Provider Contract Specialist jobs

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PROVIDER SUPPORT SPECIALIST

Serve as a primary contact to members whose Primary Care Physician (PCP) terminates. Serve as a primary contact to members who disenroll to support retention efforts. Facilitate 3-way telephone calls with members and health plans....

CompanyHeritage Provider Network
AddressOrange, CA
CategoryInformation Technology
Job typeFull-Time
Date Posted 2 months ago See detail

Provider Support Specialist

Heritage Provider Network

Orange, CA

Serve as a primary contact to members whose Primary Care Physician (PCP) terminates. Serve as a primary contact to members who disenroll to support retention efforts. Facilitate 3-way telephone calls with members and health plans....

Provider Support Specialist

Regal Medical Group, Inc.

Orange, CA

Serve as a primary contact to members whose Primary Care Physician (PCP) terminates. Serve as a primary contact to members who disenroll to support retention efforts. Facilitate 3-way telephone calls with members and health plans....

PART-TIME Dental Claim Action Specialist - Independent Contract Remote Position

Lean Consulting Limited

Remote

From $1,500 a month

2+yrs in an administrative level position. Proficient in Dentrix G Series. EOB posting. Appeals. DentaQuest limitations/requirements. Medicaid laws for dental billing. Attaching supporting information. Generating Narratives. Verif...

Provider Data Maintenance & Credentialing Specialist I - Remote in Jacksonville, FL

Usable Life

Little Rock, AR

$32.3K - $40.9K a year

A culture that values employees and celebrates, empowers, and inspires a diverse workforce. Outstanding and affordable benefits package. Yearly bonus potential and annual increases. PTO provided at date of hire. 11 paid holidays....

Provider Relations Specialist I

Corvel Corporation

Colorado, United States

$14.42 - $22.36 an hour

Create -2 or > reviews as needed for incoming faxes and or bills received from provider offices as appeals to Denver COE bill reviews. Receive incoming calls, emails and faxes from network. Provide excellent customer service and a...

Community Specialist (Contract) | Settlers Trace Pop-Up

Lululemon Athletica

Louisiana, United States

Collaborate with store leadership to bring Community strategy, through the pillars of community foundations, and guest experience to life.. Establish and manage local key relationships (e.g., Ambassadors, Sweat Collective, studio...

Specialist, Contracts and Grants

University Of Maryland Baltimore

Baltimore, MD

Reg or CII Exempt StaffQualificationsReg or CII Exempt StaffJob: Reg or CII Exempt StaffShift: Day JobOrganization: School of MedicineJob Posting: Mar 22, 2024Unposting Date: Ongoing...

Contract and Grant Specialist

Lehigh University

Remote

The Lehigh community takes seriously our commitment to antiracism and The Principles of our Equitable Community.This position is a Grade: 9-40 with an approximate salary range of $54,390-$66,190 and is subject to change based on e...

Provider Services Specialist - Family Support Services

Orange County Department Of Education

Costa Mesa, CA

$7,134 - $8,691 a month

This position will supervise the day to day operations of the Provider Services Team responsible for the enrollment, provider contracts, provider records and files, provider payments, fiscal reporting, and interfacing with OCE fis...

Provider Enrollment Specialist (Remote)

Community Health Systems

Franklin, TN

$35.6K - $45.1K a year

Receives information regarding new practitioners from departments, Medical Staff Office, and billing offices, which includes all mail, email and faxes received from Payers. Enters practitioner information into enrollment databases...

Contracted Respite Care Provider

Our Children's Homestead

Rockford, IL

$23 an hour

Provide scheduled breaks for Foster Parents by providing supervision and support to youth while Foster Parents are out of the home. Adhere to youths Respite/Behavior plans. Assure health, safety, and recreational needs of the you...

Highway Maintenance Specialist - Water Quality (CDL Training Provided)

State Of Colorado Job Opportunities

Denver, CO

$50,820 - $71,148 a year

Identify PWQ structures that are not operating as designed or are inadequate Inspect and maintain PWQ structures to identify ones that need routine maintenance and/or repair Ensure compliance with all local, state, and federal env...

Contracted History and Social Science Specialist

Department Of Education

Malden, MA

$50 an hour

Working with a research team to conduct a landscape analysis of the current state of genocide instruction across Massachusetts and determining the highest priority resources and supports. Developing resources and supports (e.g. gu...

PROVIDER NETWORK SPECIALIST

Unm Hospitals

Albuquerque, NM

$27.51 - $41.26 an hour

NETWORK RELATIONS - Manage the negotiation of individual network contracts with hospitals, physician groups, and other health care related agencies and companies in New Mexico and West Texas. NETWORK RELATIONS - Manage negotiation...

