Centene
Provider Engagement Network Specialist
Centene - Tempe, Arizona, us, 85285
Work at Centene
Overview
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Overview
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
Perform day-to-day duties of assuring that providers (individual, group, ancillary, etc.) are set up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting and directories, as well as claims payment resolution related to provider setup. Provide support to the external provider representative to resolve provider data issues Research and effectively respond to provider-related issues Submit provider data entries to resolve provider-related demographic information changes Initiate and process provider add, change, and termination forms Create and maintain spreadsheets used to produce provider directories for multiple products Track, update, and audit provider data Identify adds, deletes, and updates to key provider groups and model contracts Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment Provide assistance to providers with website registration Facilitate provider education via webinars Work with other departments on cross-functional tasks and projects Facilitate new provider orientations Facilitate provider training sessions Perform other duties as assigned Comply with all policies and standards Education/Experience:
Associate's degree preferred, with claims processing, billing, and/or coding experience. At least three years of experience in a managed care environment, medical provider office, customer service within a healthcare organization, or medical claims. Knowledge of healthcare, managed care, Medicare, or Medicaid. Licenses/Certifications:
Current state driver’s license. The position requires coming into the office in Tempe, Arizona at least twice a month. Candidates must reside in Arizona. Pay Range: $22.79 - $38.84 per hour Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work arrangements (remote, hybrid, field, or office). Actual pay will be adjusted based on skills, experience, education, and other factors. Total compensation may include additional incentives. Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws. About the company
Centene Corporation is a publicly traded managed care company based in St. Louis, Missouri.
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Perform day-to-day duties of assuring that providers (individual, group, ancillary, etc.) are set up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting and directories, as well as claims payment resolution related to provider setup. Provide support to the external provider representative to resolve provider data issues Research and effectively respond to provider-related issues Submit provider data entries to resolve provider-related demographic information changes Initiate and process provider add, change, and termination forms Create and maintain spreadsheets used to produce provider directories for multiple products Track, update, and audit provider data Identify adds, deletes, and updates to key provider groups and model contracts Research and identify any processing inaccuracies in claim payments and route to the appropriate site operations team for claim adjustment Provide assistance to providers with website registration Facilitate provider education via webinars Work with other departments on cross-functional tasks and projects Facilitate new provider orientations Facilitate provider training sessions Perform other duties as assigned Comply with all policies and standards Education/Experience:
Associate's degree preferred, with claims processing, billing, and/or coding experience. At least three years of experience in a managed care environment, medical provider office, customer service within a healthcare organization, or medical claims. Knowledge of healthcare, managed care, Medicare, or Medicaid. Licenses/Certifications:
Current state driver’s license. The position requires coming into the office in Tempe, Arizona at least twice a month. Candidates must reside in Arizona. Pay Range: $22.79 - $38.84 per hour Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work arrangements (remote, hybrid, field, or office). Actual pay will be adjusted based on skills, experience, education, and other factors. Total compensation may include additional incentives. Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics. Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws. About the company
Centene Corporation is a publicly traded managed care company based in St. Louis, Missouri.
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