PROVIDER NETWORK MANAGER jobs in Florence, SC

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)

C
Medical Practice Assistant - Provider Network Services
  • Conway Medical Center
  • Myrtle, SC FULL_TIME
  •  
    Position Summary:

    The Medical Practice Assistant (MPA) will assist with the administrative functions in a Physician’s office. The MPA will be responsible for scheduling patient’s appointments, adjust scheduling for emergency cases, obtaining insurance verification and authorization, and updating and maintaining electronic medical records. The MPA will assist with the billing for Physicians offices, such as processing insurance claim forms, patient and insurance billing data gathering, medical billing and coding, collections and accounts receivable and payable. The MPA is part of a centralized medical office and will complete any duties needed to help the office function for which the employee is competent and can legally do. The MPA must be willing to report back to work during any emergency situation, this includes if needed during inclement weather, mass casualty, internal disaster, etc. The MPA will complete other duties as assigned.  

    All organizational staff, including this position are specifically required as a condition of continued employment to make advance preparations for their families and pets in the event of weather emergencies such as Hurricanes and flooding threats.  Any staff member can be determined as essential staff required to report to the main facility during these events. In many cases this means reporting and sleeping at the facility before, during and after a weather emergency. By signing this job description, the staff member accepts this responsibility of readiness to report to work during any designated emergency staffing situation. CMC staff members operate as one team meeting the healthcare needs of our communities, thus this position will on occasion complete other duties as assigned beyond those designated in this primary job description which may include “float” coverage at an alternate facility, department or assignment.   

     

    Assessment of overall credit worthiness by review of a consumer credit report is required.

     

    Education:

    • High school diploma required.

    Experience:

    • Two (2) years previous customer service/administrative clerical experience required. 
    • Prior experience working front desk operations in healthcare preferred.

    Licensure/Certification/Registration:

    • Medical Terminology Certification preferred.
    • Insurance Billing Certification preferred.

    Special Skills:

    • Ability to work effectively and collaboratively with nursing colleagues, physicians, department heads, and members of executive leadership required.
    • Demonstrated proficiency with Microsoft Outlook, Word, Excel, Explorer and PowerPoint required.
    • Exemplary core customer service skills strongly required.
    • Strong organizational skills required.
    • Strong verbal and written communication skills required.
    • Ability to remain calm and professional in all situations required.

    Working Conditions:

    • Occasional exposure to difficult patients. 
    • Potential exposure to blood borne and airborne pathogens.
    • Physical surroundings generally pleasant and comfortable.
    • Generally contained office type environment.
    • Most work performed while sitting, however, a moderate amount of walking and moving around within a confined area occurs.

     

    Physical Requirements:

    Light-Medium - While performing the duties of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; frequently to use hands, fingers; and frequently to talk or hear. The employee must exert 15 to 20 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or 5 to 10 pounds of force frequently, and/or greater than negligible up to 5 pounds of force constantly to move objects. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.  Ability to hear to process instructions and safety code and alarms required. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job and will be assessed by post offer Employee Health fit-for-duty review.

     

  • 7 Days Ago

C
Certified Medical Assistant - Provider Network Services
  • Conway Medical Center
  • Conway, SC OTHER
  • INVITES YOU TO JOIN OUR TEAM!! Position Summary: The Certified Medical Assistant- PNS (CMA) will be responsible for accompanying patients to exam rooms, preparing patients for exams, performing and do...
  • 11 Days Ago

C
Licensed Practical Nurse - Provider Network Services
  • Conway Medical Center
  • Conway, SC OTHER
  • Position Summary: The Licensed Practical Nurse-PNS (LPN) is responsible for direct nursing care of assigned patients under the supervision of a registered nurse or physician in patient care area. The ...
  • 11 Days Ago

M
Splicing Manager
  • MasTec Network Solutions
  • Florence, SC FULL_TIME
  • OverviewAt MasTec Communications Group we build for the future. Yours and ours. As a Splicing Manager, you will develop new skills, work in a safety-minded environment, and join us in expanding techno...
  • 5 Days Ago

C
Provider Recruiter
  • Conway Medical Center
  • Conway, SC FULL_TIME
  • Position Summary: The Provider Recruiter (PR) is responsible for the recruitment of providers for the successful advancement of new service lines, facilities, and strategic organizational initiatives....
  • 5 Days Ago

M
Stretch Provider
  • Massage Envy
  • Myrtle, SC OTHER
  • Overview Where Better Careers Begin!Massage Envy Grande Dunes - 980 Cipriana Drive, Unit A-2, Myrtle Beach, SC 29572 Are you ready to use your bodywork skills in a whole new way? Combine your skills w...
  • 1 Month Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 PROVIDER NETWORK MANAGER jobs found in Florence, SC area

N
VVG Manager - Process Automation
  • Nucor Harris Rebar
  • Florence, SC
  • Nucor is North America's largest recycler and most diversified steel and steel products company. Since 1969, we've led t...
  • 4/24/2024 12:00:00 AM

H
Operations Manager-Warehouse
  • Hamer Door & Partitions of Florence LLC
  • Florence, SC
  • Job Description Job Description We are currently seeking an experienced Operations Manager to oversee our warehouse and ...
  • 4/24/2024 12:00:00 AM

Q
Operations Manager- Nights
  • Qurate Retail Group
  • Florence, SC
  • Thank you for your interest in joining our team! Qurate Retail Group comprises six leading retail brands - QVC®, HSN®, B...
  • 4/23/2024 12:00:00 AM

J
Store Manager
  • Jobs for Humanity
  • Florence, SC
  • Company Description Jobs for Humanity is collaborating with Safelite to build an inclusive and just employment ecosystem...
  • 4/23/2024 12:00:00 AM

C
General Manager
  • Community Choice Financial Family of Brands
  • Florence, SC
  • Overview: As a General Manager ("GM"), you will lead the success of your store and team by setting the bar high for perf...
  • 4/22/2024 12:00:00 AM

R
Assistant General Manager - South Florence 4373
  • Ruby Tuesday
  • Florence, SC
  • Job Description SUMMARY OF KEY RESPONSIBILITIES This position is responsible for the day-to-day management of all aspect...
  • 4/21/2024 12:00:00 AM

O
Senior Supervisor, Tool Facility
  • Otis Elevator Co.
  • Florence, SC
  • All interested applicants will need to complete the entire online application process after reading the job description....
  • 4/21/2024 12:00:00 AM

R
Assistant General Manager - North Florence Hwy 52 - 4420
  • Ruby Tuesday
  • Florence, SC
  • Job Description SUMMARY OF KEY RESPONSIBILITIES This position is responsible for the day-to-day management of all aspect...
  • 4/20/2024 12:00:00 AM

Florence /ˈflɒrəns/ is a city in, and the county seat of, Florence County, South Carolina, United States. It is probably best known for being the intersection of I-95 and I-20, and the eastern terminus of I-20. It is the county seat of Florence County and the primary city within the Florence metropolitan area. The area forms the core of the historical "Pee Dee" region of South Carolina, which includes the eight counties of northeastern South Carolina, along with sections of southeastern North Carolina. As of the 2010 census, the population of Florence was 37,056, and the estimated population i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$97,015 to $121,554
Florence, South Carolina area prices
were up 1.5% from a year ago

PROVIDER NETWORK MANAGER in Lafayette, LA
NCQA Provider Network Accreditation creates a framework for organizations to provide efficient, accurate and consistent network management and credentialing services.
December 25, 2019
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.
February 21, 2020
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