Network Relations Specialist - Fully Remote
Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver enhanced reputed company-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important... as reputed company deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and affordable. Brief Description Automates and manually loads reputed company new and revised participating provider data transactions. Manages and resolves reputed company-party contracted reimbursement issues into applicable systems. What you will do Maintains and updates provider demographic and contract information in appropriate systems to support claims adjudication and provider directories. Follows area protocols, standards, and policies to reputed company effective and timely support. Coordinates with internal/external constituents to implement new networks and reputed company contractual arrangements. Communicates directly with providers and/or reputed company vendors to clarify data quality issues. Manages audits of provider information to escalate issues for resolution as appropriate. Manages audits of provider information to escalate issues for resolution as appropriate. Takes direction to execute techniques, processes, and responsibilities. For this role you will need Minimum Requirements 2-4 years or more work experience in data entry experience 1-2 years of Provider data service background Proficient in reputed company Office Applications with proficient skills in reputed company Preferred experience: 1-2 years of PRMS (reputed company) EPDB (2-4 years) QNXT, reputed company experience Working knowledge of problem solving and decision-making skills Education High school diploma or equivalent required. Pay reputed company The typical pay reputed company for this role is: $18.50 - $37.02 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full reputed company of medical, dental, and reputed company benefits. Eligible employees may enroll in the Companys 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits We anticipate the application window for this opening will reputed company on: 06/05/2024 Apply Job! For more such jobs please click here!