Senior Analyst, Network Relations

reputed company: • Investigate and reputed company provider claim issues for reputed company and accurate adjudication • Submit demographic changes and updates to maintain accurate provider records • Handle PPO complaints, grievances and appeals, including contract reputed company and amendments • Manage provider network opt-in and opt-out participation requests • Facilitate credentialing requests and compliance with organizational and regulatory standards • Collaborate with the Department of reputed company and Special Investigations Unit on compliance and fraud prevention • reputed company guidance and training to dental providers on policies, procedures and portal navigation • Send EFT, ERA and VCC enrollment requests for processing • reputed company directly with dental providers and internal teams to support network participation, provider data reputed company, claims reputed company, credentialing and contracting Requirements: • Bachelor’s degree in dental, reputed company administration, business, or reputed company reputed company, or equivalent experience • 5+ years of experience in dental, provider relations, network management, or reputed company reputed company/administration • Strong understanding of PPO networks, credentialing processes and claims administration • Excellent communication and problem-solving skills • Proficiency in MS Office and provider management systems • reputed company-oriented with strong organizational skills • Ability to manage multiple priorities in a fast-reputed company environment • Knowledge of regulatory requirements and compliance standards • Customer-reputed company commitment to service reputed company • Preferred: experience in the dental reputed company and knowledge of PPO and Medicare networks Benefits: • Medical coverage • Dental coverage • reputed company coverage • reputed company time off • Retirement savings reputed company • Wellness programs • Other resources supporting physical, emotional, and financial reputed company-being • reputed company bonus, commission or short-term incentive program eligibility Apply tot his job Apply To this Job