Provider Network Representative

ALOHA!

Seeking a "Provider Network Representative" in Honolulu, Hawaii.

Full-Time opportunity,

Monday-Friday, 7:30 am- 4:30 pm.

Work from home remotely + On-site visits to Provider Office on Oahu!!

Description:

Manages individual and group provider relationships in network for provider recruitment, standard contracting, onboarding, claims training, and resolution of providers’ issues. Including those related to claims payment, quality and performance initiatives, improved access, and controlling unnecessary costs. Ensures the contract and Federal regulatory compliance requirements are met by continuously developing new provider relationships and while strengthening existing relationships. Supports the implementation of business changes to simplify operations and improve all provider business experiences.

Occasional on-site provider office visits to resolve servicing issues, gather provider market intelligence, contract related concerns and provide education to ensure and strengthen relations with providers. Position is eligible for priority parking. Requires to safely operate an insured automobile for work travel to conduct and accomplish business related activities at off-site locations on Oahu.

** Must have a valid driver’s license and access to a reliable vehicle with up to date car registration and no fault car insurance coverage. **

Skills:

provider enrollment, health insurance, relationship management, provider billing, healthcare industry, healthcare claim, provider support, medical policy

Additional Skills & Qualifications:

Driving is required 1-2 days/week; car mileage will be reimbursed for the work travel.

A qualified candidate must have excellent communication and soft skills, ability to resolve issues and build interpersonal relationships.

** This representative will be joining a great team of 6: 1 department manager, 1 team supervisor, 1 lead specialist , and 3 specialists. 

There is training in company operations and landscape and the initial 3-4 months will be to fully support and prepare representative. He/she will be partnered with another fellow representative to shadow on provider office visits.

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.