PeakTPA provides services that optimize your organization's financial management and fulfill regulatory requirements for health plan functions. Our expertise in health plan management, particularly in PACE, means you can focus on delivering high-quality care to your participants.
Summary: Under the supervision of the Client Service Manager and Provider Network Supervisor, the Provider Network Specialist is responsible for creating provider records in the claims processing system and linking records to the appropriate fee schedule. This position is also responsible for analyzing and interpreting provider contracts to ensure accurate reimbursement.
May be on-site or remote if internet requirements, and other specific requirements, are met.
Supervisory Responsibility: None
Travel: Minimal travel, less than 10%, expected for this position
Knowledge, Skills and Abilities:
Physical Demands & Requirements:
This position is currently not accepting applications.
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