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Provider Network Support Specialist Ii Jobs

Support Specialist Ii Jobs
By Orrick, Herrington & Sutcliffe LLP At , New York, 10019
Bachelor's degree or equivalent combination of education and experience.
Minimum of two - three years of experience in the use of desktop hardware and Microsoft operating systems is required.
Proper usage of Windows native optimization and performance monitoring and troubleshooting tools, such as Windows Task Manager and Event Viewer.
Experience with Microsoft Windows Server a plus but not required.
Experience supporting server and network infrastructure a plus.
Professional certification a plus but not required.
On- Call Behavioral Health Specialist (Support Provider Ii)
By Johnson County Kansas At , Shawnee, 66203 $20.00 - $27.06 an hour
Education can substitute for experience.
Job duties include the following:
Experience in a related field is preferred.
Participates in meetings related to care coordination; completes documentation for direct services provided to ensure timely and accurate completion.
Transports individuals receiving services to appointments, activities, and/or work.
NEW starting wage effective 4-30-23 of $19.61/hr!!
Provider Coding Specialist Ii - Remote
By PeaceHealth At , Vancouver, 98683
Minimum of three years’ experience in physician professional coding in a medical care facility, billing office or medical records department.
Knowledge including, as appropriate, ICD-10, and HCPCS/CPT coding, regulatory Medicare, Medicaid and third-party regulations.
Good verbal and written communication skills
Critical thinking and problem-solving skills required.
Collaborates with billing and customer service team to resolve insurance denials and patient disputes in a timely fashion utilizing established workflows
Conducts provider queries of identified documentation issues utilizing EHR established workflows
Specialist Ii, Auto Repair Network - On Your Side
By Nationwide At , Remote
Submits severe incident reports, reinsurance reports and other information to claims management as needed.
Education: Undergraduate degree or equivalent experience preferred.
Other criteria, including leadership skills, competencies and experiences may take precedence.
Delivers a positive customer service experience to all internal, external, current and prospective Nationwide customers.
May perform other responsibilities as assigned.
Reporting Relationships: Reports to Claims Manager.
Specialist Ii, Provider Recruitment Operations
By Teladoc Health At , Remote $70,000 - $75,000 a year
Data Management and Reporting (45%)
Assist with completion and execution of employment offers and independent contractor contracts, licensing, and credentialing.
Collaborate with key stakeholders, hiring managers and provider recruiters to ensure best practice and process adherence.
Verify credentialing application materials are completed correctly and confirm provider meets the minimum requirements of each position.
Synthesize and share knowledge with candidate regarding necessary credentialing materials dependent on provider state licenses.
Maintain an organized database of candidates, including contact information, qualifications, and recruitment status.
Provider Enroll & Credentialing Support Specialist, Dentaquest
By DentaQuest At United States
Verify potential and existing provider’s licensure, NPI, insurance, CDS, DEA certificate, education, hospital privileges, board certification.
Monitors and reports provider complaints and utilization management reports.
Assist management in the implementation of department process improvements.
Assist with the ongoing NCQA certification activities.
1 year job related experience
Previous experience working with files or the collection and coordination of data preferred.
Provider Network Specialist Jobs
By Premera Blue Cross At United States
Provide input on improvements regarding workflow, procedures, or policies and make recommendations to management.
Assure compliance with the National Committee for Quality Assurance (NCQA), Office of the Insurance Commissioner (OIC) and other regulatory agencies/requirements.
Three (3) years' experience in a production or customer service environment requiring attention to detailed procedures (Required).
One year of prior health care and provider information experience; medical office or billing experience.
Knowledge of other internal department operations or functions that assist in resolution of provider inquiries.
Experience in working with Microsoft Word and Excel.
Provider Information Support Specialist
By Premera Blue Cross At United States
Coordinate and manage outgoing provider communication and education/compliance for functions/actions related to regulatory requirements.
Collaborate with management to manage inventory and create the daily team strategy to meet service levels.
Identify opportunities for improvement regarding workflow, procedures or policies and make recommendations to management.
Research and identify trends to identify defects and root cause to propose solutions to management.
Experience or knowledge of credentialing, contracts, and regulatory standards.
Experience working with provider related data and functions.
Assoc Specialist, Provider Network Admin - Remote
By Molina Healthcare INC At United States
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Min. 1 year managed care experience
2+ years managed care experience
Associate's Degree or equivalent combination of education and experience
Reviews/analyzes data by applying job knowledge to ensure appropriate information has been provided.
Experience in one of the following: Claims, Provider Services, Provider Network Operations, Hospital or Physician Billing, or similar.
Provider Recruiter Ii
By Teladoc Health At United States
Must have outstanding oral and written communication skills.
Bachelor’s degree in related field preferred or relevant experience
Physician/Provider Recruitment Professional (CPRP) certification highly preferred
Meet recruitment targets for employed and contracted providers established by Teladoc Health annual operating plan.
Guides all provider recruitment activities in a manner that conforms to applicable laws. Recruits within legal and corporate guidelines
Demonstrated interpersonal effectiveness with all levels of leadership and all types of providers (e.g., physician, advanced practice providers, etc)
Provider Support Specialist Jobs
By Oxand At Silver Spring, MD, United States
Data entry / Database experience a plus
Effective communication skills, both written and verbal
Free medical, dental, and vision
Updating patient lists and records, including psychiatric medications
Answering phone calls and taking messages
Replying to and sending emails
Network Support Specialist (L3)
By Net2Source Inc. At Princeton, IN, United States
• Strong understanding and skills in SLA, KPI Management
• Responsible for raising and coordinating problem management issues
• Maintain and contribute to a knowledge base
America's Most Honored Businesses (Top 10%)
Awarded by USPAAC for Fastest Growing Business in the US
12th Fastest Growing Staffing Company in USA by Staffing industry Analysts in the US (2020, 2019, 2020)
Provider Network Account Specialist
By HonorHealth At Scottsdale, AZ, United States

