Network Provider Representative

Tenet Healthcare Corporation Encino , CA 91316

Posted 1 week ago

Educationand/or Experience:

Previous experience in a medical office or health insurancesetting and/or 2 year degree in a related business field.

DAILYPROCEDURES AND RESPONSIBILITIES

Task

  • Assist in provider contracting in Web

  • Assist in provider contracting in LuminX

  • Organization, upkeep and contact of allcontracting providers

  • Verification of provider credentials throughweb sites

  • Answer CHP client questions

  • Answer provider questions

  • Scanning and filing of all provider contracts

  • Recredentialing of all providers

  • Data entry in web and LuminX of all affiliatenetworks

WEEKLYPROCEDURES AND RESPONSIBILITIES

  • Assist with provider database audits

  • Assist with full audit of providers-Web

GENERALPROCEDURES AND RESPONSIBILITIES

  • Recredentialing of all providers

  • Mass mailings

  • New contract mailings to interested and/or newproviders

  • Maintain accurate tracking of all contactedproviders

  • Data entry in web and LuminX of all affiliatenetworks

ATTENDANCE

Task

  • Ability to adhere to attendance policy

  • Position requires consistent attendance

  • EQUAL OPPORTUNITY EMPLOYER

If you disagree with Total AverageRating, please specify the correct rating as well as explain reason(s) forchange:

Employee:

Manager:

SectionIII. Position Prerequisites: Inevaluating Section III, please answer the following questions:

What are your strengths in thisarea?

What skill have you improved upon?

How do those improved skills addvalue to your position?


SectionIV. Daily Procedures and

Responsibilities:
In evaluating

Section IV, please answer the following questions:

How have you managed your dailytasks?

How do you ensure accuracy andquality in your work?

Have you been able to providesuggestions for streamlining processes, and if so, please provide examples?


SectionV. Weekly Procedures and

Responsibilities:
In evaluating Section V, please answer the followingquestions:

How have you managed your weeklytasks?

How do you ensure accuracy andquality in your work?

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SectionVI. Monthly Procedures and

Responsibilities:
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SectionVII. Annual Procedures and

Responsibilities:
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SectionVIII. General Procedures and

Responsibilities:
In evaluating Section VIII, please answer the followingquestions:

How have you managed your generaltasks?

How do you ensure accuracy andquality in your work?

Have you been able to providesuggestions for streamlining processes, and if so, please provide examples?

In evaluating the past year, whatchallenges have you faced and what growth have you accomplished?

How have you aligned your personalgoals to the department and company goals?

What are your personal goals for thecoming year?

Summary Section:

Conifer Health Solutions


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