Network Management Representative II
3 weeks ago
Title: Network Management Representative II
Location:
This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.
The
Network Management Representative II
provides comprehensive services to the provider community through researching more complex provider issues.
How you will make an impact:
Serves as point of contact for other internal departments regarding provider issues that may impact provider satisfaction.
Researches and resolves the more complex provider issues and appeals for prompt resolution.
Coordinates prompt claims resolution through direct contact with providers and claims department.
Provides assistance with policy interpretation.
Researches, analyzes and recommends resolution of provider disputes, issues with billing, and other practices.
Assists providers with provider demographic changes as appropriate.
Responds to provider issues related to billing, pricing, policy, systems and reimbursements.
Determines if providers were paid according to contracted terms.
Minimum Requirements
H.S. diploma
Minimum of 3 years of customer service experience; one year experience as a Network Representative; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications
Ability to work in an inbound call center environment (30-90 calls per day) preferred.
Able to work M-F 10:00am - 6:30pm CST highly preferred.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $24.89/hr. to$40.87/hr.
Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive andrecognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any othercategory protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based ongeographic location, work experience, education and/or skill level. Even within the range, the actual compensation will varydepending on the above factors as well as market/business considerations. No amount is considered to be wages orcompensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable
policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation andbenefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and maybe modified at the Company’s sole discretion, consistent with the law.
#J-18808-Ljbffr
-
Network Technician
2 days ago
Mendota Heights, Minnesota, United States Dungarvin Full timeJob Description WHAT YOU WILL DO: The Network Technician will be responsible for providing timely support for network problems and issues. They will configure and support modems, firewalls, routers, and other network devices. This position ensures that Dungarvin networks operate correctly with minimal interruption. Assist in maintaining Dungarvin’s...
-
Commercial Account Representative
4 weeks ago
Mendota Heights, United States Cemstone Full timeAbout usCemstone® has become synonymous with high quality products and unparalleled service in the ready-mix concrete industry in the upper Midwest. Our reputation is reflected in the structures we’ve helped create and our long-held and long-practiced commitment to our core values. Here's your opportunity to join an amazing family-owned business that has...
-
Commercial Account Representative
14 hours ago
Mendota Heights, United States Cemstone Full timeAbout usCemstone® has become synonymous with high quality products and unparalleled service in the ready-mix concrete industry in the upper Midwest. Our reputation is reflected in the structures we’ve helped create and our long-held and long-practiced commitment to our core values. Here's your opportunity to join an amazing family-owned business that has...
-
Senior Network Administrator
2 days ago
District Heights, United States General Dynamics Information Technology Full timeGDIT is hiring Network Administrator Senior who Provides Tier II Network Support. Works closely with the Network Engineer at the SIL to implement enterprise network designs and solutions, installs, configures, operates, and maintains a variety of network equipment and architectures. Mostly packetized environments, focused on enterprise wide end to end...
-
Medical Office Rep II
2 weeks ago
Citrus Heights, United States Dignity Health Full time**Overview** Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today...
-
Network Consultant
4 days ago
Needham Heights, United States Oram Cybersecurity Advisors Full time**Department**:Service and Support **Reports to**: Senior Consultant **General Summary**: Network Engineers are strong in all the most common and popular networking technologies. In addition to strong technical aptitudes, backed by at least 1 year of in the trenches experience, this person is a good communicator and a person who can manage well when the...
-
Construction Assistant Project Manager
15 hours ago
Glendale Heights, United States LaSalle Network Full timeLaSalle Network has partnered with a commercial construction company currently seeking a proactive and detail-oriented Assistant Project Manager to join their dynamic team. As an Assistant Project Manager, you will play a pivotal role in overseeing various facets of construction projects, including planning, coordination, budgeting and ensuring timely...
-
Construction Assistant Project Manager
9 hours ago
Glendale Heights, United States LaSalle Network Full timeLaSalle Network has partnered with a commercial construction company currently seeking a proactive and detail-oriented Assistant Project Manager to join their dynamic team. As an Assistant Project Manager, you will play a pivotal role in overseeing various facets of construction projects, including planning, coordination, budgeting and ensuring timely...
-
Youth Care Professional 2nd shift
2 weeks ago
Mendota Heights, United States Nexus Treatment Full timeNexus Family Healing is seeking a part time or full time Youth Care Professionals for 2nd shift for the county shelter, Aspen House, based in Mendota Heights, Minnesota and servicing the area. This is made possible through a collaboration between Dakota and Washington counties. The innovative program will not only provide temporary housing with a 12-bed unit...
-
Medical Office Rep II
3 weeks ago
Citrus Heights, California, United States CommonSpirit Health Full timeOverview: Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health – one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Today...
-
Case Manager
3 weeks ago
Mendota Heights, Minnesota, United States Dungarvin Full timeJob Description WHAT YOU WILL DO: The case manager position is designed to assist person served in identifying and acquiring both natural and paid supports which allow them to live as independently as possible in the community. The case manager should assist the individual in a person centered approach, in a way which supports the person in making his/her...
-
Youth Care Professional 2nd shift
2 weeks ago
Mendota Heights, United States Nexus Family Healing Full timeNexus Family Healing is seeking a part time or full time Youth Care Professionals for 2nd shift for the county shelter, Aspen House, based in Mendota Heights, Minnesota and servicing the area. This is made possible through a collaboration between Dakota and Washington counties. The innovative program will not only provide temporary housing with a 12-bed unit...
-
Network Engineer
1 week ago
Colonial Heights, United States Crescens Full timeJob Title: Network Engineer Location: Colonial Heights, VA- (Onsite) Duration: 7+ Months ***Local Colonial Heights*** ***VA candidates required *** ***ALL interviews conducted ONSITE*** ***100% ONSITE***Job Responsibilities: This job requires a Network Knowledge and basic remote troubleshooting skills. While networking being the main focus of this job they...
-
IT - Network Administrator
4 weeks ago
Chicago Heights, United States CEO Inc. Full timeThe Network Administrator, under the guidance of the Senior Systems Analyst and Administrator, holds a pivotal role in guaranteeing the smooth operation of Business Unit (BU) data and local area networks (LAN), both on-site and off-site, within a 24x7 operational environment. This position entails close collaboration with all levels of the organization to...
-
IT - Network Administrator
4 weeks ago
Chicago Heights, United States CEO Inc. Full timeThe Network Administrator, under the guidance of the Senior Systems Analyst and Administrator, holds a pivotal role in guaranteeing the smooth operation of Business Unit (BU) data and local area networks (LAN), both on-site and off-site, within a 24x7 operational environment. This position entails close collaboration with all levels of the organization to...
-
IT - Network Administrator
2 days ago
Chicago Heights, United States CEO Full timeThe Network Administrator, under the guidance of the Senior Systems Analyst and Administrator, holds a pivotal role in guaranteeing the smooth operation of Business Unit (BU) data and local area networks (LAN), both on-site and off-site, within a 24x7 operational environment. This position entails close collaboration with all levels of the organization to...
-
Network Engineer
1 week ago
Colonial Heights, United States Global Pharma Tek Full timeJob TItle: Network Engineer Location: Colonial Heights, VA (ONSITE) Duration: 6 Months (Possibility for extension) Local Colonial Heights, VA candidates required ALL interviews conducted ONSITE Description Network Administrator to support local and field network troubleshooting. This job requires a Network Knowledge and basic remote troubleshooting skills....
-
3rd Shift Industrial Maintenance Technician III
3 weeks ago
Mendota, United States Acloche-Direct Hire Full timeJob DescriptionJob DescriptionJob Title: Industrial Maintenance Technician III (multi-craft maintenance)An Industrial Maintenance Technician level III consists of advanced level troubleshooting and diagnosis in electrical and PLC troubleshooting skills. The company will also review Technician level II candidates, which consists of an electro-mechanical...
-
Outside Sale Representative
3 weeks ago
Capitol Heights, United States 95 Traffic Safety Supply Full timeJob DescriptionJob DescriptionDescription:At 95 Traffic Safety Supply, we are committed to safeguarding the lives of our local construction workers by providing top-quality safety products and excellent customer services. Embracing contemporary business practices and leveraging the latest technology, we create a safe environment around work zones.As a...
-
Network Management Lead
3 weeks ago
Shaw Heights, United States Business Integra Full timeJob DescriptionJob DescriptionNetwork Management Lead - Combined Air Operations Center (CAOC) Communications SupportScope of Responsibilities:Reviews, plans, and evaluates network systems. May troubleshoot network systems and recommend improvements to network. Provides documentation/project tracking and management reporting. Provides tactical and strategic...