New 
Healthcare Network Management - $28+/hr - Weekly Pay
 TEKsystems | |
$27.00 - $30.00 / hr
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life insurance, sick time, 401(k), retirement plan
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 United States, Hawaii, Honolulu | |
 May 31, 2025 | |
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About the Role We're seeking a highly communicative and detail-oriented professional to support a critical initiative involving physician and facility claims. This role bridges claims processing, provider relations, and network management, ensuring accurate reimbursement practices and smooth provider transitions. Serve as the primary liaison between health insurance and healthcare providers to explain changes in reimbursement practices.
Key Responsibilities * Claims Oversight & Processing * Manage and review physician and facility claims, ensuring appropriate reimbursement. * Coordinate with vendors to avoid duplicate payments for facility claims already reimbursed. * Provider Communication & Support * Serve as the primary liaison with providers (especially hospitals) to explain changes in reimbursement practices. * Deliver sensitive messages tactfully and gather provider feedback. * Provide in-person support as needed-must have reliable transportation * Implementation & Coordination * Work closely with internal teams and providers before, during, and after implementation. * Track and report provider concerns and implementation progress to internal stakeholders. * Ensure end-to-end communication and follow-through on all issues. Qualifications * Required: * Excellent communication skills-diplomatic, empathetic, and clear. * Strong attention to detail and investigative mindset. * Experience with claims processing, editing, or related research. * Ability to work independently and manage complex workflows. * Experience in healthcare or working directly with healthcare providers. Additional Details * Hybrid role with occasional in-person provider visits. * Must have a valid driver's license and access to a personal vehicle. *Pay and Benefits* The pay range for this position is $27.00 - $30.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) *Workplace Type* This is a fully onsite position in Honolulu,HI. *Application Deadline* This position is anticipated to close on Jun 13, 2025. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. | |