Description
Think the best job opportunities are far away? Think again. Great opportunities are right here in your backyard. Kelly® is looking for a Provider Network Representative to work at a well-known insurance company in Albuquerque, NM. Let us help you grow at work and discover the next step in your career, all while being a vital part of your community.
Snapshot:
Monday-Friday from 8:00AM-4:30PM
Pay Rate: $18.74/hour - $24/hour depending on experience
This is a hybrid opportunity. You will work three days in office, two days from home
Why you should apply to be a Provider Network Representative:
• Competitive pay rate
• Hybrid work schedule - 3 days onsite, 2 days work from home
• Opportunity to learn and develop skills in the health care/insurance industry
• Work with a reputable and established insurance company
What's a typical day as a Provider Network Representative? You'll be:
• Providing information and assistance to resolve problems experienced by practitioners in their contractual relationships with the insurance company
• Assisting in training and educating provider staff on the operations of the insurance company
• Submitting reports on service and recruiting activities
• Responding to fee requests from providers
• Developing and maintaining databases, reports, and statistical analyses of managed care networks
• Coordinating and resolving systemic problems and claim issues
• Reviewing provider directories for the managed care networks
• Establishing and maintaining relationships with key facilities, physician groups, and other essential contacts
• Maintaining expertise in pricing arrangements, contract requirements, claims processing, and utilization review
• Processing provider change forms and maintaining accurate records
• Assisting with routine and special reporting requirements
• Communicating effectively with co-workers, management, and customers
• Complying with HIPAA, Diversity Principles, and Corporate Integrity policies
This job might be an outstanding fit if you:
• Have a Bachelor's Degree OR 4 years of work experience in the health care/insurance industry
• Have 3 years of experience in Network Management, Credentialing, and/or Customer Service
• Have an understanding of health care contracts, applications, and products
• Have working knowledge of claims processing systems
• Have excellent verbal and written communication skills
• Are a team player with problem-solving and organizational skills
• Are familiar with provider reimbursement methods
What happens next:
Once you apply, you'll proceed to next steps if your skills and experience look like a good fit. But don't worry—even if this position doesn't work out, you're still in our network. That means all of our recruiters will have access to your profile, expanding your opportunities even more.
Helping you discover what's next in your career is what we're all about, so let's get to work. Apply to be a Provider Network Representative today!
#GRACE
As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.
Get a complete career fit with Kelly®.
You're looking to keep your career moving onward and upward, and we're here to help you do just that. Our staffing experts connect you with top companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in your career.About Kelly
Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly's Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
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