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Internal Provider Network Representative I

Job Description:
Description: Job Purpose: This position is responsible for learning to provide assistance to practitioners in resolution of claims, pricing, coding, and contract issues; and for working with internal departments to evaluate and resolve provider/ contract and service issues.
Required Job Qualifications: Bachelor Degree OR 4 years work experience in the health care/insurance industry.
3 years experience in Network Management, Credentialing and/or Customer Service.
Understanding of health care contracts, applications and products.
Working knowledge of claims processing systems.
3 years experience utilizing a PC.
Verbal and written communication skills.
Teamwork and problem solving skills.
Analytical and organizational skills.
Organizational skills and experience meeting deadlines and working well under pressure.
Familiar with provider reimbursement methods.
Location: MT - Helena Activation Date: Sunday, October 28, 2018 Expiration Date: Saturday, December 1, 2018

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