Overview:
RiverSpring Health Plans, is part of a group of long term care affiliates under the brand name of RiverSpring Living. RiverSpring Living provides a full range of care solutions including nursing home care, managed long term care, assisted living programs, senior housing, rehabilitation services and specialized services such as elder abuse prevention and memory care. Collectively, RiverSpring Living empowers over 18,000 patients, residents and members to live forward every day. RiverSpring Health Plans is looking for a full time Provider Network Analyst to join our dynamic team!
Responsibilities:
The Provider Network Specialist is responsible for processing credentialing and re-credentialing applications of providers, vendors and facilities. S/he will review provider applications, perform primary source verification and maintain the Intellicred database, provider contacts, including medical office staff, licensing agencies, and insurance carriers to complete credentialing and re-credentialing applications. S/he will lead, coordinate, and monitor the review and analysis of provider applications and accompanying documents, ensuring the applicant eligibility.
Qualifications:
Bachelor’s degree, (3) three years of related experience. Strong verbal and written communications skills. Must be detailed oriented and have the ability to meet stringent deadlines and adjust priorities. Proficient in MicroSoft Office.
EOE
Location: 80 West 225th Street,2nd Floor, Bronx, NY 10463

Location: 80 West 225th Street,2nd Floor, Bronx, NY 10463

Job Type: Full-time

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