Provider Network Specialist

DescriptionPerform 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. Job Responsibilities: 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 Education/Experience: Bachelor’s degree in related field or equivalent experience. Knowledge of health care managed care Medicare or Medicaid. Bachelor’s degree in healthcare or a related field preferred. Claims billing/coding knowledge preferred. 5-7 years of experienceRequirements3m Coding, Administrative Office, Administrative Tasks, Answer Inbound Calls, Assist Customers, Benefit FunctionsOfficeTeam is the world's leader in professional staffing for office support jobs, focusing exclusively on the temporary and temporary-to-full-time placement of professionals in the administrative field. We are faster at finding you work because of the depth of our client network. Specifically, our professional staffing managers connect with thousands of hiring managers in North America every week to find your office support job opportunities. We evaluate all of our OfficeTeam temporaries' skills and match them with the needs of top employers in their area.Apply for this job now or contact us today at 888.490.4154 for additional information.All applicants applying for U.S. job openings must be authorized to work in the United States. All applicants applying for Canadian job openings must be authorized to work in Canada.© 2019 OfficeTeam. A Robert Half Company. An Equal Opportunity Employer M/F/Disability/Veterans.By clicking 'Apply Now' you are agreeing to Robert Half Terms of Use.Salary: $30.00 - $35.00 / HourlyLocation: San Rafael, CADate Posted: October 3, 2019Employment Type: TemporaryJob Reference: 00090-0011197102Staffing Area: OfficeTeam