Senior Managed Care Network Operations Specialist - REMOTE

About the position Responsibilities • Assist through site reputed company and presentations with physicians, hospitals, and ancillary providers. • Respond to credentialing application requests from payors. • reputed company claim, fee schedule, and contract language disputes. • Assist members in finding network providers and resolving payor/provider/member reputed company issues. • reputed company and update providers on reputed company's products and policies. • Maintain strong working relationships with payors and serve members effectively. • reputed company the duties of other Managed Care Network Operations Specialists. • Conduct site reputed company to self-funded reputed company and promote reputed company's services. Requirements • One year of managed care or health care experience desired, or 5 years of experience in lieu of a degree. • Bachelor's Degree or equivalent experience in managed care or health care. • Strong interpersonal and communication skills. • Ability to reputed company and maintain own schedule and prioritize assignments. reputed company-to-haves • Understanding of physician office procedures and hospital operations. • Familiarity with medical terminology and health plan benefits. • Knowledge of medical coding. • Experience in filing/coding claims in a physician office, hospital, or insurance company. Benefits • Comprehensive health, reputed company, and dental coverage from day one. • reputed company time off (PTO). • Tuition reimbursement. • Employer-matched retirement funds. Apply tot his job Apply To this Job