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Hello,Innova Solutions is immediately hiring for a  (Network Provider consultant-Claims/Policies/Credentials Specialist)Position type: Fulltime/ContractDuration: 5 months contractLocation:&n...
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Network Provider consultant-Claims/Policies/Credentials Specialist)
Richardson, TX
Sep 27, 2024
fulltime

Hello,

Innova Solutions is immediately hiring for a  (Network Provider consultant-Claims/Policies/Credentials Specialist)

Position type: Fulltime/Contract
Duration: 5 months contract

Location: Richardson, TX 75082

Work Mode: 100% Onsite

As a Network Provider consultant-Claims/Policies/Credentials Specialist), You will:

Job Description:

  • Contract Management: Receipt, review, and tracking of new provider contracts and amendments.
  • Issue Resolution: Researching and resolving internal inquiries related to contract operations, systems, and data entry issues. Provide internal communications with Provider Network, Provider Relations, and Government Programs staff.
  • Template Maintenance: Maintenance and updates of provider contract agreement and amendment templates, ensuring adherence to Texas state filing regulations.
  • Policy Coordination: Assisting in the composition and coordination of revised policies and procedures.

Job Requirements:

  • Education/Experience:
    • Bachelor's degree OR 2 years of experience in the insurance/managed care industry with independent decision-making capabilities.
  • Skills:
    • Strong written and verbal communication skills for composing responses, training materials, and procedures.
    • Proficient in Microsoft Word and Excel.

Preferred Job Requirements:

  • Bachelor's degree with one year of business experience.
  • Knowledge of the care industry, provider contracts, products, and TDI filing regulations.
  • Experience with Salesforce, Apttus/Conga, and DocuSign applications.

We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines. ASK ME HOW.

Thank you!
Anshima Chachondia
Associate Recruitment

7204521377

PAY RANGE AND BENEFITS:

Pay Range: $35 to $40 per hour
Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Benefits:

Innova Solutions offers benefits (based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).

ABOUT INNOVA SOLUTIONS:
Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

Recent Recognitions:

  • One of Largest IT Consulting Staffing firms in the USA Recognized as #4 by Staffing Industry Analysts (SIA 2022)
  • Clearly Rated Client Diamond Award Winner (2020)
  • One of the Largest Certified MBE Companies in the NMSDC Network (2022)
  • Advanced Tier Services partner with AWS and Gold with MS

Website:

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need reasonable accommodation to assist with your job search or application for employment, please contact us at [contact information]. Please indicate the specifics of the assistance needed. Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities. Innova Solutions (Hire Genics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. 1324b.

The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.

Thanks

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Network Provider consultant-Claims/Policies/Credentials Specialist)
innova Solutions
Richardson, TX
Sep 27, 2024
fulltime
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