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Provider Relations Specialist

Company: WellPath
Location: Hendersonville
Posted on: October 12, 2019

Job Description:

Correctional Medicine opening in Hendersonville, Tennessee. This and other clinical nurse specialist jobs brought to you by NursingJobCafe.com OverviewOur Provider Relations Specialist will maintain provider demographic records within the claims transaction system and will match existing member eligibility to incoming provider claims for proper processing.QualificationsEducation:

  • Must have high school diploma or GEDExperience:
    • Experience with medical provider billing is helpful.
    • Must be proficient with Microsoft excel, Microsoft word and general typing skills.Licenses/Certifications:
      • None requiredResponsibilities
      • Creates and maintains provider demographic records in claims transaction system.
      • Updates W'9's in claims transaction system and notifies appropriate parties.
      • Reviews external preferred provider network data and updates claims transaction system.
      • Processes manual eligibility for correct provider submission.
      • Must be able to apply principles of critical thinking to a variety of practical and emergent situations and accurately follow standardized procedures that may call for deviations.Wellpath is an EOE/Minorities/Females/Vet/Disability Employer Keyphrases: correctional medical services jobs, correctional medicine jobs, correctional health services jobs, prison health services jobs

Keywords: WellPath, Hendersonville , Provider Relations Specialist, Healthcare , Hendersonville, Tennessee

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