Provider Network Specialist jobs in Clovis, NM

Provider Network Specialist coordinates and evaluates the contracts of a healthcare provider network. Participates in the negotiation of contracts and prepares reports and analysis of contract details and statistics. Being a Provider Network Specialist distributes contract information, status updates, and other information within the organization. Requires a bachelor's degree. Additionally, Provider Network Specialist typically reports to a manager or head of a unit/department. The Provider Network Specialist gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Provider Network Specialist typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

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Referral Specialist
  • Northwest Texas Physicians Network
  • Amarillo, TX FULL_TIME
  • Responsibilities:
    ABOUT NORTHWEST PHYSICIANS GROUP

    Northwest Physicians Group formed in 2013 with a focus towards population health management. The group has grown to a network of over 40 providers serving patients at numerous primary, specialty, and urgent care locations in and around Amarillo, Texas. Northwest Physicians Group is affiliated with Northwest Texas Healthcare System, a 495-bed system acute care hospital that serves approximately 650,000 residents of the Texas Panhandle and surrounding region. The system provides acute care services including cardiac, pediatric, women’s, emergency, surgical and behavioral healthcare.

    Position Summary: Referral Specialist

    • Processes both internal and external referral requests and assists in properly navigating patients into the multi-specialty clinic from external
      referral sources / emergency rooms / patients.
    • Accurately registers and schedules patients pursuant to established protocols for Northwest
      Texas Physician Group providers.
    • Contacts referring providers and patients to efficiently and thoroughly complete patient pre-registration
      criteria and communicate scheduled appointments.
    • Monitors incoming medical records and third party communication and routes to providers /
      medical assistants or Practice Manager as appropriate.
    • Scans and properly indexes medical records into EMR system.
    • Responds to requests for medical records according to clinic policy.
    • Conducts verification of eligibility for new patients and communicates clinic’s expectation of payment at time of service – may collect co-payments and co-insurance at time of scheduling.
    • Generate weekly and monthly reports.
    • Makes reminder calls for scheduled appointments.
    • Other duties as assigned.
    • Willingly accepts other assignments when requested.
    • May travel between facilities when requested.
    Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

    As a Northwest Physicians Group employee you will be part of a first class organization offering:

    • A Challenging and rewarding work environment
    • Competitive Compensation & Generous Paid Time Off
    • Excellent Medical, Dental, Vision and Prescription Drug Plans
    • 401(K) with company match


    About Universal Health Services (UHS), Inc.
    One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

    Qualifications:

    Required Knowledge, Skills, Licensure, Training & Travel Requirements (if applicable):

    • High school diploma or equivalent. Prefer certification or training as an Administrative Medical Assistant
    • Minimum of 2 years in a medical office setting or hospital admissions/scheduling department involving patient registration, scheduling, verification of benefits and customer service
    • Knowledgeable in the proficient use and application of an EMR system
    • Acute healthcare knowledge with understanding of clinical terminology and medical office proccess, medical insurance billing/managed care, and HIPAA privacy standards
    • Strong interpersonal communication with excellent written and oral communication skills.
    • Typing and strong computer skills required. Proficiency in MS Office applications
    • Ablility to provide excellent customer service to both internal and external customers
    • Ability to quickly and accurately process and key data in and EMR
    • Must be able to evaluate clinical data in order to properly process patient referrals

    EEO Statement

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

    Notice

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852- 3449
  • 16 Days Ago

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Medical Office Specialist / Lake View Cardiology
  • Northwest Texas Physicians Network
  • Amarillo, TX FULL_TIME
  • Responsibilities: ABOUT NORTHWEST PHYSICIANS GROUP Northwest Physicians Group formed in 2013 with a focus towards population health management. The group has grown to a network of over 40 providers se...
  • 20 Days Ago

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Northwest Primary Care / Call Center Specialist
  • Northwest Texas Physicians Network
  • Amarillo, TX FULL_TIME
  • Responsibilities: ABOUT NORTHWEST PHYSICIANS GROUP Northwest Physicians Group formed in 2013 with a focus towards population health management. The group has grown to a network of over 40 providers se...
  • 22 Days Ago

