Enhance relationships with physicians in the market through events, phone calls, office contacts, written communications and other strategic approaches.
Maintain professional etiquette at all times, especially when working with Providers. An undergraduate degree from an accredited institution of higher learning…
Familiar with various reimbursement models including DRG, fee for service, bundle payments, etc. Conduct analysis of business need and maintains network in…
Importation and analysis of 835 and 837 electronic claim files. Prior experience with provider contracts highly desired. W9 and 1099 database management.
Current California driver’s license and State-required insurance required when using personal vehicle on Center business and a driving record acceptable to the…
US Family Health Plan @ St. Vincent's Catholic Medical Center
— New York, NY
Conduct analysis of business need and maintains network in compliance with business need; collaborates with marketing/sales and family practice center staff.
US Family Health Plan @ St. Vincent's Catholic Medical Center
— Manhattan, NY
Familiar with various reimbursement models including DRG, fee for service, bundle payments, etc. Conduct analysis of business need and maintains network in…
Serve as key resource for independent providers and develop strategies and synergies with employed providers through collaboration with THOfNE peers in support…
Source individuals and provider groups in assigned territories from diverse places of service, including Optometry and Ophthalmology offices, General Dentists…
This position requires placing at least 100 calls per shift (8hr). Reasoning Ability: Ability to define problems, collect data, establish facts, draw valid…
Frequent use of the telephone. This position is responsible for providing physicians and their staff with timely network updates, ongoing education and training…
You will evaluate and verify provider qualifications, including but not limited to educational and professional background, insurance network, license status,…
License/Certification: Valid driver's license. Bachelor’s degree in healthcare related field preferred. Initiate entry or change of provider related database…
Bachelor’s degree in Business, Health Care Administration, Communications or a related field is preferred; equivalent work experience and education will be…
Familiar with various reimbursement models including DRG, fee for service, bundle payments, etc. Conduct analysis of business need and maintains network in…
Minimum of a Associates Degree plus two (2) years of work experience with a plan payer, in health care, or a related field with Provider Network Development and…
For Fidelis Care only: Must have valid driver license, personal vehicle and ability to travel. Bachelor’s degree in healthcare related field preferred.
The Provider Relations Specialist will support clients by providing claims status, payment information, and explanation or payment via telephone and written…
The Provider Engagement Specialist will be responsible for reviewing and responding to client inquiries and correspondence requests received through incoming…
Our multi-disciplinary team of psychiatrists, nurses, licensed clinicians, certified teachers, milieu counselors, teacher’s aides, and administrative personnel…
Possess a valid CA driver's license. Bachelor’s degree in Business, Health Care Administration, Communications or a related field is preferred; equivalent work…