PROVIDER NETWORK OPERATIONS CLAIMS jobs in OHIO, United Kingdom

the network team in preparing for monthly IPA meetings. The ideal candidate will also have knowledge of provider contracts..., claims payments, provider set up, and root cause analysis. A key to success will be someone who has exhibited a proven...

operations within Networks, Credentialing and Contracting Departments. It is expected of the employee to develop, implement... and maintain an accurate provider data base; analyze provider data, facilitate the preparation and follow-up of the monthly...

Healthcare industry Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration Knowledge... products, to ensure the product properly adjudicates during claims processing, for member benefit, reimbursements and provider...

Healthcare industry Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration Knowledge... products, to ensure the product properly adjudicates during claims processing, for member benefit, reimbursements and provider...

reimbursements. Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration Knowledge... assurance of product, provider agreement, fee schedule, and network set up. The Manager will identify, define, and implement new...

reimbursements. Experience with Facets platform using Claims, Provider, Network, Product Benefit Configuration Knowledge... assurance of product, provider agreement, fee schedule, and network set up. The Manager will identify, define, and implement new...

claims details, researches payment issue and investigates provider network details. Uses system tools as appropriate... and providers. Assists EyeMed members by answering benefit questions, eligibility, web registration, authorizations, provider...

claims details, researches payment issue and investigates provider network details. Uses system tools as appropriate... and providers. Assists EyeMed members by answering benefit questions, eligibility, web registration, authorizations, provider...

and responsibilities, HIPAA notice of privacy practices, Provider Based Billing Acknowledgement, and Notice of Non-Coverage when... for designated service areas. Notifies patients and/or providers of out-of-network insurance status when appropriate. Completes...