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Provider Network Specialist
VirtualVocationsCranston, Rhode Island, United Statesjob_description.job_card.variable_days_ago
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- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Provider Network Specialist.
Key Responsibilities
Provide information on eligibility, coverage, and procedures to clients and MCO covered injured workers
Collaborate with the Medical Director and vendors on physician credentialing and MCO network issues
Maintain MCO status and respond to client and injured worker inquiries regarding MCO issues
Required Qualifications
Bachelor's degree from an accredited college or university preferred
Four years of related experience, including three years in customer service and one year in analytical roles
Managed Care experience preferred
Thorough knowledge of MCO regulations, practices, and procedures
PC literate, including proficiency in Microsoft Office products
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Network Specialist • Cranston, Rhode Island, United States
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