Provider Network Representative Job Listing at Kelly Services in Albuquerque, NM (Job ID US3603777_BH9975640)

Description

What's next for you?
 
This great job.
 
Finding a job that fits your lifestyle isn't always easy. That's where Kelly® Professional & Industrial comes in.
 
Kelly is seeking Provider Network Representative to support a Leading Healthcare client in Albuquerque, NM. 
 
Snapshot: 
Location: Albuquerque, NM (Hybrid: 3 days onsite, 2 days WFH)
Must have own equipment to work from home
Position Type: Temporary
Pay Rate: $18.74–$24.00/hour
  About the Role: Kelly is hiring on behalf of a respected health insurance client for a Provider Network Representative. This is a training role where you will learn to perform key provider servicing and network operations functions in a supportive, team-driven environment.
Candidates must have their own equipment or be issued supplier equipment to work from home; otherwise, this position will remain onsite. Key Responsibilities:

• Provide information and resolve issues for practitioners regarding claims, contracts, pricing, and network participation.
• Support and deliver training to provider staff on processes and systems.
• Submit reports on provider service and recruitment activities.
• Respond to provider fee requests.
• Assist with database management, reports, and statistical analyses relating to managed care networks.
• Help investigate and resolve systemic issues and claim problems.
• Review provider directories for accuracy.
• Build and maintain solid relationships with internal departments and external provider contacts.
• Maintain up-to-date knowledge of contract language, pricing, benefits, claims, and related processes.
• Process provider change forms and maintain tracking systems.
• Prepare orientation and application packets for providers.
• Maintain professionalism and confidentiality at all times.
• Comply with HIPAA, Diversity, and Corporate Integrity policies.
• Communicate ongoing developments and perform special projects as requested.

Requirements:

• Bachelor's degree OR 4 years of experience in the health care or insurance industry
• At least 3 years' experience in Network Management, Credentialing, and/or Customer Service
• Strong understanding of health care contracts, products, and applications
• Working knowledge of claims processing systems
• Minimum of 3 years' experience using a PC
• Excellent verbal and written communication skills
• Analytical, organizational and teamwork abilities
• Experience working under deadlines and pressure

What's Next: 
 
Once you apply, you'll proceed to the next steps if your skills and experience look like a good fit. But don't worry—even if this position doesn't work out, you're still in our network. That means all our recruiters will have access to your profile, expanding your opportunities even more.
Helping you discover what's next in your career is what we're all about, so let's get to work.
 
If you have these qualifications, apply to be a Provider Network Representative Today!

As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

Get a complete career fit with Kelly®.

You're looking to keep your career moving onward and upward, and we're here to help you do just that. Our staffing experts connect you with top companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in your career.

About Kelly

Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.

Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

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