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Description: This position is responsible for the analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes. This position is responsible for contracting, credentialing and maintaining Facility / Professional provider data to support marketing, network contracting across all lines of business. This role involves supporting the implementation of special projects, assisting with tracking of various phases of a project and managing workflow. This position includes assisting management in familiarizing and training team members with the various business rules in network contracting and credentialing across all lines of business. In addition is responsible for identifying gaps in processes and suggesting process improvement strategies.
Required Job Qualifications:
* Bachelor degree plus 1 year of experience with Provider Network contracting and credentialing systems OR 5 years of experience in the Health Care industry.
* Written and verbal communication skills including interpersonal skills. Skills to develop training materials and act as an advisor to staff
* Experience and proficiency inn Microsoft Office software products including analytical tools. Experience developing reports.
Preferred Job Qualifications:
* Subject Matter Expert for the Professional Provider Credentialing Process
* 2 years of experience with current government sponsored health insurance networks
* Knowledge of health care delivery systems, claim costing analytics, and provider network adequacy analytics
Job Types: Full-time, Contract
Pay: $20.00 - $21.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Work setting:
Experience:
Work Location: In person
Full Time | Contractor
Durable Manufacturing
$38k-47k (estimate)
03/16/2024
04/12/2024
venatorglobal.com
DUISBURG, NORDRHEIN-WESTFALEN
1,000 - 3,000
2016
JUSTIN PHILLIPSON
$500M - $1B
Durable Manufacturing
The job skills required for Patient Account Specialist include Health Care, Health Insurance, Microsoft Office, Life Insurance, Verbal Communication, Process Improvement, etc. Having related job skills and expertise will give you an advantage when applying to be a Patient Account Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Patient Account Specialist. Select any job title you are interested in and start to search job requirements.
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Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Patient Account Specialist job description and responsibilities
A patient account specialist works at a hospital, clinic, or similar medical facility and audits chart copies to ensure accurate and timely billing or refunds for customers.
05/04/2022: Tallahassee, FL
Good phone skills help with working with patients and clearly explaining policies and details.
04/01/2022: Melbourne, FL
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Patient Account Specialist jobs
The Patient Account Specialist provides administrative support to the daily verifications operations within the assigned function(s).
04/07/2022: Abilene, TX
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