PROVIDER NETWORK MANAGER jobs in Elkhart, IN

PROVIDER NETWORK MANAGER manages the operations of a healthcare provider network. Responsible for establishing and maintaining processes and systems to provide routine services to members including contract management and credentialing. Being a PROVIDER NETWORK MANAGER recruits, hires, trains, and measures performance of staff to provide effective and operations within budget. May be involved with the design and operations of database systems used to manage provider data and produce reports and analysis. Additionally, PROVIDER NETWORK MANAGER requires a bachelor's degree. Typically reports to top management. The PROVIDER NETWORK MANAGER typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a PROVIDER NETWORK MANAGER typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Billing Manager
  • Cassopolis Family Clinic Network
  • Cassopolis, MI FULL_TIME
  • Who We Are:

    Are you ready for an opportunity to work with patients inside a clinic? This is your chance to sharpen and grow your skills while getting to know our patients, who appreciate the knowledge and skills that you bring to the table! Located in Southwest Michigan, we are a FQHC providing quality health care to the uninsured and underinsured. Our mission is to provide compassionate healthcare to people in our communities.

    We are seeking a new Billing Manager.

    Reporting to the Chief Financial Officer, this position directs the day to day operation of the Billing department and manages the accounts receivable function of the agency. Responsible for the verification, authorization, billing, submission and recovery of all claims from all payers. Responsible for creating and maintaining quality in the areas of coding, data entry, credentialing and practice management system setup. Directs the registration process, standard coding practices and collection process to maximize reimbursement for services. Promotes the mission and philosophy of providing quality health care and related services to the medically underserved. Upholds and ensures compliance with and attention to all corporate policies and procedures, as well as the mission and values of the organization.

    What You Will Do

    · Maintains a commitment to the achievement of quality health care services by maintaining patient rights, safety, privacy, confidentiality and excellent customer service philosophy.

    · Prepares documents and reports for internal and external audits, including the Medicaid and Medicare cost report reconciliation.

    · Creates and prepares timely reporting to communicate the status of accounts receivable and the billing function to management.

    • Oversees the year end effort to purge department files for storage and destruction.
    • Performs other duties as assigned.

    What You Will Bring

    Our ideal candidate will have at least 5 years of relevant experience and the following skills:

    • Minimum 5 years knowledge of insurance and medical terminology, ICD10, CPT, HCPCS, medical terminology, insurance claims and billing, appeals and denials, fraud and abuse, HIPAA, OIG compliance, information and web technology, and federal and state laws governing medical billing compliance. Recent continuing education attendance in the above areas is highly desired.
    • 3 years of supervisorial experience, preferably in a non-profit setting.
    • Associate degree in business or healthcare administration, bachelor’s preferred

    Why You’ll Love Us

    Are you looking for a job that provides the ultimate work-life balance? Do you want a set schedule that you can rely on week-to-week, month-after-month that guarantees vacation time off? We can provide you with that opportunity! While we do have competitive wages and benefits, we offer you something even more valuable – the gift of time! We are a stable employer that does not require mandating or forced overtime.

    But that’s not all!

    We can provide you with experience in all levels of patient care – from pediatric to geriatric and every stage in between. Our integrated healthcare model is designed to treat the mind and the body. We consider ourselves the one-stop-shop for all our patient healthcare needs!

    If you are interested in making a great living, enjoying free time, and being a part of something bigger that makes the community a better place to live and work, then apply now!!

    We offer the following benefits:

    · Health Insurance

    · Dental Insurance

    · Vision Insurance

    · Paid Time Off

    · 401K

    · Tuition Reimbursement

    · Health Savings Account (HSA)

    · Medical Flexible Spending Account

    · Life Insurance

    · Short-Term Disability

    · Long-Term Disability

    · 8 Company Paid Holidays

    Equal Opportunity Employer
    CFCN is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. CFCN is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.

    CFCN is committed to the safety and well-being of all patients and employees and is committed to the full inclusion of all qualified individuals. As part of our commitment to safety, we have a mandatory COVID-19 vaccination policy. It is the policy of CFCN to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. Qualified applicants unable to comply with our vaccination mandate may request an accommodation due to a disability or religious belief. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Aaron Muzzey, Human Resources Assistant at (269) 445-3874, ext.166.

