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Network Management Representative II - Mendota Heights, United States - Elevance Health
Description
Title:
Network Management Representative II
Location:
This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.
The
Network Management Representative II
provides comprehensive services to the provider community through researching more complex provider issues.
How you will make an impact:
Serves as point of contact for other internal departments regarding provider issues that may impact provider satisfaction.
Researches and resolves the more complex provider issues and appeals for prompt resolution.
Coordinates prompt claims resolution through direct contact with providers and claims department.
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 related to billing, pricing, policy, systems and reimbursements.
Determines if providers were paid according to contracted terms.
Minimum Requirements
H.S. diploma
Minimum of 3 years of customer service experience; one year experience as a Network Representative; or any combination of education and experience, which would provide an equivalent background.
Preferred QualificationsAbility to work in an inbound call center environment calls per day) preferred.
Able to work M-F 10:00am - 6:30pm CST highly preferred.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $24.89/hr.
to$40.87/hr.Locations:
California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive andrecognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.
The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any othercategory protected by federal, state, and local pay equity laws.
The amount and availability of any bonus, commission, benefits, or any other form of compensation andbenefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and maybe modified at the Company's sole discretion, consistent with the law.
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