- UPMC (Pittsburgh, PA)
- The Provider Service Representative serves as an advocate for Health Plan customers - including providers, vendors, and facilities - by offering clear guidance ... with care and accuracy. While maintaining call quality and service standards, you'll play a key role in supporting...clear career path for growth and advancement. We also provide a comprehensive on-the-job training program to set you… more
- Penn Medicine (Bala Cynwyd, PA)
- …Per Departmental Needs - Full Time - Monday - Friday Hybrid Summary: + The Provider Services Coordinator will provide support of all credentialing / ... hire for a timely and optimal start into the organization. + Additionally, the Provider Services Coordinator will provide administrative support to the… more
- CVS Health (Harrisburg, PA)
- …Triage resulting rework to appropriate staff. + Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims ... unasked questions, eg, additional plan details, benefit plan details, provider self- service tools, etc. + Use customer...a direct connection to the router (NOT Wi-Fi). We provide a 6 1/2 foot long ethernet cord, if… more
- Magellan Health Services (PA)
- …and other value-based data. This position acts as the conduit between the provider , Magellan, and the customer(s) to ensure streamlined, consistent and supportive ... provider experience. + Act as liaison between Clinical, Quality,...Providers for support, issue resolution, and collaboration. (40%) + Provide orientation, education, training, and support to Magellan contracted… more
- Cisco (Philadelphia, PA)
- Client Executive - Service Provider , Philadelphia - Comcast Apply (https://jobs.cisco.com/jobs/Login?projectId=1448627) + Location:Offsite, Philadelphia, ... partnerships and delivering transformational solutions for one of Cisco's largest Service Provider customers: Comcast. Our team thrives on collaboration,… more
- AmeriHealth Caritas (Harrisburg, PA)
- …between providers and internal departments such as Credentialing, Clinical, Member Services , and Provider Maintenance, ensuring compliance with state regulations ... **Role Overview:** The Provider Network Contract Representative oversees the daily operations...and the Office of Mental Health & Substance Abuse Services (OMHSAS), supporting Medicaid enrollment and documentation processes. +… more
- CVS Health (Harrisburg, PA)
- …appropriate action from the provider perspective. + Key contributor to enhanced provider service solution like provider portal and other digital ... in support of an international network, medical cost management and overall claim/customer service strategies. This role will provide concierge level of … more
- The Cigna Group (Erie, PA)
- …through matrix partners. + Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external ... matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION...obtained through a cable broadband or fiber optic internet service provider with speeds of at least… more
- Guthrie (Sayre, PA)
- …Degree in related field is preferred. Essential Functions Leadership and Mentorship: Provide guidance and mentorship to Provider Onboarding Coordinators. Act as ... Summary The Senior Provider Onboarding Specialist oversees the onboarding process for...Clearance Management: Oversee the management of PA Child Protective Services Law clearances for all GMG providers and locums.… more
- Highmark Health (Harrisburg, PA)
- …Allegheny Clinic professional providers with various payers for professional services reimbursement. Reviews provider credentialing and/or recredentialing data ... Provider Credentialing Support (CPCS) by the National Association Medical Staff Services + Experience with ECHO and/or professional provider credentialing +… more