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Network Operations Representative I in Latham, NY at Beacon Health Options

Date Posted: 4/18/2019

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Network Operations Representative I to join our team at our office in Latham, NY.  The Network Operations Representative I will be responsible for the timely and accurate completion of provider file maintenance.

Position Responsibilities:

  • Perform the data entry requirements to set up and maintain provider files in various computer systems and any functions related to the process of welcoming new providers into the network, such as, but not limited to the execution of provider agreements and the issuance of provider correspondence.
  • Process ongoing provider file revisions resulting from information received from the provider or information that is generated internally that would require modifications to the electronic record of the provider.  Such file changes include, but are not limited to, address changes, W-9 information, changes required for the accurate processing of claims, and fee schedules.
  • Investigate and resolve claims processing requests and temporary provider records.
  • Perform data entry of provider demographic and practice location information into Beacon’s NetworkConnect system accurately and timely.
  • Complete the process required to terminate a provider’s participation in the network and any related functions such as, but not limited to, the issuance of correspondence, preparing reports for internal or external parties and communication with field offices.

Position Requirements:

Education: High School Diploma or Equivalent.

Licensure:  N/A

Relevant Work Experience:   2 years’ experience in insurance, medical, healthcare or related field required.

Knowledge, Skills & Abilities:

  • Microsoft Office
  • Problem Solving Skills
  • Basic Office Skills Required

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.