Medical Claims Representative from Innova Solutions

 

Hello,

 

 

Please review below the job posting template:

 

 

Innova Solutions is immediately hiring for a Medical Claims Representative

 

Position type: Full Time/Contract

 

Location: Tulsa, Oklahoma 74119

Duration : 2 year plus contract(possible converted into Full Time)

3 Days Onsite, 2 Days Remote

Pay Rate: $19-22/hr. on w2. 

 

As a Medical Claims Representative you will:

 

Job Description:

 

This position is responsible for the analyzing, researching, and applying business rules to complete requests received from providers regarding adds/deletes/changes to their information used for claims processing, membership assignment, and directory purposes. This position is responsible for contracting, credentialing and maintaining Facility / Professional provider data to support marketing, network contracting across all lines of business. This role involves supporting the implementation of special projects, assisting with tracking of various phases of a project and managing workflow. This position includes assisting management in familiarizing and training team members with the various business rules in network contracting and credentialing across all lines of business. In addition is responsible for identifying gaps in processes and suggesting process improvement strategies.

 

 

 

Required Job Qualifications:

 

Bachelor degree plus 1 year of experience with Provider Network contracting and credentialing systems OR 5 years of experience in the Health Care industry.

 

Written and verbal communication skills including interpersonal skills. Skills to develop training materials and act as an advisor to staff

 

Experience and proficiency inn Microsoft Office software products including analytical tools. Experience developing reports.

 

 

 

Preferred Job Qualifications:

 

Subject Matter Expert for the Professional Provider Credentialing Process

 

2 years of experience with current government sponsored health insurance networks

 

Knowledge of health care delivery systems, claim costing analytics, and provider network adequacy analytics

 

 

 

 

 

 

 

Qualified candidates should APPLY NOW for immediate consideration!  Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.

 

We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines.   ASK ME HOW.

 

 

 

Thank you!

 

Sumit Verma

 

Associate – Recruitment

 

Sumit.Verma@innovasolutions.com

 952-373-8983

 

 

 

PAY RANGE AND BENEFITS:

 

Pay Range*: $19-$22 per hour on W2

 

*Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

 

 

 

Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).

 

 

 

ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

 

 

 

Recent Recognitions:

 

One of Largest IT Consulting Staffing firms in the USA – Recognized as #4 by Staffing Industry Analysts (SIA 2022)

ClearlyRated® Client Diamond Award Winner (2020)

One of the Largest Certified MBE Companies in the NMSDC Network (2022)

Advanced Tier Services partner with AWS and Gold with MS

 

 

Website: https://www.innovasolutions.com /

 

 

 

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any otherstatus protected by the statutes, rules, and regulations in the locations where it operates.  If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at hr@innovasolutions.com or (770) 493-5588. Please indicate the specifics of the assistance needed.  Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities.   Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b.

 

The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws.