PROVIDER NETWORK MANAGER jobs in Myrtle Beach, 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)

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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.

     

  • 8 Days Ago

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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...
  • 12 Days Ago

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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 ...
  • 12 Days Ago

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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...
  • 6 Days Ago

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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....
  • 6 Days Ago

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Multivariable Calculus Tutor In Conway
  • BuffTutor Network
  • Conway, SC FULL_TIME,CONTRACTOR
  • Multivariable Calculus Tutor In ConwayBuffTutor is a network of experienced and passionate tutors who provide academic assistance to college & high school students. We are always hiring dedicated tuto...
  • 24 Days Ago

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0 PROVIDER NETWORK MANAGER jobs found in Myrtle Beach, SC area

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Restaurant Managing Partner - Hard Rock Cafe Myrtle Beach, SC
  • Hard Rock International
  • Myrtle Beach, SC
  • Are you ready Rock Star? Hard Rock Cafe Myrtle Beach, SC - hiring our next Managing Partner/ General Manager Relocation ...
  • 4/26/2024 12:00:00 AM

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Hematology Oncology Advanced Practice Provider
  • Coastal Cancer Center
  • Myrtle Beach, SC
  • Coastal Cancer Center Nurse Practitioner/Physician Assistant Opportunity Myrtle Beach: SC Outpatient Opportunity Full-Ti...
  • 4/26/2024 12:00:00 AM

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Team Lead - Myrtle Beach @ Kings Road
  • Tidal Wave Auto Spa
  • Myrtle Beach, SC
  • The Tidal Wave difference is evident by our culture. As we know a company is only as good as the people that live and wo...
  • 4/26/2024 12:00:00 AM

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Practice Manager of Operations
  • AMERICAN DENTAL PARTNERS
  • Myrtle Beach, SC
  • Job Details Req ID: 85535 Supported Practice: Holmestown Commons Dental Care Category: Practice Manager of Operations Lo...
  • 4/26/2024 12:00:00 AM

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American Eagle - District Team Leader (District Manager)
  • American Eagle Outfitters
  • Myrtle Beach, SC
  • Job Description POSITION SUMMARY: The role of the District Team Leader is to drive the company's key performance indicat...
  • 4/26/2024 12:00:00 AM

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Assistant Manager
  • West Marine Inc
  • Myrtle Beach, SC
  • **Description** You are key to ensuring an excellent store experience and a role model for building relationships with C...
  • 4/26/2024 12:00:00 AM

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Assistant Unit Director Carolina Forest - International Drive - River Oaks
  • Bojangles
  • Myrtle Beach, SC
  • Bojangles of Myrtle Beach, SC is seeking to hire an Assistant Manager / Assistant Unit Director to assist the Unit Direc...
  • 4/25/2024 12:00:00 AM

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Store Manager
  • Community Choice Financial Family of Brands
  • Myrtle Beach, SC
  • Overview: Store Manager As a Store Manager ("SM"), you will assist in managing overall store performance by overseeing a...
  • 4/23/2024 12:00:00 AM

Myrtle Beach is a coastal city on the East Coast of the United States in Horry County, South Carolina. It is in the center of a large and continuous 60-mile (97 km) stretch of beach known as "The Grand Strand" in northeastern South Carolina. Ranked as the second fastest-growing metropolitan area in the country (per 2018 census estimates), Myrtle Beach is one of the major centers of tourism in South Carolina and the United States because of the city's warm subtropical climate and extensive beaches, attracting an estimated 14 million visitors each year. As of the 2010 census, the population of t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for PROVIDER NETWORK MANAGER jobs
$97,123 to $121,689
Myrtle Beach, 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