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Location: Charlestown, MA Pay: $20.00 - $23.00/hr\nResponsible for accurate setup of provider records to ensure proper payment for providers. Handles all implementation steps to enroll providers in the Plan to ensure timely access for members and accurate payment for providers.\nQualifications: Education: Bachelor's degree or an equivalent combination of...

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Every career with Hearst Television is like a story. How it develops, where it takes you, the milestones you reach along the way – you’ve got a lot to look forward to as your unique career story unfolds. Hearst Television, a subsidiary of Hearst, owns and operates local television and radio stations serving nearly three dozen U.S. cities, reaching 24 million U.S. television households. Through its partnership with nearly all major networks, Hearst Television distributes national content across more than 120 video channels, including programming from ABC, NBC, CBS, CW, MY Net, MeTV, This TV, Estrella, and more. Hearst Television is recognized as one of the industry's premier companies. It has been honored with numerous awards for distinguished journalism and industry innovation, including the Walter Cronkite Award for political journalism, the national Edward R. Murrow Award, the DuPont-Columbia Award, and the George Foster Peabody Award.

","New York, NY","coloredLogo","logoAttachment","Hearst.png","thumbnail","thumbnailAttachment","Hearst_TV_Careers.png","hexCode","#2D75B9","headline","National multimedia company reaching 24 million households","https://production-rails-default.s3.amazonaws.com/uploads/company/logo_attachment/1072/Hearst.png","/companies/hearst-television","https://production-rails-default.s3.amazonaws.com/uploads/company/thumbnail_attachment/1072/Hearst_TV_Careers.png","hasJobSubmission","isSavedJob","similarJobs",[524,535,548,563,583],{"_435":434,"_439":525,"_470":471,"_462":526,"_248":527,"_446":447,"_433":434,"_113":442,"_437":199,"_438":199,"_472":471,"_448":199,"_449":528,"_431":530,"_473":531,"_436":120,"_488":532,"_478":533,"_490":442,"_491":485,"_493":534,"_495":496,"_497":498},["D",1773072000000],"Axelon","Job Posting

Location: Charlestown, MA Pay: $20.00 - $23.00/hr\nResponsible for accurate setup of provider records to ensure proper payment for providers. Handles all implementation steps to enroll providers in the Plan to ensure timely access for members and accurate payment for providers.\nQualifications: Education: Bachelor's degree or an equivalent combination of...\n",[529],{"_458":459,"_454":455,"_452":453,"_456":457,"_460":461},["B","2833184715"],"Work at Axelon","12 days ago","/jobs/2833184715-provider-enrollment-representative","/jobs?keyword=Axelon",{"_435":434,"_439":536,"_470":471,"_462":526,"_248":537,"_446":538,"_433":434,"_113":442,"_437":199,"_438":199,"_472":471,"_448":199,"_449":539,"_431":544,"_473":531,"_436":120,"_488":532,"_478":545,"_490":442,"_491":546,"_493":534,"_495":547,"_497":498},["D",1773079200000],"Location: Charlestown, MA Pay: $20.00 - $23.00/hr Description: Responsible for accurate setup of provider records to ensure proper payment for providers. Handles all implementation steps to enroll providers in the Plan to ensure timely access for members and accurate payment for providers. Qualifications: Education: Bachelor's degree or an equivalent combination of education, training, and experience is required. Experience: 2 or more years of business experience in a managed care or healthcare setting is required. Competencies, Skills, and Attributes: Ability to work as a team member, manage multiple tasks, be flexible, and work independently. Possess excellent organizational and problem-solving skills. Ability to accurately enter, proof, submit data and identify inaccurate data and process to resolution. Demonstrated competence using Microsoft Office products, especially Word, Excel, Outlook, Access, PowerPoint. Experience or knowledge of ONYX, FACETS, and/or similar provider data and/or claims processing system. Effective communication skills (verbal and written).\n","Location: Charlestown, MA Pay: $20.00 - $23.00/hr Description: Responsible for accurate setup of provider records to ensure proper payment for prov...",[540],{"_458":459,"_454":541,"_452":542,"_456":457,"_460":543},"Boston","Boston, MA, United States, 02298","02298",["B","2833077873"],"/jobs/2833077873-provider-enrollment-representative","Boston, MA, United States","/jobs?location=Boston%2C+MA%2C+United+States",{"_435":434,"_439":549,"_470":471,"_462":550,"_248":551,"_446":552,"_433":434,"_113":442,"_437":199,"_438":199,"_472":471,"_448":199,"_449":553,"_431":558,"_473":559,"_436":120,"_488":532,"_478":560,"_490":442,"_491":556,"_493":561,"_495":562,"_497":498},["D",1773079200000],"Integrated Resources","Job Summary\nResponsible for the accurate setup and maintenance of provider records to ensure timely member access and correct provider reimbursement. Manages all implementation steps required to enroll providers in the Plan.

Qualifications

Education\nBachelor's degree or an equivalent combination of education, training, and experience required\nExperience

Minimum of 2 years of business experience in a managed care or healthcare environment\nCompetencies, Skills, and Attributes

bility to work independently and collaboratively in a team environment\nStrong organizational, time-management, and problem-solving skills with the ability to manage multiple priorities\nHigh attention to detail with the ability to accurately enter, proof, submit, and resolve data discrepancies\nProficiency in Microsoft Office applications, including Word, Excel, Outlook, Access, and PowerPoint\nExperience with or knowledge of ONYX, FACETS, or similar provider data and/or claims processing systems\nStrong verbal and written communication skills

","Job Summary\nResponsible for the accurate setup and maintenance of provider records to ensure timely member access and correct provider reimbursemen...",[554],{"_458":459,"_454":555,"_452":556,"_456":557},"New York","New York, NY, United States","NY",["B","2833078290"],"Work at Integrated Resources","/jobs/2833078290-provider-enrollment-representative","/jobs?keyword=Integrated+Resources","/jobs?location=New+York%2C+NY%2C+United+States",{"_435":434,"_439":564,"_470":471,"_462":565,"_248":566,"_446":567,"_433":434,"_113":568,"_437":199,"_438":199,"_472":471,"_448":199,"_449":569,"_431":575,"_473":576,"_436":120,"_488":577,"_478":578,"_490":568,"_491":579,"_493":580,"_495":581,"_497":582},["D",1774108800000],"Aston Carter","A corporate talent solutions provider is seeking an Accounts Receivable Specialist in Watertown, WI. The successful candidate will manage customer communications regarding past due invoices, maintain accurate records, and assist in various ad hoc projects. This is a hybrid position with in-office work required only on Wednesdays. The position offers competitive pay rates from $20.00 to $23.00 per hour and various benefits, including healthcare and a 401(k) Retirement Plan.\n#J-18808-Ljbffr\n","A corporate talent solutions provider is seeking an Accounts Receivable Specialist in Watertown, WI. The successful candidate will manage customer ...","Hybrid AR Specialist: Invoicing & Collections",[570],{"_458":459,"_454":571,"_452":572,"_456":573,"_460":574},"Watertown","Watertown, WI, United States, 53094","WI","53094",["B","2961835698"],"Work at Aston Carter","15 hours ago","/jobs/2961835698-hybrid-ar-specialist-invoicing-collections","Watertown, WI, United States","/jobs?keyword=Aston+Carter","/jobs?location=Watertown%2C+WI%2C+United+States","/jobs?keyword=Hybrid+AR+Specialist%3A+Invoicing+%26+Collections",{"_435":434,"_439":584,"_470":471,"_462":585,"_248":586,"_446":587,"_433":434,"_113":588,"_437":199,"_438":199,"_472":471,"_448":199,"_449":589,"_431":595,"_473":596,"_436":120,"_488":597,"_478":598,"_490":588,"_491":599,"_493":600,"_495":601,"_497":602},["D",1773597600000],"BeneSys","Provider Specialist (Lanham, MD)

Summary

- The Provider Specialist serves as the primary point of contact for healthcare providers, hospitals, and vendor partners regarding benefit, eligibility, and claims inquiries. This role requires strong communication and problem-solving skills to ensure timely and accurate responses to providers while maintaining compliance with plan provisions, policies, and client service standards. The Provider Specialist plays a key role in fostering positive provider relationships and ensuring the efficient resolution of claim-related issues within a Third-Party Administrator (TPA) environment.

Essential Duties and Responsibilities\nRespond to inbound phone calls, emails, and web inquiries from providers regarding claim status, benefits, eligibility, prior authorization, and payment information.\nResearch and resolve complex claim inquiries and discrepancies by reviewing plan documents, system records, and claim adjudication notes.\nProcess and track provider appeals and reconsiderations in accordance with plan policies and regulatory requirements.\nDocument all inquiries and resolutions accurately in the system to ensure proper tracking and follow-up.\nEscalate issues to appropriate internal departments (Claims, Eligibility, IT, Accounting, etc.) for further research or correction as needed.\nAssist providers with portal registration, navigation, and troubleshooting of web-based tools.\nIdentify trends or recurring issues impacting provider satisfaction and communicates findings to leadership.\nSupport audit requests, reporting, and other administrative duties related to provider relations and claims resolution.\nMaintain confidentiality and adheres to HIPAA and company privacy standards.\nDeliver exceptional customer service by ensuring courteous, professional, and accurate communication in all interactions.\nRegular and predictable attendance is an essential function of this job.\nKey Competencies for the Provider Specialist

Customer service excellence\nProblem solving and critical thinking\nTeam collaboration\nAccuracy and attention to detail\nTime management\nConfidentiality and professionalism\nEducation

High school diploma or equivalent, required\nAssociate or Bachelor's degree, preferred\nExperience

2+ years of experience in healthcare customer service, claims, or provider relations, preferred within a TPA, insurance carrier, or managed care organization\nWorking knowledge of medical billing, coding (ICD-10, CPT, HCPCS), and EOB interpretation, preferred\nSkills

Strong verbal and written communication skills\nProficient in MS Office and claims administration systems\nDetail-oriented with strong analytical and problem-solving skills\nAbility to multitask and manage a high volume of inquiries in a fast-paced environment\nCommitment to delivering high-quality service and maintaining positive provider relationships\nWork Schedule -

Full time. Monday - Friday, 8:30am - 5:00pm. Required in office (no at-home days).

Competitive Benefits and Compensation Package

13 paid holidays\nPaid Time Off (PTO)

Pro-rated during first year of employment\n15 days of PTO provided in the next calendar year!

Medical, dental and vision insurance, with option for dependent coverage\nEmployer-paid basic life\nLong-term disability and short-term disability insurance\n401(k) with employer match\nTuition reimbursement\nOur Culture

BeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees' successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.

Our culture focuses on three core values:

Collaboration: working together across 31 locations to achieve the best for the company and our clients\nDedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues\nIntegrity: doing what we say we will do. Upholding strong ethical and moral principles

ADA & EEO

Reasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job.\n","Provider Specialist (Lanham, MD)

Summary

- The Provider Specialist serves as the primary point of contact for healthcare provider...","Provider Specialist (Lanham, MD)",[590],{"_458":459,"_454":591,"_452":592,"_456":593,"_460":594},"Lanham","Lanham, MD, United States, 20706","MD","20706",["B","2894896552"],"Work at BeneSys","6 days ago","/jobs/2894896552-provider-specialist-lanham-md","Lanham, MD, United States","/jobs?keyword=BeneSys","/jobs?location=Lanham%2C+MD%2C+United+States","/jobs?keyword=Provider+Specialist+%28Lanham%2C+MD%29","actionData","errors"]