Provider Network Specialist

North East Area

Tewksbury, MA

$73,566.74 - $107,580.72 a year

Review, summarize and analyze data from multiple sources (e.g., billing and utilization data, quality measures, licensing reports, meeting minutes, service contracts, etc.) to assess compliance with contract and service requiremen...

Provider Network Data Specialist

Presbyterian Healthcare Services

Albuquerque, NM

Up to $32.17 an hour

Full Time - Exempt: Yes Job is based Rev Hugh Cooper Admin Center Work hours: Days Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employee...

Clinical Intake Specialist - LMSW Contract PRN

Mindful Care

New York, NY

$40 an hour

Perform Initial Evaluations (90791s) for all patients seeking care at Mindful Care. Provide on-going orientation about Mindful Urgent Care programs and services. Become SMEs on the variety of services at Mindful and help formulate...

Behavioral Health Provider - Substance Use Specialist (LMSW/LCSW)

Callen Lorde Community Health Center

New York, NY

$66,939.60 - $89,616.80 a year

401(k). Dental insurance. Employee assistance program. Employee discount. Flexible spending account. Health insurance. Life insurance. Paid time off. Referral program. Retirement plan. Vision insurance. 8 hour shift. Do you have a...

Insurance Specialist - Training Provided!

Aflac

Florida, United States

$61,439.79 - $71,949.00 a year

Flexible schedule. Monday to Friday....

Bilingual Training Specialist (Provider Services)

Ywca Metropolitan Chicago

Gurnee, IL

Providers currently being served speak English, Spanish and Polish.COLLABORATES WITH: ESSENTIAL Responsibilities & DUTIES include the following. Assists with operation of on-site resource room, including but not limited to distrib...

Governtment Relations Specialist (contract)

Boeing

Arlington, VA

$71.6K - $90.7K a year

Advocate the company's position on legislation and regulations. Consult with management on strategic decisions. Develop and maintain relationships with external entities. Advise on grassroots advocacy coalitions. Lead grassroots a...

Patient Safety Specialist (Tele-Sitter)- Training Provided

Hicuity Health

Missouri, United States

$35K - $44.3K a year

Provides continuous observation to assigned patients utilizing in-room audio/visual equipment at all designated times unless relieved by appropriate team member. Assists in calming and/or reorienting patient as indicated utilizing...

Provider Compensation & Contract Analyst

Osf Healthcare

Peoria, IL

$32.87 - $38.66 an hour

Education: Business Administration, Accounting, Finance or other related field. Excellent interpersonal and communication skills. Solid computer skills, including proficiency with Microsoft software. Strong analytical and problem...

Customer Support Specialist (Contract)

Tango

Phoenix, AZ

$18 an hour

Answer phone and email inquiries in a timely manner. Troubleshoot gift card issues reported by cardholders. Contact brand vendors to confirm gift card balances/status. Vet and process resend requests. Answer common questions regar...

Clinical Sourcing Specialist (Providers)

Integrative Emergency Services

Dallas, TX

Work closely with recruiters to understand the requirements of open positions and develop effective sourcing strategies.Provide timely and detailed updates on candidate progress, market trends, and potential challenges to recruit...

CONTRACT - Text Specialist I (Spanish)

Nintendo

Redmond, WA

$26.25 - $40.32 an hour

Accurately translates, reviews, proofreads and edits in-game text and text files for context, grammar and punctuation issues Assists coordinators and teams during debug text-check process when assigned Interacts with other departm...

Contract Compliance Specialist

Global Channel Management

Los Angeles, CA

Computer skills to include word processing, spreadsheet, project scheduling tools, desktop publishing and database applications. Interpersonal skills to effectively communicate with both internal and external customers.Compliance...

Enrollment Specialist - Training Provided!

Aflac

Gilroy, CA

$68,810.00 - $78,781.93 a year

Flexible schedule. Monday to Friday....

Contract Review Specialist

Snaprecruit.com

Chicago, IL

Up to $53 an hour

401(k). Dental insurance. Health insurance. Life insurance. Paid time off. Vision insurance. 8 hour shift. Bachelor's (Required). Contract Review: 5 years (Required). Risk Management: 5 years (Required). Legal Compliance: 5 years...

Enrollment Specialist - Training Provided!

Aflac

Patterson, LA

$57,127.65 - $66,755.88 a year

Flexible schedule. Monday to Friday....