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Provider Enroll Compliance
1 week ago
University of New Orleans Baton Rouge, United StatesThank you for your interest in The University of New Orleans.Once you start the application process, you will not be able to save your work, so you should collect all required information before you begin. The required information is listed below in the job posting.You must compl ...
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Provider Enrollment Compliance
3 weeks ago
University of New Orleans Baton Rouge, United StatesProvider Enrollment Compliance - Coordinator 3 page is loaded · Provider Enrollment Compliance - Coordinator 3 · Apply · locations · Baton Rouge, La · time type · Full time · posted on · Posted 30+ Days Ago · job requisition id · R · T hank you for your interest in The ...
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provider enroll compliance
3 weeks ago
University of New Orleans Baton Rouge, LA , USA, United StatesThank you for your interest in The University of New Orleans. · Once you start the application process, you will not be able to save your work, so you should collect all required information before you begin. The required information is listed below in the job posting. · You must ...
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provider enrollment compliance
3 weeks ago
University of New Orleans Baton Rouge, LA , USA, United StatesThank you for your interest in The University of New Orleans. · Once you start the application process, you will not be able to save your work, so you should collect all required information before you begin. The required information is listed below in the job posting. · You must ...
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Clinical Trials Coordinator 1, 2, Or 3
1 week ago
Louisiana State University Healthcare Network: New Orleans Baton Rouge, United StatesWorking under minimal supervision, the incumbent is responsible for the study subject identification, recruitment, screening for eligibility enrollment and follow-up in accordance with research protocols, as well as initiating all regulatory documentation and compliance. The incu ...
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ERSEA Specialist
1 week ago
Louisiana State University Healthcare Network: New Orleans Baton Rouge, United StatesThe incumbent will manage the Eligibility, Recruitment, Selection, Enrollment, and Attendance (ERSEA) processes that are critical to determining those children who qualify for Early Head Start services and justifies how the program spends Early Head Start grant dollars. This will ...
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ERSEA Specialist
1 week ago
Louisiana State University Healthcare Network: New Orleans Baton Rouge, United StatesThe incumbent will manage the Eligibility, Recruitment, Selection, Enrollment, and Attendance (ERSEA) processes that are critical to determining those children who qualify for Early Head Start services and justifies how the program spends Early Head Start grant dollars. This will ...
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Louisiana State University Baton Rouge, United StatesAll Job Postings will close at 12:01a.m. CST (1:01a.m. EST) on the specified Closing Date (if designated). · If you close the browser or exit your application prior to submitting, the application progress will be saved as a draft. You will be able to access and complete the appli ...
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Contract Support
3 weeks ago
State of Louisiana Baton Rouge, United StatesSupplemental Information · Please click HEREto apply. · * Assist hiring managers/directors with the hiring of new full and part time employees for open positions which includes advertising the positions, routing the necessary forms, and completing and assembling the necessary hir ...
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Nurse Practitioner-Remote Weekend On-Call
2 weeks ago
American Health Partners Baton Rouge, LA, United States Part timeCome Grow with Us · TruHealth is a division of American Health Partners, a multifaceted company with operations in multiple states. We own nursing homes, health plans for Medicare beneficiaries living in long-term care facilities, as well as divisions offering psychiatric care, h ...
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Direct Market Manager
1 week ago
ThinkTank LLC Baton Rouge, United StatesJob Description · Job DescriptionThinkTank Telecom, LLC is actively seeking a motivated and entrepreneurial Direct Market Manager to lead our expansion efforts in Louisiana - Baton Rouge. As the cornerstone of our mission to enhance connectivity, your role will focus on enrolling ...
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Medical Certification Specialist 1
3 weeks ago
State of Louisiana Baton Rouge, United StatesSupplemental Information · The Louisiana Department of Health is dedicated to fulfilling its mission through direct provision of quality services, the development and stimulation of services of others, and the utilization of available resources in the most effective manner. · LDH ...
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Director Physician Group 2
3 weeks ago
Franciscan Missionaries of Our Lady Health System Baton Rouge, United StatesJob Description · Job Title : Director Physician Group 2 Job Summary :Oversees the daily operations of multiple Our Lady of the Lake Physician Group practices and locations, focusing on physician relationships, staff relations, customer service, and financial management. Assures ...
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Coordinator, Enrollment
3 weeks ago
Louisiana State University Baton Rouge, United StatesAll Job Postings will close at 12:01a.m. CST (1:01a.m. EST) on the specified Closing Date (if designated). · If you close the browser or exit your application prior to submitting, the application progress will be saved as a draft. You will be able to access and complete the appl ...
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Enrollment & Billing Specialist I
1 day ago
Blue Cross and Blue Shield of Louisiana Baton Rouge, United StatesWe take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. · Residency in or relocation to Louisiana is pre ...
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Office Administrator, Harveston
1 week ago
Great Hearts Academies Baton Rouge, United StatesJOB SPECIFICATION · POSITION: Office Administrator · JOB CODE: ADMN2024 - A-Office Admin (Other)(H) · DEPARTMENT: Admin · LOCATION: Louisiana · REPORTS TO: Director of Campus Operations · FLSA STATUS: Non-exempt, Hourly · Summary · The Office Administrator is accountable for cu ...
