3 дня назад
Provider Engagement Network Specialist
23 - 39$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Provider Engagement Network Specialist (Healthcare/Managed Care): Maintaining accurate provider data for state reporting, claims payment, and provider directories with an accent on data auditing, claims resolution, and network reporting. Focus on researching provider issues, processing provider changes, resolving payment inaccuracies, and facilitating provider education and training.
Location: Remote in Florida, supporting Miami, Broward, and Palm Beach
Salary: $23.23–$39.61 per hour
Company
provides healthcare services and supports access to care for individuals, families, and communities.
What you will do
- Maintain accurate provider records for state reporting, claims payment, and provider directories.
- Resolve provider data, demographic, registration, and claims payment issues with external representatives and internal operations teams.
- Process provider additions, changes, terminations, and updates to provider groups and model contracts.
- Create, maintain, track, and audit spreadsheets and provider data for multiple products.
- Support provider website registration, orientations, webinars, and training sessions.
- Collaborate with other departments on cross-functional tasks and projects.
Requirements
- Must live in Florida.
- Associate's degree preferred.
- Three years of experience in a managed care environment, medical provider office, healthcare customer service, or medical claims.
- Experience in claims processing, billing, or coding preferred.
- Knowledge of healthcare, managed care, Medicare, or Medicaid.
Culture & Benefits
- Full-time employment with a flexible remote, hybrid, field, or office work approach.
- Health insurance, 401(k), and stock purchase plans.
- Tuition reimbursement, paid time off, and paid holidays.
- Compensation may vary based on skills, experience, education, and other job-related factors.
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