Provider Network Specialist — Health Plan Operations

The Ohio State University Wexner Medical Center; Columbus (OH); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Generous retirement plan options

Affordable health insurance

Paid vacation and sick leave

Job summary

A leading health care institution in Columbus is seeking a Provider Network Specialist to manage provider relations and optimize access and quality. The role involves investigating claims payment issues and collaborating with various stakeholders. Ideal candidates will have a Bachelor's degree, 2 years of experience, and strong customer service skills. This is a full-time position with comprehensive benefits.

Qualifications

• 2 years of relevant experience required.
• Knowledge of managed care desired.
• Experience with health plan policies and medical terminology required.

Responsibilities

• Serve as primary contact for OSU Health Plan providers.
• Investigate claims payment concerns and provider inquiries.
• Collaborate with clinical operations and customer service.

Skills

Customer service focus

Communication skills

Problem solving

Data analysis

Education

Bachelor's degree or equivalent experience

Job description

A leading health care institution in Columbus is seeking a Provider Network Specialist to manage provider relations and optimize access and quality. The role involves investigating claims payment issues and collaborating with various stakeholders. Ideal candidates will have a Bachelor's degree, 2 years of experience, and strong customer service skills. This is a full-time position with comprehensive benefits.