Description
We're looking for a Provider Network Consultant in the Insurance industry located in Tulsa.
Responsibilities:
- Analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes.
- Contracting, credentialing, and maintaining Facility/Professional provider data to support marketing and network contracting across all lines of business.
- Supporting the implementation of special projects, assisting with tracking of various phases of a project and managing workflow.
- Assisting management in familiarizing and training team members with the various business rules in network contracting and credentialing across all lines of business.
- Identifying gaps in processes and suggesting process improvement strategies.
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