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Bilingual Call Center Specialist
Key Responsibilities Provide consistent, quality customer service to internal staff and external patients Manage calls by scheduling appointments and transmitting messages to the clinical team Demonstrate proficient data entry skills and knowledge
Provider Data Management Analyst
related to claims payment and directories Research and resolve issues within the provider data management system as needed Required Qualifications Associate's degree or high school diploma/equivalent with 1+ years of relevant experience Experience in data...entry, analysis, or customer service, preferably in healthcare operations Familiarity with provider data management or credentialing in managed care or medical office environments Proficiency in data analysis using Excel or similar tools is strongly
Clinical Education Coordinator
Key Responsibilities Assist in scheduling meetings, creating agendas, and managing follow-up communications Confirm clinical education sites and manage data entry for clinical sites and personnel Track data and create reports for stakeholders while
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Prior Authorization Specialist
referrals Collaborate with stakeholders to ensure timely access to care and adherence to compliance standards Required Qualifications High school diploma or GED required; Associate's Degree preferred 4-5 years of office experience in a high-volume data...entry, customer service, or healthcare setting Experience with insurance verification, prior authorization, and financial clearance processes Bilingual candidates preferred Proficiency in Microsoft Suite applications and familiarity with Epic systems
Workers Compensation Claims Representative
Required Qualifications High School Diploma or GED; some college coursework preferred 1-5 years of related experience in medical billing, claims adjudication, or insurance Strong customer service background with a positive attitude Proficiency in data...entry, MS Office applications, and web-based applications Ability to manage a large workload with strong organizational and time management skills
Credentialing Coordinator
preferred At least two years of experience in healthcare administration or related field Basic knowledge of Medicaid and Medicare credentialing and enrollment requirements Demonstrated ability to manage complex projects and meet deadlines Proficiency in data...entry and management software
Circulation Billing Specialist
Associate's degree in business or equivalent combination of education and experience Three (3) years of business experience Knowledge of accounting processes and automated billing systems (Mactive and/or PBS preferred) Proficient in Excel and 10 key data...entry Strong initiative and interpersonal skills
Care Management Processor
Key Responsibilities Provide telephone, clerical, and data entry support for the Case Management team Conduct outbound calls to complete health risk assessments and address member inquiries Coordinate services and schedule member visits in accordance
Network Contracting Specialist
Key Responsibilities Support the design and execution of network construction and support plans Meet defined metrics and service level agreements related to provider issues and contract completion Assist in contracting negotiations, including data...entry, research, and provider outreach Required Qualifications Bachelor's Degree or 1+ years in a healthcare-related field 1+ years of experience in finance, performance management, operations, consulting, or a related field 1+ years of experience
Regulatory Reporting Specialist
information, and process classroom rosters and completion certificates Required Qualifications Associates Degree in Regulatory, Law, Political Science, Business Administration, or equivalent experience 1+ years of experience in customer service or data...entry Excellent PC skills, including proficiency in Windows and Excel Familiarity with regulations/statutes and regulatory filing/reporting experience Knowledge of Google platforms and online reporting websites
