ErieRecruiter Since 2001
the smart solution for Erie jobs

Provider Relations Representative

Company: Health Net, Inc.
Location: Erie
Posted on: December 4, 2019

Job Description:

Description: Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate. Perform training, orientation and coaching for performance improvement within the network and assist with claim resolution. * Serve as primary contact for providers and act as a liaison between the providers and the health plan * Conduct monthly face-to-face meetings with the provider account representatives documenting discussions, issues, attendees, action items, and research claims issues on-site, where possible, and route to the appropriate party for resolution * Receive and effectively respond to external provider related issues * Provide education on health plan s innovative contracting strategies * Initiate data entry of provider-related demographic information changes and oversee testing and completion of change requests for the network * Investigate, resolve and communicate provider claim issues and changes * Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics * Perform provider orientations and ongoing provider education, including writing and updating orientation materials * Ability to travel

Keywords: Health Net, Inc., Erie , Provider Relations Representative, Other , Erie, Pennsylvania

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Serious About Starting A New Career
Description: Do you enjoy helping others Growing 26 year old National Discount Health Benefits provider of healthcare access in the US is seeking bright,
Company: MAH Benefits
Location: Niagara Falls
Posted on: 12/8/2019

Commercial Carpenters
Description: Local established Construction company is looking for Carpenters, Drywall Installers, Finishers, of all skill levels. Good benefits and pay commensurate with experience. You must have reliable transportation, (more...)
Company: Gypsum Systems
Location: Niagara Falls
Posted on: 12/8/2019

Regional CDL A Dry Van Truck Drivers - Earn Up To $80,000
Description: Home Every Weekend/Regional Drivers: Driver MUST HAVE CDL A and 6 Months Driving experience 2,500 Sign On Bonus What We Offer: .56- .59
Company: Carlisle Carrier Corp
Location: Tonawanda
Posted on: 12/8/2019


Labor Relations Rep
Description: The primary purpose of this position is to improve business results by providing advice and counsel to operating management for day to day union-related matters, including the interpretation and administration (more...)
Company: HB Consultants LLC
Location: Youngstown
Posted on: 12/8/2019

Stylist
Description: Salon Bella Vita is a busy, full service salon spa located in Mars, PA and we are looking for fun,
Company: Salon Bella Vita
Location: Youngstown
Posted on: 12/8/2019

Local CDL A or B Bus Drivers - Up to a $10,000 Sign On Bonus!
Description: The Greyhound driver's mission is to make enjoyable travel possible for everyone, providing the opportunity for anyone to travel in North America with safety, dignity and convenience. As
Company: Greyhound Lines
Location: Tonawanda
Posted on: 12/8/2019

CDL-A Tanker Owner Operator Truck Driver
Description: CDL-A Tanker Owner Operators Needed for Our Location in Coraopolis, PA 10,000 Sign-On Bonus Celebrating over 100 years of solid success, Quality Carriers wants to help you Find Your Lane. We offer the (more...)
Company: Quality Carriers
Location: Youngstown
Posted on: 12/8/2019

Local CDL A or B Bus Drivers - Up to a $10,000 Sign On Bonus!
Description: The Greyhound driver's mission is to make enjoyable travel possible for everyone, providing the opportunity for anyone to travel in North America with safety, dignity and convenience. As
Company: Greyhound Lines
Location: Niagara Falls
Posted on: 12/8/2019

Looking for a new career path?
Description: Looking For Motivated Individuals We are seeking goal oriented customer service representatives to work
Company: MAH Benefits
Location: Youngstown
Posted on: 12/8/2019

Regional CDL A Dry Van Truck Drivers - Earn Up To $80,000
Description: Home Every Weekend/Regional Drivers: Driver MUST HAVE CDL A and 6 Months Driving experience 2,500 Sign On Bonus What We Offer: .56- .59
Company: Carlisle Carrier Corp
Location: Niagara Falls
Posted on: 12/8/2019

Log In or Create An Account

Get the latest Pennsylvania jobs by following @recnetPA on Twitter!

Erie RSS job feeds