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Network Outreach Specialist

Integrated Resources, Inc

Newark, NJ

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JOB DETAILS
SALARY
$15–$17 Per Hour
JOB TYPE
Contractor
SKILLS
Communication Skills, Customer Support/Service, Demographics, HCL/Lotus Notes, Health Insurance, Healthcare Management, Internet Application, Internet Technology, Interpersonal Skills, Intranet Software/Application, Managed Care, Medical Office, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Microsoft Windows Operating System, Microsoft Word, Office Management, Organizational Skills, PC Software, People Management, Presentation/Verbal Skills, Preventive Medicine, Problem Solving Skills, Software Administration, Telesales, Time Management, Writing Skills
LOCATION
Newark, NJ
POSTED
30+ days ago
Job Title: Network Outreach Specialist Job Location: Newark, NJ Job Duration: 6 Months (possibility of extension) Payrate: $15 - $17/ hr. on w2 Responsibilities: Makes outbound validation calls to providers in order to assure of demographic practitioner detail for each practice location for all Client networks. Contacts members regarding preventive health activities. Receives inbound services calls and provide accurate complete information in response to provider inquiries, complaints and problems within a timely fashion. Contact provider offices to encourage ongoing education and dialogue on data management best practices to service member/patient needs and to attend scheduled orientation sessions and other educational and outreach activities. Conducts provider surveys and assessments as applicable. Act as liaison with providers, members and outside community resources. Handle PCP/PCD changes for members. Verification of PCP/PCD and member eligibility with Providers. Maintain call documentation in databases with relevant information regarding special outreach projects in accordance with departmental focus and objectives. Assist provider offices with issues associated to credentialing, recredentialing, claims and provider data maintenance by providing guidance on how to proceed with the process. Job Qualifications Education / Experience: High School Diploma/GED required. Requires a minimum of 3 years of experience in customer service, telephone sales preferably in a Managed Care environment. Some experience with provider practices, physicians and/or office managers in a healthcare, group practice setting. Knowledge: Prefers knowledge of Client products and services. Requires knowledge of health insurance industry. Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Lotus Notes. Should be knowledgeable in the use of intranet and internet applications. Skills and Abilities: Requires excellent oral and written communication skills. Requires strong interpersonal and organization skills. Requires ability to resolve problems.

About the Company

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Integrated Resources, Inc