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Provider
  • BrightSpring Health Services
  • Amarillo, TX FULL_TIME
  • HOST HOME PROVIDER Job Locations US-TX-AMARILLO 2023-122857 Line of Business ResCare Community Living Position Type Part-Time Our Company ResCare Community Living Overview A Host Home provider is an i...
  • 25 Days Ago

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Network Administrator
  • Planned Systems International, Inc.
  • Cannon, NM OTHER
  • Overview Work in a collaborative and innovative environment support Air Force Special Operations Command (AFSOC). This is an amazing opportunity to directly support the global Command and Control Miss...
  • 22 Days Ago

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Network Administrator
  • Planned Systems International, Inc.
  • Cannon, NM OTHER
  • Overview Work in a collaborative and innovative environment support Air Force Special Operations Command (AFSOC). This is an amazing opportunity to directly support the global Command and Control Miss...
  • 16 Days Ago

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0 Provider Network Specialist jobs found in Clovis, NM area

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Travel Registered Respiratory Therapist - $1,825 per week
  • Stability Healthcare
  • Clovis, NM
  • Travel Nurses, Inc. is seeking a travel Registered Respiratory Therapist for a travel job in Clovis, New Mexico. Job Des...
  • 3/28/2024 12:00:00 AM

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OFFICE SPECIALIST-SENIOR SERVICES
  • City of Clovis, NM
  • Clovis, NM
  • Salary: $12.91 - $19.36 Hourly Location : Clovis, NM Job Type: FULL-TIME Job Number: 2024_03_19_1019 Department: SENIOR ...
  • 3/28/2024 12:00:00 AM

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Restaurant Team Member Part Time
  • Love
  • Clovis, NM
  • Location: Clovis, NM, US, 88101 **Hiring immediately -** **Restaurant Team Members!** **Req ID:** 251069 Address: 4700 M...
  • 3/28/2024 12:00:00 AM

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Install - Service Technician
  • Resound Networks LLC
  • Clovis, NM
  • Job Description Job Description Do you enjoy physical indoor/outdoor work, talking with people, providing customer servi...
  • 3/27/2024 12:00:00 AM

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General Manager - Restaurant
  • Love
  • Clovis, NM
  • ** General Manager - Restaurant** Location: Clovis, NM, US, 88101 **Req ID:** 288342 Address: 4700 Mabry Dr. Clovis , NM...
  • 3/27/2024 12:00:00 AM

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Top Secret System Technician
  • Insight Global
  • Clovis, NM
  • Insight Global is hiring a Top-Secret System Technician in support of a top federal client of ours out of Cannon AFB, Ne...
  • 3/25/2024 12:00:00 AM

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SIMULATOR/ELECTRONIC TECHNICIAN
  • DELAWARE RESOURCE GROUP OF OKLAHOMA
  • Cannon Afb, NM
  • Job Details Job Location AFSOC ACTS CANNON - Cannon AFB, NM Position Type Full Time Education Level College Degree or Eq...
  • 3/25/2024 12:00:00 AM

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Travel Nurse RN - ICU - Intensive Care Unit - $2,140 per week
  • TRS Healthcare
  • Clovis, NM
  • Travel Nurses, Inc. is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Clovis, New Mexic...
  • 3/24/2024 12:00:00 AM

Clovis is the county seat of Curry County, New Mexico, United States, with a population of 37,775 as of the 2010 census, and a 2014 estimated population of 39,860. Clovis is located in the New Mexico portion of the Llano Estacado, in the eastern part of the state. A largely agricultural community, closely bordering Texas, it is noted for its role in early rock music history and for nearby Cannon Air Force Base. After the discovery of several "Clovis culture" sites in eastern North America in the 1930s, the Clovis people came to be regarded as the first human inhabitants who created a widesprea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$52,987 to $79,239
Clovis, New Mexico area prices
were up 1.2% from a year ago

Provider Network Specialist in Springfield, MO
As the liaison between provider and the health plan, candidates are tasked with ensuring improved revenue generated and patient quality score.
December 16, 2019
Provider Network Specialist in Stamford, CT
Previous experience in a network development, provider recruitment or provider contracting.
December 04, 2019
Provider Network Specialist in Fort Wayne, IN
In this position, employees will be expected to perform benefits analysis and create reports on provider performance to support the needs of the analysis found.
January 18, 2020