Provider Network Specialist jobs in New Iberia, LA

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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Provider Enrollment Specialist
  • i3 Verticals - ACS
  • Lafayette, LA FULL_TIME
  • JOB TITLE: Provider Enrollment Specialist/Credentialing
    SUPERVISION RECEIVED: Reports to Provider Enrollment Manager.
    LOCATION: Lafayette, LA
    GENERAL SUMMARY OF DUTIES: Responsible for all aspects of the credentialing, re-credentialing, and contracting processes for medical providers in private practice or group settings.

    ESSENTIAL FUNCTIONS:
    • Prepare and submit Governmental and Private Carrier applications for initial submission and re-credentialing and follow-up as needed.
    • Acquire and process new Managed Care Agreements.
    • Maintain detailed log of all pending and completed work.
    • Apply and update NPI Numbers through the NPI Website.
    • Apply and maintain EDI, EFT & ERA processes.
    • Maintains strictest confidentiality.
    • Follows established policies and procedures listed in the Employee Handbook, ACS Practice Management, Compliance and HIPPA Manuals.
    • The job holder must demonstrate competencies applicable to the job position while performing duties in a professional and courteous manner.
    EDUCATION:
    • High school diploma or GED.
    SKILLS & KNOWLEDGE:
    • Knowledge and understanding of the credentialing/enrollment process.
    • Knowledge of Governmental and Private Provider enrollment processes and applications for Louisiana and other States.
    • Knowledge of CMS Federal and State Guidelines.
    • Knowledge of Prime Source Verification.
    • Knowledge of CAQH.
    • Proficient use of Microsoft Office Word, Excel, and Outlook.
    • Knowledge of grammar, spelling and punctuation to type correspondence.

    ABILITIES:
    • Ability to read, understand and follow oral and written instruction.
    • Ability to sort and file materials correctly by alphabetic or numeric systems.
    • Ability to organize and prioritize work and manage multiple priorities.
    • Ability to communicate clearly and concisely.
    • Ability to establish and maintain effective working relationships with patients, employees and the public.

  • 26 Days Ago

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Provider Enrollment Specialist
  • i3 Verticals
  • Lafayette, LA FULL_TIME
  • JOB TITLE: Provider Enrollment Specialist/CredentialingSUPERVISION RECEIVED: Reports to Provider Enrollment Manager. LOCATION: Lafayette, LA GENERAL SUMMARY OF DUTIES: Responsible for all aspects of t...
  • 1 Month Ago

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Provider enrollment
  • i3 Verticals Healthcare
  • Lafayette, LA FULL_TIME
  • JOB TITLE : Provider Enrollment Specialist / Credentialing SUPERVISION RECEIVED : Reports to Provider Enrollment Manager. LOCATION : Lafayette, LA GENERAL SUMMARY OF DUTIES : Responsible for all aspec...
  • 2 Months Ago

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IT Network Analyst
  • Acadian Ambulance
  • Lafayette, LA FULL_TIME
  • The Information Technology department at Acadian Ambulance is looking for a full time Network Analyst. This position is responsible for organizing, modifying, installing, and supporting Acadian Compan...
  • 22 Days Ago

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Computer Network Support
  • United States Army
  • Melville, LA FULL_TIME
  • Supervise network management functions while overseeing integrated network control centers and multichannel communications systems. Full and Part Time positions available with full benefits and guaran...
  • 22 Days Ago

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IT Network Analyst
  • acadianambulance
  • Lafayette, LA FULL_TIME
  • JOB SUMMARY: Responsible for organizing, modifying, installing, and supporting Acadian Companies networking infrastructure to include routing, switching, transport (fiber and copper) media, wireless, ...
  • 22 Days Ago

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0 Provider Network Specialist jobs found in New Iberia, LA area

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Dynamics 365/Power Pages Developer
  • CGI Technologies and Solutions, Inc.
  • Lafayette, LA
  • **Dynamics 365/Power Pages Developer** **Category:** Software Development/ Engineering **Main location:** United States,...
  • 4/18/2024 12:00:00 AM

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Network Telecommunication engineer with Telecommunication’s  technology (VSAT, Cellular, BGAN) experience
  • HCLTech
  • Broussard, LA
  • Role :- Network Telecommunication engineer with Telecommunication’s technology (VSAT, Cellular, BGAN) experience Locatio...
  • 4/17/2024 12:00:00 AM

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IT Support Specialist, Senior - Lafayette, LA
  • First Tennessee Foundation
  • Lafayette, LA
  • ** IT Support Specialist, Senior - Lafayette, LA** **Job Category****:** Information Technology **Requisition Number****...
  • 4/17/2024 12:00:00 AM

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Lead Technician - Steam Generation
  • Global Recruiters Network - Elizabeth City
  • New Iberia, LA
  • As the Lead Technician, you will be a key leader in ensuring the safe and efficient operation of the facility, contribut...
  • 4/17/2024 12:00:00 AM

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Network Systems Administration with Telecommunications  technology (VSAT, Cellular, BGAN) experience
  • HCLTech
  • Broussard, LA
  • Role :- Network Systems Administration with Telecommunications technology (VSAT, Cellular, BGAN) experience Location :- ...
  • 4/17/2024 12:00:00 AM

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Dynamics 365/Power Pages Developer
  • CGI Group, Inc.
  • Lafayette, LA
  • Dynamics 365/Power Pages Developer Position Description CGI is hiring a hands-on Senior Software Engineer to join our dy...
  • 4/16/2024 12:00:00 AM

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Network Telecommunication engineer with Telecommunication's technology (VSAT, Cellular, BGAN) exper
  • Hcltech
  • Broussard, LA
  • Role :- Network Telecommunication engineer with Telecommunications technology (VSAT, Cellular, BGAN) experience Location...
  • 4/16/2024 12:00:00 AM

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DevOps Engineer
  • CGI Group, Inc.
  • Lafayette, LA
  • DevOps Engineer Position Description We are seeking a talented and experienced DevOps Engineer to join our team. As a De...
  • 4/14/2024 12:00:00 AM

New Iberia (Spanish: Nueva Iberia, French: La Nouvelle-Ibérie) is the largest city in and the parish seat of Iberia Parish, Louisiana, United States. It is located 21 miles (34 kilometers) southeast of Lafayette. In 1900, 6,815 people lived in New Iberia; in 1910, 7,499; and in 1940, 13,747. The population was 32,623 at the 2000 census and 30,617 in 2010, a decrease of 2,006, or 6.2 percent, over the previous decade. New Iberia is a part of the Lafayette, Louisiana Metropolitan Statistical Area. New Iberia is located at 30°0′13″N 91°49′6″W / 30.00361°N 91.81833°W / 30.00361; -91.81833 (30.0...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$52,970 to $79,190
New Iberia, Louisiana 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