Provider Network Specialist jobs in Florida

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)

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Provider Network & Service Specialist
  • Ascendo Resources
  • Miami, FL FULL_TIME
  • Salary: $18 - 20 per hour
    Reference: 193642

    We're in search of a Service Coordinator to fulfill a crucial role in providing support to Primary Care Physicians, Specialists, Ancillary Providers, Facilities, Delegated Entities, Benefit Vendors, and Value-Based Arrangements.

    Position: Service Coordinator

    Location: Doral, FL (Hybrid: Office on Wednesdays & Thursdays)

    Schedule: Monday to Friday, 8:30 am to 5:00 pm

    Job Responsibilities:

    • Facilitate all in-house services for providers, including education and outreach initiatives.
    • Manage and resolve escalated claim-related issues.
    • Keep the organization informed about provider participation status.
    • Process escalated service forms and oversee Provider Interest Forms (PIF).
    • Draft and distribute pre-approved communications to providers.
    • Review provider directory content, identifying and rectifying errors.
    • Handle provider additions, demographic updates, and terminations.
    • Coordinate and manage Letter of Agreement (LOA) processes.
    • Ensure timely receipt of delegated provider rosters on a monthly basis, reviewing for accuracy and updating systems accordingly.
    • Conduct audits to ensure proper implementation.

    Requirements:

    • Proficiency in both English and Spanish.
    • Preferred prior experience in provider network management, healthcare administration, or similar field.
    • Ability to thrive in a dynamic, collaborative environment and adapt to shifting priorities.

    Benefits:

    • Weekly Pay
    • Holiday Pay
    • Health, Dental, Vision, GAP, Short Term Disability, Accident, Critical Illness, and Life Insurance after 30 days of employment.
    • Milestone Bonus: 40 hours for every 1200 hours worked.

    Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity.

    Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law.

    Ascendo is a certified minority owned staffing firm, and we welcome and celebrate diversity.

    Ascendo is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, parental status, military service or any other characteristic protected by federal, state or local law.

    CoralGablesAFTEMP
  • 3 Days Ago

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Full Time Customer Care Specialist l (Provider Network)
  • Acuity-CHS, LLC
  • Cape Canaveral, FL FULL_TIME
  • Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, excit...
  • 2 Days Ago

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Full Time Customer Care Specialist l (Provider Network)
  • Comprehensive Health Services
  • Cape Canaveral, FL FULL_TIME
  • Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, excit...
  • Just Posted

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Full Time Customer Care Specialist l (Provider Network)
  • Acuity International
  • Cape Canaveral, FL FULL_TIME
  • Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, excit...
  • 2 Days Ago

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Provider Network Manager
  • Ultimate Health Plans
  • Sarasota, FL FULL_TIME
  • This position serves the West Central Florida (Sarasota Manatee counties) you must be based in that area. 50% local travel to visit current and potential network providers will be required. Out of sta...
  • 2 Days Ago

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Provider Network Manager
  • The Elevance Health Companies, Inc.
  • MIAMI, FL FULL_TIME
  • Anticipated End Date: 2024-06-18 Position Title: Provider Network Manager Job Description: Provider Network Manager (JR117638) Location: Miami, FL area. Must reside within 50 miles and 1 hour commute ...
  • 3 Days Ago

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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

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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

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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

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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

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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

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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

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Network Engineer
  • Apex Systems
  • Sumter, SC
  • Title of Position: Network Technician Location (city & campus): Sumter, SC (Shaw AFB) Contract Length: 6 month Contract ...
  • 6/7/2024 12:00:00 AM

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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

Florida (/ˈflɒrɪdə/ (listen); Spanish for "land of flowers") is the southernmost contiguous state in the United States. The state is bordered to the west by the Gulf of Mexico, to the northwest by Alabama, to the north by Georgia, to the east by the Atlantic Ocean, and to the south by the Straits of Florida. Florida is the 22nd-most extensive (65,755 sq mi or 170,300 km2), the 3rd-most populous (21,312,211 inhabitants), and the 8th-most densely populated (384.3/sq mi or 148.4/km2) of the U.S. states. Jacksonville is the most populous municipality in the state and the largest city by area in th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$55,795 to $83,418

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