Provider Network Specialist jobs in Georgia

Provider Network Specialist coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Being a Provider Network Specialist distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Additionally, Provider Network Specialist typically reports to a manager or head of a unit/department. The Provider Network Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Network Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Provider Network Specialist 12:00 PM - 8:00 PM
  • HEALTH PLUS TRANS
  • Alpharetta, GA FULL_TIME
  • Department: Provider Network

    Reports to: Provider Network Team Lead

    Interrelationships: Operations, Billing

    Job Functions and Responsibilities

    Qualifications

    · High school education, bachelor's degree preferred

    · Previous experience in vendor management preferred

    · Data entry and customer service experience necessary

    Daily Responsibilities

    · Recruit, credential, and onboard new providers into the network

    · Process contract renewals and ensure all necessary fields are complete for providers’ profiles

    · Monitor designated personal and Compliance inbox

    · Tasks as assigned by Team Lead

    · Leave detailed notes on every assignment plan opened to relay what was done and/or who was contacted

    · Answer incoming phone calls professionally and direct them to another department or person if needed

    · Do not hesitate to ask for guidance or assistance

    · Compile a shift report at the end of the shift and submit to the appropriate Slack channel so that leads and the next shift understand where assignments were left off

    Peripheral Responsibilities

    · Communicate with Operations to locate potential new providers for assignments that need additional attention

    · Monitor Slack channels

    Continuous Improvement

    · Become familiar with language groups and nuances within dialects that are spoken in the United States.

    · Become familiar with United States geography, particularly in the states with high concentration of service requests.

    · Become familiar with regulations regarding interpreting certification needs in different states

    Miscellaneous Projects

    · Occasional tasks or projects that are requested outside the current scope of the position

    Job Type: Full-time

    Benefits:

    • Paid time off

    Schedule:

    • 8 hour shift
    • Evening shift
    • Monday to Friday

    Ability to Relocate:

    • Alpharetta, GA 30022: Relocate before starting work (Required)

    Work Location: In person

  • 13 Days Ago

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Network Specialist
  • KeenLogic
  • Atlanta, GA FULL_TIME
  • KeenLogic is seeking to hire a Journeyman Computer Network Support Specialist for the Center of Disease Control. The ideal candidate will have 5-7 years of experience with IT Support and will be famil...
  • 1 Month Ago

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PRN Nurse Practitioner/ Flex Provider
  • Matrix Medical Network
  • Commerce, GA FULL_TIME
  • Company DescriptionMATRIX MEDICAL NETWORK is dedicated to helping in the care of Medicare Advantage plan members. Our success comes as the result of our extraordinary people, years of experience, adva...
  • 1 Month Ago

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Information Technology Specialist (Network)
  • U.S. Army Cyber Command
  • Fort Eisenhower, GA FULL_TIME
  • About the Position: This position is a DOD Cyber Excepted Service (CES) personnel system position in the Excepted Service under 10 USC 1599f. Employees occupying CES positions are in the Excepted Serv...
  • 16 Days Ago

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IT SPECIALIST (NETWORK SERVICES)
  • US Military Treatment Facilities under DHA
  • Fort Eisenhower, GA FULL_TIME
  • Duties Manage phones and troubleshooting IT problems that arise. Coordinate with the post Network Enterprise Center to resolve issues relating to VOIP phones. Troubleshoot network issues using and con...
  • 1 Day Ago

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Network Engineer Senior Specialist
  • Randstad Digital
  • Atlanta, GA FULL_TIME
  • Job Detailsjob summary:We are looking for a passionate Lead Network Engineer with focus on Cisco and Aruba network products and experience with various network technologies to join the Network enginee...
  • 6 Days Ago

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Network Engineer
  • ULINE
  • Pleasant Prairie, WI
  • Network Engineer Corporate Headquarters 12575 Uline Drive, Pleasant Prairie, WI 53158 Develop your ideal IT career, craf...
  • 4/25/2024 12:00:00 AM

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Network Engineer
  • General Dynamics Information Technology
  • GDIT has an exciting opportunity to support U.S. Army Europe and Africa in Wiesbaden Germany as a member of our Enterpri...
  • 4/25/2024 12:00:00 AM

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Network Engineer
  • General Dynamics Information Technology
  • Please take this opportunity to join one of GDIT's fastest long-standing growing programs! US Battlefield Information Co...
  • 4/24/2024 12:00:00 AM

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Network Engineer
  • General Dynamics Information Technology
  • Camp Smith, HI
  • Please take this opportunity to join one of GDIT's fastest long-standing growing programs! US Battlefield Information Co...
  • 4/23/2024 12:00:00 AM

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Network Engineer
  • Govcio LLC
  • Raleigh, NC
  • Overview: GovCIO is currently hiring for a Senior Wi-FI Engineer in Raleigh, NC. This position requires a RCDD certifica...
  • 4/22/2024 12:00:00 AM

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Network Engineer / Network Technician
  • System One Holdings, LLC
  • Phoenix, AZ
  • Please send me your details (resume, work authorization status, current location, availability and compensation expectat...
  • 4/22/2024 12:00:00 AM

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Network Engineer
  • Marotta Controls, Inc.
  • Morris County, NJ
  • Come grow with Marotta! One of NJ's fastest growing technology companies, named a New Jersey Top Workplace for 2022 & 20...
  • 4/21/2024 12:00:00 AM

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Network Engineer
  • Leidos
  • Reston, VA
  • Description Join us at Leidos, where your most important work is ahead! You will enjoy great benefits such as paid time ...
  • 4/3/2024 12:00:00 AM

Georgia is a state in the Southeastern United States.Beginning from the Atlantic Ocean, the state's eastern border with South Carolina runs up the Savannah River, northwest to its origin at the confluence of the Tugaloo and Seneca Rivers. It then continues up the Tugaloo (originally Tugalo) and into the Chattooga River, its most significant tributary. These bounds were decided in the 1797 Treaty of Beaufort, and tested in the U.S. Supreme Court in the two Georgia v. South Carolina cases in 1923 and 1989. The border then takes a sharp turn around the tip of Rabun County, at latitude 35°N, thou...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$56,536 to $84,522

Provider Network Specialist in Anderson, IN
Creates, maintains, and ensures the integrity of the provider data in DHP’s multiple claims payments systems and provider interface programs.
January 07, 2020
Provider Network Specialist in Tucson, AZ
Identifies and works with the provider to address education needs relative to DHP’s new product lines/expansions, utilization management, claims submission, and back-end issues resolution requirements of each assigned provider’s contract.
January 12, 2020
The Provider Network Specialist will work closely with all facets of the business, primarily with Care Management, Claims and Business Development.
January 08, 2020
Provider Network Specialist in Oakland, CA
Build and maintain a successful working relationship with Integra Managed Care and network providers.
December 03, 2019