Provider Network Consultant $21/hr

Provider Network Consultant

Contract 1/13-12/31 with possible extension

Fully onsite in Richardson, TX 75082
Pay rate $21.00, M-F 8-5

Description:
This position is responsible for providing supporting services, provider operations and contracting of individual and facility behavioral health providers.

• Accountable for researching and resolving provider inquiries arising from contract operations, system, and directory issues.
• Responsible for internal communications including working with Provider Network and Provider Relations team members and staff related to contract and network build initiatives and issue resolution.
• Responsible for external communications including educating and updating the BH provider network community regarding policy updates, system and contractual changes.
• Assist the team to build a fast-paced BH provider network project with a tight deadline.
  

JOB REQUIREMENTS:

• Bachelor's degree OR 2 years of experience in health insurance/managed care industry for behavioral health providers and/or facilities in order handling independent decision making.
• Written and verbal communication skills to compose responses to external and internal entities
  
  • To educate providers
    
  • To compose training materials and procedures
    
  • To work across departments to resolve provider contracting barriers
• Candidate must be PC proficiency in Microsoft tools including but not limited to Microsoft Outlook, Word, Excel, PowerPoint and Adobe PDF.
  
  

PREFERRED JOB REQUIREMENTS:

• Bachelor Degree with one year business experience.
  
• Knowledge of health care industry, contracts, products, claims processing.
  
• Knowledge of behavioral health services to support contracting efforts.

Salary : $21