Provider Network Specialist jobs in Evansville, IN
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)
Recently Added Provider Network Specialist jobs
Patient Account Specialist
- The US Oncology Network
-
EVANSVILLE, IN
FULL_TIME
-
Overview:
Employment Type : Full Time
In Office Position
Benefits : M/D/V, Life Ins., 401(k)
Evansville, IN
JOB SCOPE: Under general supervision, is responsible for account follow-up for all assigned accounts, resolving billing problems and answering patient inquiries. Sets up financial arrangements as needed. Uses collection techniques to keep accounts receivable current including monitoring for delinquent payments. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer!
About US Oncology
The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit www.usoncology.com . We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs.
Responsibilities:
ESSENTIAL DUTIES AND RESPONSIBILITIES:- Performs audits of patient accounts to ensure accuracy and timely payment.
- Reviews account aging's monthly and reports inconsistencies and corrects errors as appropriate.
- Contacts patients regarding delinquent accounts and arranges mutually acceptable payment schedules.
- Follows up on insurance billing to ensure timely receipt of payments. Demonstrates the ability to deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances.
- Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments. Reviews credit balance reports for correct recipient of refund.
- Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks.
- Identifies problems on accounts and follows through to conclusion.
- Responds to insurance companies requests for information in a prompt and professional manner.
- Reviews appropriate files to identify deceased patients and estates; verifies dollar amounts and files estate to appropriate court in a timely manner.
- Makes appropriate financial arrangements for payment of patient accounts; follows up to determine if payment arrangements are being met; contacts patients to resolve problems; responds to correspondence or telephone calls from patients about accounts.
- Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor.
- Resubmits insurance claims within 72 hours of receipt. Participates in maintaining Payor Manuals/Profiles.
- Works closely with collection agency to assure that they receive updated information on accounts as necessary.
- Prepares write-off requests with appropriate documentation and submits to supervisor.
- Processes insurance/patient correspondence, including denial follow-up within 48 hours of receipt. Files all reimbursement correspondence daily.
- Works with provided aging to monitor patient account aging's and follows up appropriately. Maintains confidentiality regarding patient account status and the financial affairs of clinic/corporation.
Minimum Qualifications:
- High school graduate or equivalent required.
- Minimum three years' experience in a medical business office setting with insurance processing and balancing responsibilities.
- 7 Days Ago
Patient Account Specialist/Call Center
- The US Oncology Network
-
Evansville, IN
FULL_TIME
- Overview: Employment Type : Full Time In Office Position Benefits : M/D/V, Life Ins., 401(k) Evansville, IN JOB SCOPE: Under general supervision, is responsible for account follow-up for all assigned ...
- 11 Days Ago
Medical Office Assistant - Scheduling Specialist - Surgical Specialist Owensboro
- Scheduling Specialist - Surgical Specialist Owensboro in Owensboro, KY - Owensboro
-
Owensboro, KY
FULL_TIME
- Summary Job Summary Responsible for a variety of clinical and administrative tasks related to patient registration, assessments, and scheduling while maintaining confidentiality, professionalism, and ...
- 14 Days Ago
Patient Account Specialist/Call Center
- US Oncology Network-wide Career Opportunities
-
Evansville, IN
FULL_TIME
- Overview Employment Type: Full TimeIn Office PositionBenefits: M/D/V, Life Ins., 401(k)Evansville, IN JOB SCOPE: Under general supervision, is responsible for account follow-up for all assigned accoun...
- 11 Days Ago
Network Engineer
- Uniseal Inc.
-
Evansville, IN
FULL_TIME
- Basic Function: The Network Engineer is responsible for installing, maintaining, and supporting computer networks including hardware/software support, training, and special projects. Plans, designs an...
- 17 Days Ago
Network Analyst
- University of Southern Indiana
-
Evansville, IN
FULL_TIME
- Title:Network Analyst Division: Finance and Administration Department: Information Technology FLSA Status:Non-Exempt Salary Range:Grade 10: $20.17/hour EEO Job Group:3 E3 Position Summary The Universi...
- 24 Days Ago
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0 Provider Network Specialist jobs found in Evansville, IN area
Network Operations Technician
- Mainstream Fiber Networks
-
Evansville, IN
- Job Description Job Description Network Operations Technician |Mainstream Fiber **This position is based in office, with...
- 4/22/2024 12:00:00 AM
Network Engineer
- Excis Compliance
-
Mount Vernon, IN
- Job Description : Consulting and business solutions organization that delivers real results to global business, ensuring...
- 4/22/2024 12:00:00 AM
Microsoft Azure Engineer
- Keller Schroeder
-
Evansville, IN
- Keller Schroeder has been growing, and we are continuing to expand our operations. If you are a proven performer, we wou...
- 4/22/2024 12:00:00 AM
Network Operations Technician
- Mainstream Fiber Networks
-
Newburgh, IN
- Job Description Job Description Network Operations Technician |Mainstream Fiber **This position is based in office, with...
- 4/22/2024 12:00:00 AM
Student Intern- Engineering Project Management
- Windstream Holdings Inc
-
Evansville, IN
- Student Intern- Engineering Project ManagementEvansville, IN, USAReq #533Thursday, April 4, 2024Windstream Holdings, Inc...
- 4/22/2024 12:00:00 AM
Tech Support Specialist
- OneMain Financial
-
Evansville, IN
- OneMain is currently hiring for Tech Support Specialists to join our OneSupport team. OneSupport is an internal help des...
- 4/22/2024 12:00:00 AM
Network Engineer
- Excis Compliance
-
Mount Vernon, IN
- Job Description : Consulting and business solutions organization that delivers real results to global business, ensuring...
- 4/20/2024 12:00:00 AM
Microsoft Azure Engineer
- Keller Schroeder
-
Evansville, IN
- Keller Schroeder has been growing, and we are continuing to expand our operations. If you are a proven performer, we wou...
- 4/19/2024 12:00:00 AM
About Evansville, Indiana
Evansville is a city and the county seat of Vanderburgh County, Indiana, United States. The population was 117,429 at the 2010 census, making it the state's third-most populous city after Indianapolis and Fort Wayne, the largest city in Southern Indiana, and the 232nd-most populous city in the United States. It is the commercial, medical, and cultural hub of Southwestern Indiana and the Illinois-Indiana-Kentucky tri-state area, home to over 911,000 people. The 38th parallel crosses the north side of the city and is marked on Interstate 69.
Situated on an oxbow in the Ohio River, the city is of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$55,425 to $82,861
Evansville, Indiana area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does a Provider Network Specialist do?
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