Provider Engagement Network Specialist

5 days ago

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Centene Corporation

WebsiteLinkedInAll Job Openings

Contracting • Network Development • Managed Care

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

Description

• perform day to day duties of assuring that providers are set up accurately • responsible for multiple state deliverables, network reporting and directories • provide support to external provider representative to resolve provider data issues • submit provider data entries to resolve provider-related demographic information changes • create and maintain spreadsheets used to produce provider directories • research and identify any processing inaccuracies in claim payments • facilitate provider education via webinar • work with other departments on cross functional tasks and projects

Requirements

• Associate's degree preferred • claims processing, billing and/or coding experience preferred • three years of experience in managed care environment, medical provider office, customer service within healthcare organization, and medical claims • knowledge of health care, managed care, Medicare or Medicaid

Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules