Centene is an equivalent open door boss that is focused on variety, and values the manners by which we are unique. All certified candidates will get thought for work regardless of race, shading, religion, sex, sexual direction, orientation personality, public beginning, incapacity, veteran status, or other trademark safeguarded by pertinent regulation.
| Company: | Centene Corporate |
| Job Role: | Provider Network Specialist II |
| Experience: | Freshers (0 To 2 years): |
| Vacancy: | 10+ |
| Qualification: | Bachelor’s degree |
| Salary: | $52,586 per year |
| Location: | Detroit, Michigan, US |
| Join us on Telegram | Click Here |
| Apply Mode: | (Online) |
| Start Date: | 01/04/2022 |
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Job Description:
Perform wellbeing plan supplier directions and lead continuous instructive effort with an attention on working on quality and monetary results inside the supplier organization. Go about as contact among suppliers and the wellbeing intend to upgrade the business relationship.
- Lead introductory supplier directions as well as progressing instructive effort
- Teach suppliers in regards to strategies and methods connected with references, claims accommodation, credentialing documentation, site training, Electronic Health Records, Health Information Exchange, and Electronic Data Interface
- Upgrade account connections by exploring, recording and settling supplier matters and really dealing with and answering record changes and correspondence.
- Draw in suppliers and instruct them on Patient Centered Medical Home drives
- Perform definite HBR (Health Benefits Ratio) investigations, Health information Information Set (HEDIS) examinations, and make reports for supplier Review supplier execution by both quantitative measurements and subjective variables
- Make and impart achievement archives, dashboards and achievement or improvement measurements
- Go about as a contact between the supplier and the wellbeing plan guaranteeing an organized exertion in working on monetary and quality execution
- Give data and announcements to suppliers in regards to motivator arrangements
- Lead site visits when required
- Perform other contracting obligations as mentioned, including yet not restricted to prescribing changes to evaluating subsystems, submitting changes to supplier related data set data and aiding the fruition of extraordinary tasks
- Capacity to travel
Our Comprehensive Benefits Package:
- Adaptable work arrangements including distant choices, cross breed work timetables and dress adaptability
- Serious compensation
- Taken care of Time including paid occasions
- Health care coverage inclusion for yourself and wards
- 401(k) and stock buy plans
- Educational cost repayment and top tier preparing and improvement
Qualification/Experience:
- Bachelor’s degree in related field or equivalent experience.
- 2+ long stretches of consolidated oversaw medical care and supplier repayment experience.
- Progressed information on Microsoft Excel.
- Clinical or wellbeing data the executives (HIM) experience liked.
- Claims handling and additionally oversaw care experience liked.
- Licenses/Certifications: Current express driver's permit.
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