Summary of Job Duties & Responsibilities:
Reporting to the Manager, Health Care Management, the Provider Relations Coordinator is responsible for both the training and servicing of the provider network both on-island and off-island. The coordinator will assist in maintaining and developing the provider network, through effect contract negotiations and servicing, orientating and educating new providers, and resolving provider problems including fee schedules mappings, claims issues and reconciliation. The specialist including fee schedules mappings, claims issues and reconciliation. The coordinator will serve as a liaison between the provider and the various NetCare departments.
Bachelor’s Degree in health care or related field or equivalent experience in health insurance setting. Knowledge and progressive work experience in a health care environment. Solid oral and written communications skills required and ability to work cooperatively and effectively with employees, providers and groups. Excellent problem solving skills with the ability to handle multiple priorities.
Equal Employment Opportunity Employer
All applications will be considered solely on the basis of qualifications and ability, as the company does not unlawfully discriminate from consideration for employment on a basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, veteran status, or any other protected status under applicable local and federal laws.
Please email your resume/work experience by using the apply link below.
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