    Job Type: Full-time

    Pay: $56,650.00 - $73,440.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Experience level:

    • 5 years

    Schedule:

    • Monday to Friday

    Ability to Relocate:

    • Cassopolis, MI 49031: Relocate before starting work (Required)

    Work Location: In person

  • 23 Days Ago

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Network Specialist
  • CDW Amplified Services
  • Elkhart, IN FULL_TIME
  • Job Details Entry Level Network Administration / Information Technology SpecialistElkhart, IN onsite CDW is growing in Indiana! We seek to add to our IT organization by adding a Network Admin / Appren...
  • 16 Days Ago

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Network Engineer II
  • Goshen Health
  • Goshen, IN FULL_TIME
  • Summary Under general direction, the Network Engineer administers day to day operations and maintenance for providing stable and functional information technology support services to Goshen Health. Re...
  • Just Posted

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Infrastructure/Network Specialist
  • Integritas Search LLC
  • Elkhart, IN FULL_TIME
  • Integritas Search, LLC is collaborating with a valued partner to seek an Infrastructure/Network Specialist based in Elkhart, IN. Primary Responsibilities: Exceed customer expectations, catering to bot...
  • 2 Days Ago

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Elder Care Provider
  • ElderCare.com
  • Nottawa, MI FULL_TIME
  • This job offer is not available in your country. Are you a compassionate and dedicated elder care provider? Our family in Nottawa, Michigan is in need of a full-time or part-time caregiver, who can be...
  • 2 Days Ago

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Advanced Practice Provider, Ortho
  • Goshen Health
  • Goshen, IN FULL_TIME
  • Summary APP - Orthopedics Goshen Physicians is recruiting a full-time Board-Certified APP (Nurse Practitioner or Physician Assistant) to support our growing Orthopedics Sports Medicine team! The ideal...
  • 24 Days Ago

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0 PROVIDER NETWORK MANAGER jobs found in Elkhart, IN area

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Local Coordinator for High School foreign Exchange Student Program
  • Greenheart Exchange
  • Elkhart, IN
  • Job Description Job Description By becoming a Greenheart Exchange Local Coordinator, you have the opportunity to change ...
  • 4/26/2024 12:00:00 AM

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Department Manager - Tools - Elkhart North, IL
  • Runnings
  • Elkhart, IN
  • We have a career opportunity as a Department Manager of our Tools department. The Department Manager is responsible for ...
  • 4/26/2024 12:00:00 AM

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Senior Manager Warranty & Services
  • GE Appliances, a Haier company
  • Elkhart, IN
  • We are currently in search of a Warranty and Service Senior Manager for our Recreational Living (RL) division at GE Appl...
  • 4/24/2024 12:00:00 AM

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Project Manager
  • Polaris Industries
  • Elkhart, IN
  • Leader of Product Strategy & Development and Project Management functions which include product planning (LRPP), organiz...
  • 4/24/2024 12:00:00 AM

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Operations Manager
  • Bluelinx Corporation
  • Elkhart, IN
  • Bluelinx is growing, and we are looking for a Operations Manager in the Elkhart, IN area. This is an opportunity to furt...
  • 4/24/2024 12:00:00 AM

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Branch Manager
  • Keycorp
  • Bristol, IN
  • Location:121 E Vistula - Bristol, Indiana 46507 Job SummaryBe a problem solver, trusted advisor, and partner to the peop...
  • 4/24/2024 12:00:00 AM

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Department Manager - Automotive - Elkhart S, IN
  • Runnings
  • Elkhart, IN
  • We have career opportunity as a Department Manager of our Automotive department. The Department Manager is responsible f...
  • 4/23/2024 12:00:00 AM

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Collision General Manager
  • Caliber Collision
  • Elkhart, IN
  • Service Center Elkhart Caliber Collision has an immediate job opening for a Collision General Manager to perform all-pur...
  • 4/22/2024 12:00:00 AM

Elkhart /ˈɛlkɑːrt/ is a city in Elkhart County, Indiana, United States. The city is located 15 miles (24 km) east of South Bend, Indiana, 110 miles (180 km) east of Chicago, Illinois, and 150 miles (240 km) north of Indianapolis, Indiana. Elkhart has the larger population of the two principal cities of the Elkhart-Goshen Metropolitan Statistical Area, which in turn is part of the South Bend-Elkhart-Mishawaka Combined Statistical Area, in a region commonly known as Michiana. The population was 50,949 at the 2010 census. Despite the shared name, it is not the county seat of Elkhart County; that ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$103,153 to $129,244
Elkhart, Indiana area prices
were up 1.3% from a year ago

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PROVIDER NETWORK MANAGER in Saginaw, MI
A crucial part of this effort is educating our providers about our plans, particularly our insurance benefits and workers’ compensation plans, and how to navigate the claims process for each one.
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PROVIDER NETWORK MANAGER in Elkhart, IN
We offer providers a value-based reimbursement model centered on aligning quality measures, HEDIS measures and HH incentives to reward high-quality care of the members you serve.
January 03, 2020