Senior Provider Engagement Specialist

A company is looking for a Senior Provider Engagement Network Specialist. Key Responsibilities Ensure accurate provider setup in the information system for state reporting, claims payment, and directories Act as the internal and external liaison for provider networking and manage relationships with participating providers Research and resolve complex provider-related issues, including contract loading and claims disputes Required Qualifications Bachelor's degree in a healthcare-related field or equivalent experience required 5+ years of provider services experience, preferably in a managed healthcare environment Experience with provider contracting and servicing benefits interpretation Strongly preferred experience in hospital or physician office claims billing Experience managing projects independently and public speaking

Apr 17, 2025 - 19:33

A company is looking for a Senior Provider Engagement Network Specialist. Key Responsibilities Ensure accurate provider setup in the information system for state reporting, claims payment, and directories Act as the internal and external liaison for provider networking and manage relationships with participating providers Research and resolve complex provider-related issues, including contract loading and claims disputes Required Qualifications Bachelor's degree in a healthcare-related field or equivalent experience required 5+ years of provider services experience, preferably in a managed healthcare environment Experience with provider contracting and servicing benefits interpretation Strongly preferred experience in hospital or physician office claims billing Experience managing projects independently and public speaking