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Provider Network Consultant - Chicago/ Naperville

Company: HCSC
Location: Naperville
Posted on: November 19, 2021

Job Description:

Job ID: NMR-1045347 Description: BASIC FUNCTION: This position is responsible for developing and maintaining cooperative working relationships with the contracting provider community; educating, training, researching problems; and identifying trends and evaluating providers to ensure contractual and financial requirements are adhered to and performed. JOB REQUIREMENTS: * Bachelor Degree OR 4 years experience in a managed care environment. * 2 years experience in health care administration, clinical or financial setting. * Experience in or knowledge of provider reimbursement methods and claims processing systems. * Knowledge of health care contracts, applications, and products. * PC proficiency to include Microsoft Word, Excel, PowerPoint and health care databases. * Verbal and written communications skills to include interpersonal and presentation skills. * Analytical, organizational and planning skills. * Ability to take initiative and work independently. * Ability to meet deadlines and work well under pressure. * Ability and willingness to travel, including overnight stays. PREFERRED JOB REQUIREMENTS: * Bachelor Degree in Health Care or Business Administration * Knowledge of facility Medicad claims process * Knoweldge of facility commercial claims process #CA #LI-NR1 HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Requirements: Expertise Other Job Type Full-Time Regular Location IL - Chicago, IL - Naperville

Keywords: HCSC, Naperville , Provider Network Consultant - Chicago/ Naperville, Professions , Naperville, Illinois

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