Position: Provider Network Specialist
Job Type: 6-month W2 Contract
Location: Onsite - Albuquerque, NM
Compensation: $21/hr
Schedule: Start times are between 6:30am to 9:00am post training. The staff works within the time zone of their state.
Description:
This position is responsible for the analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes. This position is responsible for contracting, credentialing and maintaining Facility / Professional provider data to support marketing, network contracting across all lines of business. This role involves supporting the implementation of special projects, assisting with tracking of various phases of a project and managing workflow. This position includes assisting management in familiarizing and training team members with the various business rules in network contracting and credentialing across all lines of business. In addition is responsible for identifying gaps in processes and suggesting process improvement strategies.
Required Job Qualifications:
Preferred Job Qualifications:
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