Hub Technology Group
Responsible for accurate set up of provider records in order to assure proper payment for providers.
Handles all implementation steps to enroll providers in the Plan to ensure timely access for members and accurate payment for providers.
Key Functions/
Responsibilities:
Manages the interaction with providers and office managers to ensure that all necessary information is collected and analyzed Validate information for accuracy and enters the provider data Acquires and demonstrates a thorough knowledge of the unique arrangements and ensures the Plan enrolls providers with those arrangements.
Independently initiates oversight of existing provider record problems.
Identifies system problems with provider set up and facilitates resolutionReviews submitted application and supporting documentation to ensure the data captured through the enrollment process is in compliance with NCQA, applicable state requirements.
Experience:
2 or more years business experience in a managed care or healthcare setting is required.
Demonstrated competence using Microsoft Office products especially Word, Excel, Outlook, Access, PowerPoint.
Experience or knowledge of ONYX, FACETS and/or similar provider data and/or claims processing system.
About the Company:
Hub Technology Group.
Estimated Salary: $20 to $28 per hour based on qualifications.
Handles all implementation steps to enroll providers in the Plan to ensure timely access for members and accurate payment for providers.
Key Functions/
Responsibilities:
Manages the interaction with providers and office managers to ensure that all necessary information is collected and analyzed Validate information for accuracy and enters the provider data Acquires and demonstrates a thorough knowledge of the unique arrangements and ensures the Plan enrolls providers with those arrangements.
Independently initiates oversight of existing provider record problems.
Identifies system problems with provider set up and facilitates resolutionReviews submitted application and supporting documentation to ensure the data captured through the enrollment process is in compliance with NCQA, applicable state requirements.
Experience:
2 or more years business experience in a managed care or healthcare setting is required.
Demonstrated competence using Microsoft Office products especially Word, Excel, Outlook, Access, PowerPoint.
Experience or knowledge of ONYX, FACETS and/or similar provider data and/or claims processing system.
About the Company:
Hub Technology Group.
Estimated Salary: $20 to $28 per hour based on qualifications.
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