Provider Network Specialist jobs in Atlanta, GA

Provider Network Specialist coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Being a Provider Network Specialist distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Additionally, Provider Network Specialist typically reports to a manager or head of a unit/department. The Provider Network Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Network Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Provider Network Specialist 12:00 PM - 8:00 PM
  • HEALTH PLUS TRANS
  • Alpharetta, GA FULL_TIME
  • Department: Provider Network

    Reports to: Provider Network Team Lead

    Interrelationships: Operations, Billing

    Job Functions and Responsibilities

    Qualifications

    · High school education, bachelor's degree preferred

    · Previous experience in vendor management preferred

    · Data entry and customer service experience necessary

    Daily Responsibilities

    · Recruit, credential, and onboard new providers into the network

    · Process contract renewals and ensure all necessary fields are complete for providers’ profiles

    · Monitor designated personal and Compliance inbox

    · Tasks as assigned by Team Lead

    · Leave detailed notes on every assignment plan opened to relay what was done and/or who was contacted

    · Answer incoming phone calls professionally and direct them to another department or person if needed

    · Do not hesitate to ask for guidance or assistance

    · Compile a shift report at the end of the shift and submit to the appropriate Slack channel so that leads and the next shift understand where assignments were left off

    Peripheral Responsibilities

    · Communicate with Operations to locate potential new providers for assignments that need additional attention

    · Monitor Slack channels

    Continuous Improvement

    · Become familiar with language groups and nuances within dialects that are spoken in the United States.

    · Become familiar with United States geography, particularly in the states with high concentration of service requests.

    · Become familiar with regulations regarding interpreting certification needs in different states

    Miscellaneous Projects

    · Occasional tasks or projects that are requested outside the current scope of the position

    Job Type: Full-time

    Benefits:

    • Paid time off

    Schedule:

    • 8 hour shift
    • Evening shift
    • Monday to Friday

    Ability to Relocate:

    • Alpharetta, GA 30022: Relocate before starting work (Required)

    Work Location: In person

  • 8 Days Ago

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Network Specialist
  • KeenLogic
  • Atlanta, GA FULL_TIME
  • KeenLogic is seeking to hire a Journeyman Computer Network Support Specialist for the Center of Disease Control. The ideal candidate will have 5-7 years of experience with IT Support and will be famil...
  • 1 Month Ago

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PRN Nurse Practitioner/ Flex Provider
  • Matrix Medical Network
  • Commerce, GA FULL_TIME
  • Company DescriptionMATRIX MEDICAL NETWORK is dedicated to helping in the care of Medicare Advantage plan members. Our success comes as the result of our extraordinary people, years of experience, adva...
  • 1 Month Ago

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Network Engineer Senior Specialist
  • Randstad Digital
  • Atlanta, GA FULL_TIME
  • Job Detailsjob summary:We are looking for a passionate Lead Network Engineer with focus on Cisco and Aruba network products and experience with various network technologies to join the Network enginee...
  • 1 Day Ago

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Computer Network Support Specialist
  • WeNestim
  • Atlanta, GA FULL_TIME
  • "WeNestim is constantly looking to recruit fresh and smart talent." WeNestim offers a competitive benefits package including Family health care,dental and vision care insurance, Short and long term di...
  • 7 Days Ago

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Provider Enrollment Specialist
  • D4C Dental
  • Atlanta, GA FULL_TIME
  • The Credentialing Specialist will be responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process. Liaise between the practitioners, health plans, ...
  • 1 Month Ago

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0 Provider Network Specialist jobs found in Atlanta, GA area

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Network Engineer
  • TSR Consulting Services, Inc.
  • Atlanta, GA
  • Long term contract -Atlanta GA Hybrid Pay $65-70 on w-2 Lead Network Engineer Our client is looking for a passionate Lea...
  • 4/19/2024 12:00:00 AM

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Network Engineer
  • Vastek, Inc.
  • Atlanta, GA
  • Job Description Job Description Job Description: You'll love this job if you have a strong interest in networking hardwa...
  • 4/19/2024 12:00:00 AM

T
Network Engineer
  • Tsr Consulting Services Inc.
  • Atlanta, GA
  • Long term contract -Atlanta GA Hybrid Pay $65-70 on w-2 Lead Network Engineer Our client is looking for a passionate Lea...
  • 4/19/2024 12:00:00 AM

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Network Engineer
  • Parallel Partners
  • Marietta, GA
  • Network Engineer, Marietta, GA The Network Engineer is responsible for supporting customers on the company Platform-as-a...
  • 4/19/2024 12:00:00 AM

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Network Engineer
  • CleanSpark
  • Norcross, GA
  • CleanSpark, Inc. (CLSK) (NASDAQ: CLSK) ("CleanSpark") CleanSpark is America's Bitcoin Miner, driving innovation in an ev...
  • 4/19/2024 12:00:00 AM

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Network Engineer.
  • Pyramid Consulting, Inc
  • Atlanta, GA
  • Immediate need for a talented Network Engineer. This is a 12+ months Contract opportunity with long-term potential and i...
  • 4/17/2024 12:00:00 AM

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Network Engineer.
  • Pyramid Consulting Inc
  • Atlanta, GA
  • Immediate need for a talented Network Engineer. This is a 12+ months Contract opportunity with long-term potential and i...
  • 4/17/2024 12:00:00 AM

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Network Engineer
  • Insight Global
  • Covington, GA
  • Location: Covington, GA Pay: $35/hr-$40/hr Required Skills: 3-5 years Network Management & Infrastructure experience Pro...
  • 4/17/2024 12:00:00 AM

Atlanta (/ætˈlæntə/) is the capital of, and the most populous city in, the U.S. state of Georgia. With an estimated 2017 population of 486,290, it is also the 38th most-populous city in the United States. The city serves as the cultural and economic center of the Atlanta metropolitan area, home to 5.8 million people and the ninth-largest metropolitan area in the nation. Atlanta is the seat of Fulton County, the most populous county in Georgia. A small portion of the city extends eastward into neighboring DeKalb County. Atlanta was originally founded as the terminating stop of a major state-sp...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$57,238 to $85,570
Atlanta, Georgia area prices
were up 1.4% from a year ago

Provider Network Specialist in Springfield, MO
As the liaison between provider and the health plan, candidates are tasked with ensuring improved revenue generated and patient quality score.
December 16, 2019
Provider Network Specialist in Stamford, CT
Previous experience in a network development, provider recruitment or provider contracting.
December 04, 2019
Provider Network Specialist in Fort Wayne, IN
In this position, employees will be expected to perform benefits analysis and create reports on provider performance to support the needs of the analysis found.
January 18, 2020