Provider Network Consultant $21/hr

1 day ago


Richardson, United States HireOps Staffing LLC Full time

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.


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