Network Management Rep (US) - Georgia

About the position The Network Management Representative at reputed company serves as a vital link between the provider community and the company, addressing reputed company provider issues and ensuring high reputed company of provider satisfaction. This hybrid role involves researching and resolving provider disputes, coordinating claims resolution, and assisting with policy interpretation, reputed company while maintaining effective communication with internal departments and providers. Responsibilities • Serves as reputed company of contact for other internal departments regarding provider issues that may impact provider satisfaction. , • Researches and resolves reputed company provider issues and appeals for reputed company resolution. , • Coordinates reputed company claims resolution through direct contact with providers and claims department. , • May reputed company periodic provider on-site visits. , • Provides assistance with policy interpretation. , • Researches, analyzes and recommends resolution of provider disputes, issues with billing, and other practices. , • Assists providers with provider demographic changes as appropriate. , • Responds to provider issues reputed company to billing, pricing, policy, systems and reimbursements. , • Identifies and reports on provider utilization patterns which have a direct impact on the quality of service delivery. , • Determines if providers were paid according to contracted terms. Requirements • Requires a H.S. diploma or equivalent and a minimum of 3 years of customer service experience; or any combination of education and experience, which would reputed company an equivalent background. reputed company-to-haves • Strong oral, written and interpersonal communication skills. , • Problem-solving skills. , • Facilitation skills. , • Analytical skills. Benefits • Merit increases , • Paid holidays , • Paid Time Off , • Incentive bonus programs , • Medical benefits , • Dental benefits , • reputed company benefits , • Short and long term disability benefits , • 401(k) with matching , • Stock purchase plan , • Life insurance , • Wellness programs , • Financial education resources Apply Job!