Kentucky Provider Engagement Specialist

Job Summary

A company is looking for a Provider Engagement Network Specialist to manage provider setup and data accuracy in the provider information system.

Key Responsibilities

• Ensure accurate provider setup for state reporting, claims payment, and directories
• Research and resolve provider-related issues, including demographic changes and claims inaccuracies
• Facilitate provider education and orientations, and maintain provider directories

Required Qualifications

• Associate's degree preferred
• Experience in claims processing, billing, or coding
• Three years of experience in a managed care environment or healthcare organization
• Knowledge of healthcare, managed care, Medicare, or Medicaid
• Experience in customer service within a healthcare context