numbers. •Send requests to insurance carriers to have provider numbers backdated when applicable. •Assist Reimbursement Department with enrollment issues. •Reviews billing documentation: researches and resolves missing or conflicting information that would prevent accurate, prompt claim billing. •Set up new clients/facilities and link physician numbers to group numbers. •Determine if providers are participating in specific insurance plans. •Run reports in billing system to identify payments not within the contracted rates •Research and resolve any provider issues affecting revenue. •Access government sites to locate prospects for growth. •Stay abreast of negotiation tactics to insure top revenue. EXPERIENCE/REQUIREMENTS •High School Diploma required. •Experienced in the use of personal computers and office automation in a Windows environment and/or other systems and applications as required. •A minimum of two years’ experience in managed care, contracts, and credentialing. •Previous experience of third-party payers and ICD9/ICD10 codes desirable. •Knowledgeable of basic medical terminology. •Effective organizational and communication skills. •Maintain a professional demeanor and positively represent ProBill at all times. •Must be comfortable functioning in a collaborative, leadership environment. Please send resume to: ProBill Attn: Cortney Bell PO Box 2078 Huntington, WV Huntington $0.00 USD
Branch Manager/Home health Company A branch manager for a home health company is needed. This is for a job in Man, West Virginia. They want a high school graduate with at least a year of experience in home health care. For more information about this job, just call the Logan Job Service Office. The phone number is: 304-792-7010. (wv9374750) Man $0.00 USD
Merchandiser-Part Time A part time merchandiser is needed. This is for a job in stores in Logan. You don't need any prior experience to qualify. For more information about this job, just call the Logan Job Service Office. The phone number is 304-792-7010. (wv8966599) Logan $0.00 USD
Food Service Worker A food service worker is needed. This is for a job in Holden, West Virginia. They would like a high school graduate with at least three months of experience. For more information about this job, just call the Logan Job Service Office. The phone number is 304-792-7010. (wv0123647) Holden $0.00 USD
Managed Care POSITION SUMMARY Responsible for negotiating favorable insurance rates for ER physician group. DUTIES/RESPONSIBILITIES •Serves as the liaison between health care providers and NES/ProBill. •Specialization in obtaining Provider numbers and completed Provider applications for all payers. •Negotiation of managed care contracts including market research of reimbursement trends. •Maintain and update Provider credentials with carriers including DEA, NPI numbers, and CAQH. •Determine if providers are participating in specific insurance plans. •Oversees ERA and EFT enrollment. •Send requests to insurance carriers to have provider numbers backdated when applicable. •Assist Reimbursement Department with enrollment issues. •Researches and resolves missing or conflicting information that would prevent accurate, prompt claim billing. •Run reports in billing system to identify payments not within the contracted rates. •Research and resolve any provider issues affecting revenue. •Access government sites to locate prospects for growth. •Negotiate fee for service rate changes and contract terms. •Stay abreast of negotiation tactics to insure top revenue. EXPERIENCE/REQUIREMENTS •High School Diploma required. •Ability to consistently and accurately type 55 wpm. •Experienced in the use of personal computers and office automation in a Windows environment and/or other systems and applications as required. •A minimum of two years’ experience in managed care, contracts, and credentialing. •Previous experience of third-party payers and ICD9/ICD10 codes desirable. •Knowledgeable of basic medical terminology. •Dependability, flexibility, and teamwork required. •Effective organizational and communication skills. •Maintain a professional demeanor and positively represent ProBill at all times. •Must be comfortable functioning in a collaborative, leadership environment. Send resume to ProBill Attn: Cortney B Huntington $0.00 USD
Child Care Worker - Residential Treatment Facility NEEDED: Child care workers at a residential treatment facility for adolescent girls. Full time. Must be able to complete and pass drug test and criminal background check. Must be able to pass physical requirements for job. High school diploma required. Pay based on experience. Must be available for all shifts. Please fax resumes to 740-534-9091. Apply in person at The Children's Center of Ohio, LLC. 85 County Road 53, Kitts Hill, OH 45645 or call 740-534-0923, for more information. Kitts Hill $0.00 USD
Direct Supervision Employee Direct supervision employees to oversee male youth in a staff secure residential environment. Must pass physical training requirement, background check and drug screen. High school diploma required. Pay based on experience. Call 740-379-9083 between 9 a.m. and 3 p.m. Monday through Friday. Fax resumes to 740-379-9236. Patriot $0.00 USD