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Access Community Health Centers
Madison, WI, United States
IT Support Specialist Position Summary The Information Technology (IT) Support Specialist position is an integral component of Access’ dedication to stewardship in its mission of improving the health and lives of its patients. The IT Support Specialist handles and resolves daily IT issues and concerns of end users in efficient and timely manner.
Job Source: Access Community Health CentersDahl Consulting
Madison, WI, United States
Job Description Are you searching for a new career opportunity? Dahl Consulting is currently partnering with a leading company in the health insurance industry. We work one-on-one with great candidates to help connect them with local employment opportunities. This company is hiring an IT Support Specialist for a short-term contract position! Inte
Job Source: Dahl ConsultingVolt Workforce Solutions
Madison, WI, United States
JOB REQUIREMENTS: Volt is immediately hiring an IT Support Specialist, for a Remote opportunity with client located in Bellevue, WA. Seeking a highly capable and motivated support specialist to help support our internally-developed/internally-used specialized business software. This software facilitates the design process and performs configuration
Job Source: Volt Workforce SolutionsWis Phys Svc Ins Corp
Madison, WI, United States
Director, Network Development and Provider Solutions WPS Health Solutions is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer suppo
Job Source: Wis Phys Svc Ins CorpRecovery Inc
Madison, WI, United States
About Recovery.com (formerly RehabPath) Each year, 90% of people who need addiction treatment don't receive it. One of the major reasons is the difficulty in finding a treatment provider, and as people increasingly turn to the internet over family, friends, or medical professionals to find care, Recovery.com is making a difference in thousands of
Job Source: Recovery IncTDS Telecommunications LLC
Madison, WI, United States
Employment at TDS is subject to post-offer, pre-employment drug testing. EEO/AA Employer/Vets/Disability. TDS Telecom ® and TDS Metrocom ® are the registered trademarks of Telephone and Data Systems, Inc. and licensed to TDS Telecommunications Corporation. USLink ® is the registered trademark of TDS Telecommunications Corporation. Other product
Job Source: TDS Telecommunications LLCTDS Telecommunications LLC
, WI, United States
Employment at TDS is subject to post-offer, pre-employment drug testing. EEO/AA Employer/Vets/Disability. TDS Telecom ® and TDS Metrocom ® are the registered trademarks of Telephone and Data Systems, Inc. and licensed to TDS Telecommunications Corporation. USLink ® is the registered trademark of TDS Telecommunications Corporation. Other product
Job Source: TDS Telecommunications LLCTDS Telecommunications LLC
, WI, United States
Employment at TDS is subject to post-offer, pre-employment drug testing. EEO/AA Employer/Vets/Disability. TDS Telecom ® and TDS Metrocom ® are the registered trademarks of Telephone and Data Systems, Inc. and licensed to TDS Telecommunications Corporation. USLink ® is the registered trademark of TDS Telecommunications Corporation. Other product
Job Source: TDS Telecommunications LLC, WI, United States
**Provider Network Support Specialist I**
Category Business Dev & Sales Location Wisconsin, Wisconsin, US Full-time Job Id 1280905 Meridian Illinois JOB DESCRIPTION You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility.
****Position Purpose:****
Perform day to day duties of assuring that providers (individual, group, ancillary, etc.) are set up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting and directories as well as claims payment resolution as it relates to provider set up.
* Provide support to the external provider representative to resolve provider data issues
* Research and effectively respond to provider related issues
* Submit provider data entries to resolve provider-related demographic information changes
* Initiate and process provider add, change and termination forms
* Create and maintain spreadsheets used to produce provider directories for multiple products.
* Track, update and audit provider data
* Identify adds, deletes and updates to key provider groups and model contracts
* Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment
* Provide assistance to providers with website registration
* Facilitate provider education via webinar
* Work with other departments on cross functional tasks and projects
* Facilitate new provider orientations
* Facilitate provider trainings
* Completes special projects as assigned
Our Comprehensive Benefits Package:
* Flexible work solutions including remote options, hybrid work schedules and dress flexibility
* Competitive pay
* Paid Time Off including paid holidays
* Health insurance coverage for you and dependents
* 401(k) and stock purchase plans
* Tuition reimbursement and best-in-class training and development
****Education/Experience:****
* Associates degree and claims processing, billing and/or coding experience preferred.
* Three years of experience in managed care environment, medical provider office, customer service within a healthcare organization, and medical claims.
* Knowledge of health care, managed care, Medicare or Medicaid.
* Additional skills: interpersonal/verbal & written communication skills, organizational skills, time management and priority setting, customer service, ability to work independently and multi-task, problem solving & analytical skills
*Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.*
Category Clinical & Care Management Location San Rafael, California, US Category Clinical & Care Management Location Austin, Texas, US Category Administrative & Operations support Location Rancho Cordova, California, US
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Email Alert for Provider Network Support Specialist I jobs in , WI, United States
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