What are the responsibilities and job description for the Health Insurance Operations Specialist - Verity position at Baton Rouge General?
Description
The Network Operations Specialist will serve as a liaison between Verity clients and the internal teams to ensure timely and successful operational support is provided. Will manage competing priorities and develop innovative approaches while demonstrating integrity aligned with Verity's values .
Responsibilities include but are not limited to :
- Provide customer service and support for Verity members, payors and providers
- Coordinate data collection and roster submission with Contracting to ensure all provider data is accurately loaded for provider directories and claims processing
- Triage and manage routine client support activities and resolution of routine to complex client issues and requests
- Maintain all payor and group-related documents including ID cards, payors, and employer group lists
- Maintain accounts receivable and access fees from payors
- Provide project management support for client-related projects
- Maintain and manage all operations-related process documentation
- Assist with client meeting preparation and presentations
- Assist with the implementation of new clients and payors
- Maintain systems for Verity client contracts and agreements
- Backup support for claims repricing
- Other duties as assigned
Demonstrates Success Behaviors :
This is a full-time position
Office location : Baton Rouge Louisiana
Remote work availability : This position is in-office with some travel required
Travel : 15% travel may be required to meet with high priority providers identified by strategic initiatives
Company Information
Verity HealtNet is committed to revolutionizing the way healthcare is delivered by making a positive impact on the lives of patients and providers alike. We believe in a diverse, inclusive workplace and are always looking for creative, analytical, innovative, and passionate thinkers and doers who are driven to learn as well as succeed. Choosing to work for Verity HealthNet means being part of a team that values collaboration, candor, and integrity.
Verity HealthNet is a company that fosters a supportive work environment, where employees are encouraged to contribute their unique perspectives and ideas and have the opportunity to be at the forefront of groundbreaking healthcare solutions. By investing in our workforce, Verity empowers its employees' growth and development by offering competitive hourly / salary wages and career progression. We help support our employees' career initiatives, both professionally and personally, while maintaining a healthy work / life balance.
A career at Verity HealthNet offers an exceptional opportunity to be part of a forward-thinking organization that is transforming healthcare. With a supportive work environment, a commitment to innovation, a focus on employee growth and culture, and a dedication to improving healthcare outcomes, Verity HealthNet is an ideal choice for individuals passionate about making a meaningful difference in the healthcare industry, leading to a tangible impact on the lives of patients and their communities.
Requirements
Qualifications and Education Requirements
A qualified candidate will be a self-starter who has strong attention to detail. Time management and follow-through are important assets in this position. The individual's ability to communicate and work in a team environment will be essential to succeed in this position.
Bachelor's Degree or the equivalent of four (4) years related client support or account management experience preferred.
