Member Placement Representative

A company is looking for a Member Placement Representative to facilitate member access to providers and support network development. Key Responsibilities Locate and negotiate rates with non-part providers for member placements Recruit non-participating providers to join networks and serve as a direct contact for member placement issues Run reports, maintain spreadsheets, and assist with administrative duties related to provider placements Required Qualifications High school diploma or GED 2 years of relevant experience Ability to differentiate between allowable, Medicaid, and billed fees and reimbursement levels Good PC skills and ability to complete required documents for member placements Willingness to attend additional training as needed

Feb 19, 2025 - 23:39

A company is looking for a Member Placement Representative to facilitate member access to providers and support network development. Key Responsibilities Locate and negotiate rates with non-part providers for member placements Recruit non-participating providers to join networks and serve as a direct contact for member placement issues Run reports, maintain spreadsheets, and assist with administrative duties related to provider placements Required Qualifications High school diploma or GED 2 years of relevant experience Ability to differentiate between allowable, Medicaid, and billed fees and reimbursement levels Good PC skills and ability to complete required documents for member placements Willingness to attend additional training as needed