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Job Requirements of Network Outreach Specialist:
-
Employment Type:
Contractor
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Location:
Newark, NJ (Onsite)
Do you meet the requirements for this job?
Network Outreach Specialist
Careers Integrated Resources Inc
Newark, NJ (Onsite)
Contractor
Job Title: Network Outreach Specialist
Job Location: Newark, NJ
Job Duration: 6 Months (Possibilities of Extension)
Payrange: $15 - $17/ hr on w2
Responsibilities:
Job Location: Newark, NJ
Job Duration: 6 Months (Possibilities of Extension)
Payrange: $15 - $17/ hr on w2
Responsibilities:
- Makes outbound validation calls to providers in order to assure of demographic practitioner detail for each practice location for all Client networks.
- Contacts members regarding preventive health activities.
- Receives inbound services calls and provide accurate complete information in response to provider inquiries, complaints and problems within a timely fashion.
- Contact provider offices to encourage ongoing education and dialogue on data management best practices to service member/patient needs and to attend scheduled orientation sessions and other educational and outreach activities.
- Conducts provider surveys and assessments as applicable.
- Act as liaison with providers, members and outside community resources.
- Handle PCP/PCD changes for members.
- Verification of PCP/PCD and member eligibility with Providers.
- Maintain call documentation in databases with relevant information regarding special outreach projects in accordance with departmental focus and objectives.
- Assist provider offices with issues associated to credentialing, recredentialing, claims and provider data maintenance by providing guidance on how to proceed with the process.
- High School Diploma/GED required.
- Requires a minimum of 3 years of experience in customer service, telephone sales preferably in a Managed Care environment.
- Some experience with provider practices, physicians and/or office managers in a healthcare, group practice setting.
- Prefers knowledge of Client products and services
- Requires knowledge of health insurance industry
- Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes
- Should be knowledgeable in the use of intranet and internet applications.
- Requires excellent oral and written communication skills.
- Requires strong interpersonal and organization skills.
- Requires ability to resolve problems.
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