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Benefits Manager
3 weeks ago
SMX Corporation Baton Rouge, United StatesBenefits Manager (3461)at SMX(View all jobs) ) · United States · SMX is seeking a highly motivated, detail-oriented Benefits Manager to join the SMX Human Resources team and support a growing workforce of full-time and part-time employees. This supervisory position reports direct ...
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Louisiana State University Baton Rouge, United StatesAll Job Postings will close at 12:01a.m. CST (1:01a.m. EST) on the specified Closing Date (if designated). · If you close the browser or exit your application prior to submitting, the application progress will be saved as a draft. You will be able to access and complete the appl ...
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Adjunct Instructor of Nursing
1 week ago
Louisiana State University Baton Rouge, United StatesAll Job Postings will close at 12:01a.m. CST (1:01a.m. EST) on the specified Closing Date (if designated). · If you close the browser or exit your application prior to submitting, the application progress will be saved as a draft. You will be able to access and complete the appli ...
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Registered Respiratory Therapist Applicant
1 week ago
Franciscan Missionaries of Our Lady Health System Baton Rouge, United StatesJob Description · Compliance/Quality Observes and adheres to all departmental and hospital policies and procedures, and follows all safety, quality assurance, and infection control standards. · Efficiently records pertinent patient care data utilizing the computerized medical re ...
Provider Enroll Compliance - Baton Rouge, United States - University of New Orleans
Description
Thank you for your interest in The University of New Orleans.Once you start the application process, you will not be able to save your work, so you should collect all required information before you begin.
The required information is listed below in the job posting.You must complete all required portions of the application and attached the required documents in order to be considered for employment.
Department Compliance Operations Job Summary Job Description Monitors the activities of the Provider Enrollment (PE) Unit of the Fiscal Intermediary (FI) and responsible for the monitoring the enrollment and maintenance of over 100 provider types inclusive of over 50,000 providers.
Monitors activities of the Medicaid Provider Subsystem to ensure continued compliance with federal and state regulations, legislative or independent audit findings.
Recommends criteria for implementing activities for the closure and removal (nonparticipating or no activity in eighteen months) of inactive files on the MMIS provider subsystem.
Interfaces with agency bureaus/offices, contractors (such as Office of Mental Health, Health Standards, Institutional Reimbursements and Kidmed) as well as state teaching facilities to implement eligibility of certain provider types whose enrollment requirements are more complex and require extended time.
Monitors current and proposed state and federal regulations and clarifications for Impact on present program/system functions.Meets and/or communicates with federal regulatory agencies, fiscal intermediary staff, providers, and program staff on program/system changes, enhancements and integrity.
Attends meetings to coordinate implementation of policy changes which affect providers. Participates in strategy development with the fiscal intermediary to formulate and implement such changes. Assist and participate with the development and implementation of the new Provider Management Project. Serve as the Provider Enrollment 'Subject Matter Expert'. Monitor and assist the Fiscal Intermediary with the day-to-day operation of PE.Act as liaison between LDH staff and the Fl for design changes, LIFTS, issues with file and/or form discrepancies and special request as it arises.
Consult with and keep LDH management abreast of new developments, major changes and or issues. Consult with internal staff and external agencies regarding Provider Enrollment issues. Assist with procedures to get PE compliant with the ACA mandates. Coordinate, participate, review and approve the revisions made to the enrollment applications, forms, and manual. Research, develop and/or direct small Medicaid projects as assigned. Assist the Program Integrity staff regarding the enrollment files, for compliance purposes. Assist Program staff with the creation of new provider types and packets. Participate in provider workshops, seminars and or training, as requested. Monitor the PE stats produced by the Fl. Monitor the Fl for compliance regarding their contractual obligations. Other duties as assigned.QUALIFICATIONS REQUIRED:
Bachelor's degree, or 6 years of professional work experience in lieu of degree. Excellent analytical skills, effective organizational and time management skills. Great attention to detail and follow up, and verbal/written communications skills.
DESIRED:
Advanced Degree. Minimum 1 year of professional experience in healthcare compliance auditing, provider enrollment, or credentialing. Minimum 1 year of professional experience working with Medicaid program support. Experience with claims processing and billing. CPT, ICD-9 or ICD10 coding and HCPCS knowledge. Required Attachments Please upload the following documents in the Resume/Cover Letter section.
Detailed resume listing relevant qualifications and experience; Cover Letter indicating why you are a good fit for the position and University of Louisiana Systems; Names and contact information of three references; Diversity Statement (required for all Faculty positions and any Staff position of Assistant Manager and higher).
See Diversity Statement instructions by clicking this link:
Applications that do not include the required uploaded documents may not be considered. Posting Close Date This position will remain open until filled.
Note to Applicant:
Applicants should fully describe their qualifications and experience with specific reference to each of the minimum and preferred qualifications in their cover letter.
The search committee will use this information during the initial review of application materials. References will be contacted at the appropriate phase of the recruitment process. This position may require a criminal background check to be conducted on the candidate(s) selected for hire.As part of the hiring process, applicants for positions at the University of New Orleans may be required to demonstrate the ability to perform job-related tasks.
The University of New Orleans is an Affirmative Action and Equal Employment Opportunity employer.We do not discriminate on the basis of race, gender, color, religion, national origin, disability, sexual orientation, gender identity, protected Veteran status, age if 40 or older, or any other characteristic protected by federal, state, or local law.