Healthcare Network Specialist

3 days ago


New York, New York, United States Centene Corporation Full time
Job Overview:
As a Healthcare Network Specialist at Centene Corporation, you will play a vital role in transforming the health of our communities. Your primary responsibility will be to serve as the primary contact for providers and act as a liaison between the providers and the health plan.

Key Responsibilities:
- Serve as primary contact for providers
- Act as a liaison between the providers and the health plan
- Triage provider issues and resolve them with internal partners
- Educate providers on policies and procedures related to referrals, claims submission, web site usage, EDI solicitation, and more
- Perform provider orientations and ongoing education

Requirements:
- Bachelor's degree in a related field or equivalent experience
- Three years of provider relations, claims/reimbursement, or contracting experience
- Knowledge of healthcare, managed care, Medicare, or Medicaid
- Claims billing/coding knowledge preferred

Compensation:
$54,000.00 - $97,100.00 per year. This is a competitive salary that reflects the company's commitment to attracting and retaining top talent.

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