MaconRecruiter Since 2001
the smart solution for Macon jobs

Provider Network Specialist I

Company: Centene Coproration
Location: Macon
Posted on: February 8, 2020

Job Description:

Description: Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate. Perform training, orientation and coaching for performance improvement within the network and assist with claim resolution. Serve as primary contact for providers and act as a liaison between the providers and the health plan Conduct monthly face-to-face meetings with the provider account representatives documenting discussions, issues, attendees, action items, and research claims issues on-site, where possible, and route to the appropriate party for resolution Receive and effectively respond to external provider related issues Provide education on health plan's innovative contracting strategies Initiate data entry of provider-related demographic information changes and oversee testing and completion of change requests for the network Investigate, resolve and communicate provider claim issues and changes Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics Perform provider orientations and ongoing provider education, including writing and updating orientation materials Ability to travel

Keywords: Centene Coproration, Macon , Provider Network Specialist I, Other , Macon, Georgia

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Other Jobs

School Support Representative
Description: Under the direction of the School Support Manager, the School Support Representative SSR provides customer service and support to schools and the Sales Team by obtaining, analyzing and verifying the (more...)
Company: Cady Studios
Location: Alpharetta
Posted on: 02/22/2020

Regional CDL-A Truck Driver
Description: Regional CDL-A Truck Driver Jobs at Ashley Distribution Services LTDAmbassadors Wanted: Truck Driving Opportunities with Weekly Home TimeJoin one of America s best companies to drive for today Ashley (more...)
Location: Alpharetta
Posted on: 02/22/2020

VMware Administrator
Description: VMware Administrator Alpharetta, GA, US Requisition Number: 76088 VMWare Admin needed in Alpharetta location. Responsible for configuraion, maintenance, monitoring, and overall support of multiple VMware (more...)
Company: Insight UK
Location: Alpharetta
Posted on: 02/22/2020

CDL-A Driver - 6+ mo OTR EXP Required
Description: Crete Trucking Jobs Now Earn Up To .53 Per Practical Mile Benefits of Joining Crete Carrier Start out earning .50 - .53 per practical mile Top 50 of drivers average over 81,300 yearly Profit Sharing (more...)
Company: Crete Carrier Corporation
Location: Alpharetta
Posted on: 02/22/2020

AVP, IAM SSO Senior Tech Lead
Description: Role Summary/Purpose: The Identity Access Management IAM SSO Senior Tech Lead is responsible for the design, development, implementation, application integration and improvement of Synchrony s access (more...)
Company: Synchrony
Location: Alpharetta
Posted on: 02/22/2020

Senior Data Scientist
Description: What you'll be doing... You'll be ensuring that analytics drive continuous business improvements, bringing more profitable growth and an even better customer experience. You'll define the analytics strategy (more...)
Company: Verizon
Location: Alpharetta
Posted on: 02/22/2020

Premier Banker 2 North Perimeter District
Description: Job Description br Important Note: During the application process, ensure your contact information email and phone number is up to date and upload your current resume when submitting your application (more...)
Company: Wells Fargo Bank
Location: Alpharetta
Posted on: 02/22/2020

Field Investigator- Atlanta
Description: Summary: The primary function of this position is to provide surveillance investigations and other assignments as they develop. Responsibilities: Conduct thorough
Company: Iconic Investigations LLC
Location: Alpharetta
Posted on: 02/22/2020

Registered Representative / Registered Investment Advisor
Description: Here is your opportunity to become a part of one of the fastest growing financial centers in the US. Our organization is looking for an established and experienced Financial Advisor to assist our clients (more...)
Company: Kilcrease Financial,Inc. Recruiting for Financial,
Location: Alpharetta
Posted on: 02/22/2020

Associate Regulatory Affairs Specialist III
Description: Position- Associate Regulatory Affair Specialist II Location- Alpharetta, GA Duration- 6 months Plus Job Description: Support regulatory compliance throughout the organization
Company: Tech Providers Inc.
Location: Alpharetta
Posted on: 02/22/2020

Log In or Create An Account

Get the latest Georgia jobs by following @recnetGA on Twitter!

Macon RSS job feeds