network development or physician recruiting/sales

This is a Full-time position, but requires you to travel locally to meet with potential clients.

Director, Network Management (Provider Relations) (Director Ii)
By CalOptima At Orange, CA, United States
Bachelor’s degree in Health Care Management or a related field required.
5 years of progressive leadership experience, including direct supervision of staff, in managed care, providers or health plans required.
Medicaid managed care, Medicare risk-contract, or commercial Health Maintenance Organization (HMO) insurance experience required.
Master’s degree in Health Care Management or related field.
Medi-Cal managed care plan experience or related government client or public sector experience.
Directs training of providers to promote cost-effective managed care, compliance, and enhancement of service standards.
Provider Network Helpdesk Specialist (Full-Time Remote, North Carolina Based)
By Alliance Health At , Morrisville, 27560, Nc $17.32 - $29.82 an hour
Knowledge of and experience with records, reports and file maintenance
Paid time off including vacation, sick leave, holiday, management leave
Respond to question regarding claims and UM requirements
Knowledge of computerized record-keeping techniques
Skilled at organizing work to meet schedules and timelines
Flexible work schedules including hybrid/remote options
Part-Time (Prn) Peer Support Specialist (Support Provider Ii)
By Johnson County Kansas At , Shawnee, 66203, Ks $19.61 - $26.53 an hour
Education can substitute for experience.
Organizes and participates in meetings related to care coordination; completes documentation for direct services provided to ensure timely and accurate completion.
Transports individuals receiving services to appointments, activities, and/or work.
Part-time (PRN) Peer Support Specialist
Hours will vary based on client need up to 16 hrs/week.
This posting will remain open until it is filled.
Network Support Specialist Jobs
By Forward In Technology At Oklahoma City, OK, United States
Assist in the maintenance, management, and configuration of client networks, including Fortinet firewalls, switches, and Ubiquiti Wi-Fi equipment
At least 2 years of experience in network administration or a related role, or relevant college/trade school education
Hands-on experience with firewalls, switches, routers, and wi-fi equipment with preferred direct use of Fortinet and Ubiquiti solutions
Excellent troubleshooting and problem-solving skills
Strong communication and interpersonal skills, with the ability to work well in a team environment
Relevant certifications, such as CompTIA Network+, CCNA, Fortinet NSE 4, or equivalent are a plus
Provider Network Manager - Elevance Health
By Elevance Health At Albany, NY, United States
Experience in fee schedule development using actuarial models strongly preferred.
Experience with value-based contracting such as full risk models.
Job Family: Digital and Technology
National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
Works with increased independence and requires increased use of judgment and discretion.
May work on cross-functional projects requiring collaboration with other key areas.
Tech Support - Network Specialist
By e-Emphasys Technologies At Cary, NC, United States
• Provides phenomenal customer service and remote support services and applies problem solving skills
• Escalates issues beyond scope of current knowledge and then works to fill in those knowledge gaps
• Applies knowledge of IntelliDealer case resolution process, policies, and escalation methodology
• CCNA Certification or equivalent required
• Excellent customer service skills via phone, chat, and in person
• Associate degree or commensurate experience
Software Provider Validation And Support Specialist I
By North Carolina Department of Revenue At Wake County, NC, United States
Experience entering data with a high level of accuracy into databases/spreadsheets such as Microsoft Access.
Skilled at researching, analyzing, and interpreting data accurately with strong attention to detail.
Validate incoming forms for required specifications
Enter daily activity for required forms in the approval database
Print and distributing incoming forms for review
Deliver/pick up forms to other internal work groups

Are you looking for an exciting opportunity to use your technical skills to help maintain a secure and reliable provider network? We are looking for a Provider Network Support Specialist II to join our team and provide exceptional customer service and technical support. You will be responsible for troubleshooting and resolving network and system issues, monitoring network performance, and ensuring compliance with security protocols. If you have a passion for technology and a commitment to providing excellent customer service, this could be the perfect job for you!

Overview:

Provider Network Support Specialist II is responsible for providing technical support to providers and other stakeholders in the healthcare industry. They are responsible for troubleshooting and resolving provider network issues, providing technical assistance to providers, and ensuring the accuracy of provider data.

Detailed Job Description:

Provider Network Support Specialist II is responsible for providing technical support to providers and other stakeholders in the healthcare industry. This includes troubleshooting and resolving provider network issues, providing technical assistance to providers, and ensuring the accuracy of provider data. The Provider Network Support Specialist II will also be responsible for maintaining provider network databases, responding to provider inquiries, and providing training and support to providers.

What is Provider Network Support Specialist Ii Job Skills Required?

• Excellent customer service skills
• Strong problem-solving and analytical skills
• Knowledge of healthcare industry regulations and standards
• Knowledge of provider network databases and software
• Ability to work independently and in a team environment
• Excellent written and verbal communication skills
• Ability to multitask and prioritize tasks

What is Provider Network Support Specialist Ii Job Qualifications?

• Bachelor’s degree in a related field
• At least two years of experience in a related field
• Knowledge of healthcare industry regulations and standards
• Knowledge of provider network databases and software
• Ability to work independently and in a team environment
• Excellent written and verbal communication skills

What is Provider Network Support Specialist Ii Job Knowledge?

• Knowledge of healthcare industry regulations and standards
• Knowledge of provider network databases and software
• Knowledge of customer service principles and practices
• Knowledge of computer systems and software

What is Provider Network Support Specialist Ii Job Experience?

• At least two years of experience in a related field
• Experience in customer service
• Experience in troubleshooting and resolving provider network issues

What is Provider Network Support Specialist Ii Job Responsibilities?

• Troubleshoot and resolve provider network issues
• Provide technical assistance to providers
• Maintain provider network databases
• Respond to provider inquiries
• Provide training and support to providers
• Ensure the accuracy of provider data
• Monitor and analyze provider network performance
• Develop and implement strategies to improve provider network performance