Provider Network Specialist jobs in Arkansas
Provider Network Specialist coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Being a Provider Network Specialist distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Additionally, Provider Network Specialist typically reports to a manager or head of a unit/department. The Provider Network Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Network Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Provider Network Specialist jobs
Provider Enrollment Specialist
- ACMG Arkansas Children's Medical Group, PLLC.
-
Little Rock, AR
FULL_TIME
- ARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, NATIONAL ORIGIN, AGE, DISABILITY, PROTECTED VETERAN STATUS OR ANY OTHER CHARACTERISTIC PROTECTED BY FEDERAL, STATE, OR LOCAL LAWS. CURRENT EMPLOYEES: Please apply via the internal career site by logging into your Workday Account (https://www.myworkday.com/archildrens/)and search the "Find Jobs" report. Work Shift: Please see job description for details. Time Type: Full time Department: CC607000 ACMG Administration Summary: The Provider Enrollment Specialist facilitates the applications from a new/existing provider’s through all stages in order to enroll or re-validate the provider’s with commercial and/or government payers as well as facilities. The Specialist is also responsible for updating practitioner information in both the internal software and with external payers. In addition to data entry, the specialist also maintains copies of licensure, certificates, and other documents necessary for the enrollment process, maintains provider CAQH profiles, and conducts verification of all data, ensuring accuracy and timely entry of information. The specialist shares essential updates with providers and the internal team as necessary in weekly summary reports. Decisions will have a direct impact upon the efficiency and effectiveness of Enrollment and upon direct staff. Decisions also have the potential to impact PHO rosters, COM departments and Billing Services. Must function fairly independently with a strong awareness of the interactions and interdependency of all areas Additional Information: Medical administrative experience preferred. Required Education: Bachelor's degree from four-year college or university; Or four years related experience and/or training; or equivalent combination of education and experience. Recommended Education: Bachelors Degree or Equivalent Experience Required Work Experience: Recommended Work Experience: Related Field - Previous experience in a health care setting Required Certifications: Recommended Certifications: Description 1.Conducts the enrollment process and maintains provider information in MD Staff platform 2. Adheres to deadlines and enrollment schedules by tracking files through all stages 3. Communicates with providers, payers, MSOs via email, phone, Teams and mail 4. Helps the department move to paperless by centralizing all provider data gathered in software 5. Maintains confidentiality and responsibility for all enrollment files through the process 6. Maintain an organized database of physician information, ensuring accuracy and completeness. 7. Ensure that all enrollment activities adhere to healthcare regulations and organizational policies. 8. Collaborate with internal departments, including HR, legal, and billing, to facilitate the enrollment process. 9. Address and resolve enrollment-related issues and discrepancies promptly. Monitor and meet goals established for KPI metrics 10. Generate reports and documentation related to physician enrollment, as needed. Maintaining work ques for provider enrollment within HIS system. 11. Other duties as assigned. Arkansas Children’s is the only hospital system in the state dedicated to caring for children, which enables us to uniquely shape the landscape of pediatric care in Arkansas. Arkansas Children’s is driven by four core values—safety, teamwork, compassion and excellence—which inform every action. Arkansas Children’s Hospital has received Magnet Status from the American Nurses Credentialing Center (ANCC), for nursing excellence and patient outcomes. And we are nationally ranked by U.S. News & World Report for Cancer, Cardiology & Heart Surgery, Diabetes & Endocrinology, Nephrology, Neurology & Neurosurgery, Pulmonology & Lung Surgery and Urology. For more than a century, Arkansas Children’s has met the unique needs of children. But we’re more than just a hospital treating sick kids—our services include two hospitals, a pediatric research institute, foundation, clinics, education and outreach, all with an unyielding commitment to making children better today and healthier tomorrow. Arkansas Children’s Little Rock campus includes a 336-bed hospital with the state’s only pediatric Level 1 Trauma Center, burn center, Level 4 neonatal intensive care and pediatric intensive care, as well as a nationally-recognized transport service. And Arkansas Children’s Northwest provides inpatient and emergency care, clinic rooms and diagnostic services to children in that corner of the state. “Arkansas Children’s is a place of hope and comfort for children and parents. When you are at children’s, you are part of an elite team united with a common goal of saving children and making their lives better.” Michael – Business Operations Manager “Arkansas Children’s Hospital is a prestigious institution that cares for children.” Linda – Information Systems Analyst “We are an organization of care, love, and hope while we champion children.” Angela – Parking and Fleet Coordinator “Care, love, and hope for children!” Kathy – Administrative Assistant “When I think of my time here at Arkansas Children’s Hospital, I can honestly say that it has given me a unique perspective on the human condition, and the various roles that we all have in patient care. As a supply assistant, I have a very important job ensuring that the doctors and nurses have what they need to provide the world class medical care to the Children of Arkansas and surrounding states. Being a Champion for Children is more than a catch phrase, it is a way of life!” Nick – Supply Assistant
- 22 Days Ago
Network Support Specialist Intern
- Apprenticely
-
Jonesboro, AR
INTERN
- Apprenticely is working with our company partner, Kalmer Solutions to add a Network Support Specialist Intern to their operations team in Jonesboro, Arkansas!Our Apprenticely Internship Program is a t...
