Provider Network Specialist jobs in West Virginia

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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Peer Support Specialist
  • Positive Recovery Solutions - Mobile Vivitrol Provider
  • Charleston, WV PART_TIME
  • We are looking for a Patient Support Staff to assist our patients at their doctors appointment. Because we are a mobile clinic, employees must have their own reliable transportation and a valid drivers license. The hours for this position are part time, probably around 10-15 hours per week with a good possibility of increasing hours as we grow our footprint in the state of WV. Position is travel intensive, driving times of 1-2 hours each way on clinic days but could possibly further than that. Travel time is all paid at your hourly rate. All gas will be paid for by the company. Patient Support responsibilities include traveling to location to meet with our nurse, arriving 30 minutes prior to first scheduled patient, and managing the Vivitrol medication, supplies, and equipment. We dress in casual street clothes on location. To be successful in this role, you should be an excellent communicator who’s able to earn our clients’ trust. You will be trained on using the EMR software along with our procedures. To get a glimpse of PRS, please look up our website at www.prs-cares.com. Or our ViceTV video on YouTube titled "The RV delivering a drug to end addiction"

    Responsibilities

    • Report to location in a timely fashion. Arriving late is unacceptable. Staff and Patients rely on us arriving when scheduled
    • Scheduling patients next appointment and checking signed release forms.
    • Urine / Pregnancy testing patients on appointment
    • Update a patients chart in the EMR with any new information such as a phone number or an address change
    • Report to our main office end of day by email or text.
    • Build re-pour with patients and facility staff at location.
    • Inform patients of any co-pays or needed information for our billing staff.
    • Submit your designated AMEX receipts end of month
    • Gather patient feedback and share with management
    • Assist the nursing staff by keeping track of supplies such as band-aids, alcohol preps, cups, etc.
    • Scanning in release forms that new patients will fill out at appointment

    Skills

    • Experience in Patient Support or a similar role is a plus but not required
    • Familiarity with drug and alcohol treatment industry is a plus but not required
    • Experience using a laptop and email. EMR experience is a plus
    • Understanding the importance of HIPAA and signed consents
    • Excellent communication and problem-solving skills
    • Multi-tasking abilities.

    Basic understanding of using electronics and answering your assigned company email

    Individuals in recovery with at least 1 year of continuous sobriety are strongly encouraged to apply.

    Locations to cover

    • Right now locations will include the surrounding area of Charleston, WV and Ashland, KY. More locations will be added as we grow our business in WV.

    'Work Location: On the road

    • Work Remotely

    Job Type: Part-time

    Pay: $15.00 per hour

    Schedule:

    • Monday to Friday

    Application Question(s):

    • Do you have reliable transportation?
    • Do you own your own vehicle?

    Education:

    • High school or equivalent (Preferred)

    Language:

    • English (Required)

    License/Certification:

    • Driver's License (Required)

    Willingness to travel:

    • 100% (Required)

    Work Location: On the road

  • 23 Days Ago

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Biomedical Network and Information Systems Specialist
  • Veterans Health Administration
  • Huntington, WV FULL_TIME
  • This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with V...
  • 6 Days Ago

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(Hybrid) Parent Network Specialist - Center for Excellence in Disabilities in Co
  • West Virginia University Research Corporation
  • Morgantown, WV FULL_TIME
  • Description West Virginia University Research Corporation is seeking applications for a hybrid Parent Network Specialist for the Center for Excellence in Disabilities in Counties Wood, Logan and Monon...
  • 13 Days Ago

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Population Health Performance Specialist -- CAMC Health Network -- Northgate-400 Association Dr.
  • CAMC Health System
  • Charleston, WV FULL_TIME
  • The Population Health Performance Specialist is directly responsible for supporting providers and clinical practice sites in achievement of quality improvement outcomes. The individual in this positio...
  • 13 Days Ago

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Population Health Performance Specialist -- CAMC Health Network -- Staunton Ave Building
  • CAMC Health System
  • Charleston, WV FULL_TIME
  • The Population Health Performance Specialist is directly responsible for supporting providers and clinical practice sites in achievement of quality improvement outcomes. The individual in this positio...
  • 5 Days Ago

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Clinical Applications Specialist -- IS Apps Provider & Ambulatory -- Northgate-400 Association Dr.
  • CAMC Health System
  • Charleston, WV FULL_TIME
  • The Clinical Applications Specialist is responsible for providing ongoing complex system support, administration, maintenance, training and upgrades of clinical applications. Maintains up to date know...
  • 15 Days Ago

West Virginia (/vərˈdʒɪniə/ (listen)) is a state located in the Appalachian region in the Southern United States and is also considered to be a part of the Middle Atlantic States. It is bordered by Pennsylvania to the north, Maryland to the east and northeast, Virginia to the southeast, Kentucky to the southwest, and Ohio to the northwest. West Virginia is the 41st largest state by area, and is ranked 38th in population. The capital and largest city is Charleston. West Virginia became a state following the Wheeling Conventions of 1861, after the American Civil War had begun. Delegates from so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Provider Network Specialist jobs
$52,619 to $78,665

Provider Network Specialist in Anderson, IN
Creates, maintains, and ensures the integrity of the provider data in DHP’s multiple claims payments systems and provider interface programs.
January 07, 2020
Provider Network Specialist in Tucson, AZ
Identifies and works with the provider to address education needs relative to DHP’s new product lines/expansions, utilization management, claims submission, and back-end issues resolution requirements of each assigned provider’s contract.
January 12, 2020
The Provider Network Specialist will work closely with all facets of the business, primarily with Care Management, Claims and Business Development.
January 08, 2020
Provider Network Specialist in Oakland, CA
Build and maintain a successful working relationship with Integra Managed Care and network providers.
December 03, 2019