Provider Engagement Specialist - San Jose California

Company: VirtualVocations
Location: San Jose, California
Posted On: 01/18/2025

A company is looking for a Provider Engagement Network Specialist to manage provider data and support claims processing.



Key Responsibilities

Ensure accurate setup of providers in the information system for state reporting and claims payment
Research and resolve provider-related issues and demographic changes
Facilitate provider education and orientations, and maintain provider directories


Required Qualifications

Associate's degree preferred
Experience in claims processing, billing, and/or coding is preferred
Three years of experience in a managed care environment or healthcare organization
Knowledge of healthcare, managed care, Medicare, or Medicaid
Experience in customer service within a healthcare setting More...

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