Top 7 Provider network specialist Jobs in Klamath Falls, Or

Provider Network Specialist
Cascade Comprehensive Care Inc —Klamath Falls, OR
- Full-time
- Hybrid work
- Word processing
- Computer literacy
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Mental Health Therapist - Oregon
NOCD —Oregon
- Weekends as needed
- Remote
- LMFT
- Licensed Clinical Social Worker
- LPC
- Paid parental leave
- Health insurance
Quick Apply
Mental Health Therapist (3)
Klamath Tribal Health & Family Services —Klamath Falls, OR
- $70,934 - $124,384 a year
- Full-time
- LMFT
- Doctoral degree
- Current TB test

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Network Program Specialist
Optum —Columbus, OH
Help develop enterprise-wide Clinically Integrated Network teams that focus on specific clinical areas/service lines such as oncology or cardiology.
$24 - $43 an hour
5d
Scheduling Specialist (NJUS)
NetJets —Columbus, OH
Bachelor's in Aviation or related field. As a Scheduling Specialist at NetJets, you will play a crucial role in developing the current and next day's flight…

I want to receive the latest job alert for provider network specialist in klamath falls, or

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

provider network specialist jobs near klamath falls, or

Mental Health Therapist jobs in Oregon

Mental Health Therapist jobs in Klamath Falls, OR

Mental Health Therapist jobs in Louisiana

Mental Health Therapist jobs in Tumwater, WA

Mental Health Therapist jobs in Gainesville, FL

Mental Health Therapist jobs in Gulfport, MS

Mental Health Remote jobs in Phoenix, AZ

Womens Health Nurse jobs in Boston, MA

Full Time Therapist W2 jobs in Remote

Radiation Therapist jobs in Grand Rapids, MI

Medical Records Specialist jobs in Seattle, WA

Chicago Sports Network jobs in Chicago, IL

Network Specialist jobs in New Orleans, LA

Network Specialist jobs in Seattle, WA

Network Specialist jobs in Saint Paul, MN

Network Specialist jobs in Tucson, AZ

Health Educator jobs in Tennessee

Mental Health Therapist jobs in Las Vegas, NV

Mental Health Therapist jobs in Gainesville, GA

Travel Occupational Therapist jobs in California

Provider Network Specialist

Cascade Comprehensive Care Inc
Klamath Falls, OR

Quick Apply

Job Details

Full-time

Benefits

Health insurance
Dental insurance
401(k)
Pension plan
Vision insurance

Qualifications

Word processing
Spreadsheets
Writing skills
Desktop applications
Project management software
Presentation creation
Productivity software
Editing
Database software proficiency

Full Job Description

SUMMARY

The Provider Network Specialist provides operational support for provider network management and credentialing functions. This position serves as a resource for provider onboarding, credentialing coordination, provider data maintenance, provider communications, reporting support, and provider network administration activities. The Provider Network Specialist works collaboratively with internal departments, providers, medical groups and administrative staff to ensure accurate provider information, timely credentialing and recredentialing activities, compliance with organizational requirements, and a positive provider experience by performing the following duties.

Supports provider onboarding, credentialing, and recredentialing activities to ensure providers meet participation requirements and maintain compliance.
Maintains accurate provider demographic and directory information to support regulatory compliance and member access to care.
Assists with provider relations activities, including provider outreach, education, communications, issue resolution, and onboarding support.
Supports provider network monitoring activities, including access and availability reviews, ADA accommodation tracking, secret shopper reviews, and provider data validation.
Coordinates administrative activities for provider network management and credentialing, including report preparation, Provider Network Management Committee support, document management, and project tracking.
Serves as administrative support contact for provider and clinic inquiries related to network participation, directory information and provider relations.
Assists with provider onboarding activities, including collection and tracking of required documentation.
Conducts routine provider outreach to verify provider information, office hours, capacity, ADA accommodations, and other network data.
Assists with provider recruitment activities by coordinating outreach efforts, tracking opportunities, and maintaining recruitment records.
Supports provider education initiatives through preparation and distribution of provider communications, training materials and updates.
Maintains provider contract warehouse and other related documentation.
Assists with preparation of provider network adequacy, access, and availability metrics to assist with monitoring procedures.
Provides administrative support for the credentialing and recredentialing process.
Conducts outreach to providers, clinics, and office staff regarding missing or incomplete credentialing documentation when necessary.
Performs data entry and updates provider information within credentialing and provider management systems.
Responds to routine credentialing inquiries.
Maintains confidentiality and complies with HIPAA rules and regulations.
Maintains punctual, regular, and predictable attendance.
Works collaboratively in a team environment with a spirit of cooperation.
Displays excellent communication skills including presentation, persuasion, and negotiation skills required in working with members and coworkers, including the ability to communicate effectively and remain calm and courteous under pressure.
Respectfully takes direction from manager.

EDUCATION and/or EXPERIENCE

Associate's degree or equivalent from two-year college or university; and two to three years related experience and/or training; or equivalent combination of education and experience.

COMPUTER SKILLS

Job requires specialized computer skills. Must be adept at using various applications including database, spreadsheet, report writing, project management, graphics, word processing, presentation creation/editing, communicate by e-mail and use scheduling software.

We provide a competitive salary and excellent benefits, including vacation, medical, dental and vision insurance, and 401(k) pension plan. To apply for this position, please submit a cover letter and resume. We are an Equal Opportunity Employer.

Quick Apply

Refine Your Search

provider network specialist jobs in klamath falls, or

Provider Network Specialist

Mental Health Therapist - Oregon

Mental Health Therapist (3)

Explore jobs in cities nearby

I want to receive the latest job alert for provider network specialist in klamath falls, or

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected