Innova Solutions
Helena West Side, MT, USA
Hello, Innova Solutions is immediately hiring for a (Network Provider consultant-Claims/Policies/Credentials Specialist) Position type: Fulltime/Contract Duration: 17 months contract Location: Chicago HQ, Tulsa OK, ABQ New Mexico and Helena Montana Work Mode: 100% Onsite As a Network Provider consultant-Claims/Policies/Credentials Specialist), You will: Job Description: This position is responsible for analyzing, researching, and applying business rules to fulfill requests from providers regarding additions, deletions, and changes to their information used for claims processing, membership assignment, and directory purposes. The role involves contracting, credentialing, and maintaining facility and professional provider data to support marketing and network contracting across all lines of business. Key responsibilities include supporting the implementation of special projects, tracking various phases of projects, and managing workflow. Additionally,...