Healthcare Network Specialist

5 days ago


Tulsa, Oklahoma, United States PSG Global Solutions Full time
Job Title: Provider Network Consultant

We are seeking a skilled Provider Network Consultant to join our team at PSG Global Solutions in the Insurance industry located in Tulsa.

Key Responsibilities:
  • Analyze and apply business rules to process requests from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes.
  • Contract, credential, and maintain Facility/Professional provider data to support marketing and network contracting across all lines of business.
  • Support the implementation of special projects, assist with tracking of various phases of a project, and manage workflow.
  • Assist management in familiarizing and training team members with business rules in network contracting and credentialing across all lines of business.
  • Identify gaps in processes and suggest process improvement strategies.

Requirements:

  • Strong analytical and problem-solving skills.
  • Ability to work in a fast-paced environment and prioritize tasks effectively.
  • Excellent communication and interpersonal skills.
  • Knowledge of healthcare industry and insurance regulations.

What We Offer:

  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.
  • A competitive salary and benefits package.


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