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Description: This position is responsible for the analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes. This position is responsible for contracting, credentialing and maintaining Facility / Professional provider data to support marketing, network contracting across all lines of business. This role involves supporting the implementation of special projects, assisting with tracking of various phases of a project and managing workflow. This position includes assisting management in familiarizing and training team members with the various business rules in network contracting and credentialing across all lines of business. In addition is responsible for identifying gaps in processes and suggesting process improvement strategies.
Required Job Qualifications:
* Bachelor degree plus 1 year of experience with Provider Network contracting and credentialing systems OR 5 years of experience in the Health Care industry.
* Written and verbal communication skills including interpersonal skills. Skills to develop training materials and act as an advisor to staff
* Experience and proficiency inn Microsoft Office software products including analytical tools. Experience developing reports.
Preferred Job Qualifications:
* Subject Matter Expert for the Professional Provider Credentialing Process
* 2 years of experience with current government sponsored health insurance networks
* Knowledge of health care delivery systems, claim costing analytics, and provider network adequacy analytics
Job Types: Full-time, Contract, Temporary
Pay: $20.00 - $21.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Experience:
Ability to Commute:
Work Location: In person
Full Time | Temporary | Contractor
$37k-46k (estimate)
05/26/2024
09/21/2024
govanator.com
Hamden, CT
<25
The job skills required for Medical Front Desk include Customer Service, Microsoft Office, Verbal Communication, etc. Having related job skills and expertise will give you an advantage when applying to be a Medical Front Desk. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Medical Front Desk. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Medical Front Desk positions, which can be used as a reference in future career path planning. As a Medical Front Desk, it can be promoted into senior positions as a Patient Appointment Scheduler that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Front Desk. You can explore the career advancement for a Medical Front Desk below and select your interested title to get hiring information.