- 6 Days Ago
Network Support Specialist Intern
- Arkansas Center for Data Sciences
-
Prairie, AR
INTERN
- ACDS is working with our company partner, Prairie Grove School District to add a Network Support Specialist Intern to their team in Northwest Arkansas! An ideal candidate will have a strong blend of p...
- 8 Days Ago
Support Specialist Network Management
- USAble Mutual Insurance Company
-
Arkansas, AR
FULL_TIME
- To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. Applicants must be eligible to begin work on the date of hire. Applicants must be currently authorized to wo...
- Just Posted
Support Specialist Network Management
- Arkansas Blue Cross & Blue Shield
-
Little Rock, AR
FULL_TIME
- To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here.Applicants must be eligible to begin work on the date of hire. Applicants must be currently authorized to wor...
- Just Posted
Network Support Specialist Intern
- Apprenticely
-
Prairie, AR
INTERN
- ACDS is working with our company partner, Prairie Grove School District to add a Network Support Specialist Intern to their team in Northwest Arkansas! An ideal candidate will have a strong blend of p...
- 14 Days Ago
Provider Network Specialist jobs at Popular Companies
Network Engineer
- Apex Systems
-
Sumter, SC
- Title of Position: Network Technician Location (city & campus): Sumter, SC (Shaw AFB) Contract Length: 6 month Contract ...
- 6/12/2024 12:00:00 AM
Network Engineer
- QinetiQ
-
Reston, VA
- Company Overview We are a world-class team of professionals who deliver next generation technology and products in robot...
- 6/11/2024 12:00:00 AM
Engineering - Network Engineer Mid
- Pyramid Consulting, Inc
-
Enon, OH
- Immediate need for a talented Engineering - Network Engineer Mid. This is a 12+ Months Contract opportunity with long-te...
- 6/11/2024 12:00:00 AM
Network Technician/Network Engineer/Network Support Engineer(NO C2C CANDIDATES considered)
- Sharp Decisions
-
Graham, NC
- Title : Network Technician/Network Engineer/Network Support Engineer(NO C2C CANDIDATES considered) Contract duration : 1...
- 6/10/2024 12:00:00 AM
Network Engineer
- Kinettix
-
Kahului, HI
- Job Description: Independent Contractor Contract to Hire Job Title: Network Technician Responsibilities: Work a minimum ...
- 6/9/2024 12:00:00 AM
Sr. Specialist Network Engineer
- IT
-
Phoenix, AZ
- Nestlé Information Technology is the digital arm of the world’s largest nutrition, health, and wellness company. With 15...
- 6/8/2024 12:00:00 AM
Network Engineer
- Raytheon Technologies
-
Sterling, VA
- Date Posted: 2024-02-06 Country: United States of America Location: VA543: 22270 Pacific Blvd, Dulles 22270 Pacific Boul...
- 6/8/2024 12:00:00 AM
Network Engineer
- Leidos
-
Norfolk, VA
- Description Leidos is a FORTUNE 500 company bringing a mix of innovative technology and sector expertise to customers in...
- 6/7/2024 12:00:00 AM
About Arkansas
Arkansas (/ˈɑːrkənsɔː/ AR-kən-saw)[c] is a state in the southern region of the United States, home to over 3 million people as of 2018. Its name is of Siouan derivation from the language of the Osage denoting their related kin, the Quapaw Indians. The state's diverse geography ranges from the mountainous regions of the Ozark and the Ouachita Mountains, which make up the U.S. Interior Highlands, to the densely forested land in the south known as the Arkansas Timberlands, to the eastern lowlands along the Mississippi River and the Arkansas Delta.
Arkansas is the 29th largest by area and the 33rd...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$53,504 to $79,993
Most Popular Cities in Arkansas for Provider Network Specialist Jobs
What does a Provider Network Specialist do?
Provider Network Specialist in Anderson, IN
Creates, maintains, and ensures the integrity of the provider data in DHP’s multiple claims payments systems and provider interface programs.
January 07, 2020
Provider Network Specialist in Tucson, AZ
Identifies and works with the provider to address education needs relative to DHP’s new product lines/expansions, utilization management, claims submission, and back-end issues resolution requirements of each assigned provider’s contract.
January 12, 2020
The Provider Network Specialist will work closely with all facets of the business, primarily with Care Management, Claims and Business Development.
January 08, 2020
Provider Network Specialist in Oakland, CA
Build and maintain a successful working relationship with Integra Managed Care and network providers.
December 03, 2019