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Remote Provider Network Management Jobs in Florida

Baptist Health Care

Coder I- Remote/CPC

Pensacola, FL · Remote

$20 - $26.50/hr

... provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non ... Communicate questions or concerns to the Coding Manager, HIM Services Director, or BHC's Revenue ...

Baptist Health Care

Coder I- Remote/CPC

Pensacola, FL · Remote

$21.50 - $28.50/hr

... provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non ... Communicate questions or concerns to the Coding Manager, HIM Services Director, or BHC's Revenue ...

Baptist Health Care

Coder I- Remote/CPC

Pensacola, FL · Remote

$21.50 - $28.50/hr

... provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non ... Communicate questions or concerns to the Coding Manager, HIM Services Director, or BHC's Revenue ...

Baptist Health Care

Coder I- Remote/CPC

Pensacola, FL · On-site +1

$20 - $26.50/hr

Communicate questions or concerns to the Coding Manager, HIM Services Director, or BHC's Revenue ... provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non ...

GrayMatter

OT Field Network Engineer II

Tampa, FL · Remote

$155K - $180K/hr

This role is remote with the expectation of 50% travel to local amp; regional clients in Florida ... Design, consult, and provide recommendations for securing IT and OT networks and systems.

Bennett Thrasher LLP

Network Consultant

Fort Myers, FL · On-site +1

As a Network Consultant at Bennett Thrasher, you will provide reliable services to help manage our clients' IT environments. You will visit client sites to resolve IT related issues, managing the ...

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Remote Provider Network Management information

What are the key skills and qualifications needed to thrive as a remote provider network management professional?

To thrive in Remote Provider Network Management, you need expertise in healthcare provider relations, contract negotiation, and a solid understanding of health plan regulations, often supported by a degree in healthcare administration or a related field. Familiarity with provider network management software, data analytics tools, and knowledge of regulations like HIPAA are typically required. Excellent communication, problem-solving abilities, and attention to detail are essential soft skills for building strong partnerships and managing network performance. These skills and qualifications ensure efficient network operations, regulatory compliance, and high-quality service for both providers and members.

What is the difference between Remote Provider Network Management vs Remote Provider Relations Specialist?

AspectRemote Provider Network ManagementRemote Provider Relations Specialist
CredentialsHealthcare administration, network management certificationsCustomer service, healthcare communication certifications
Work EnvironmentHealthcare organizations, insurance companies, remote office settingsHealthcare providers, insurance companies, remote customer support
Industry UsageManaging provider networks, credentialing, contractingBuilding provider relationships, resolving provider issues

Remote Provider Network Management focuses on overseeing healthcare provider networks, including credentialing and contracting. In contrast, Remote Provider Relations Specialists primarily handle communication and relationship-building with providers. Both roles require healthcare knowledge but differ in their core responsibilities and focus areas.

How does a remote provider network management professional typically collaborate with healthcare providers and internal teams?

Remote Provider Network Management professionals frequently coordinate with healthcare providers via virtual meetings, emails, and secure online portals to address contract negotiations, credentialing, and performance issues. They also work closely with internal departments such as claims, quality assurance, and customer service to ensure seamless provider onboarding and ongoing support. Effective communication and strong relationship-building skills are essential, as much of the collaboration happens through digital channels. This setup allows for flexibility but requires self-motivation and proactive engagement to maintain strong provider networks.

What is remote provider network management?

A Remote Provider Network Management role involves overseeing relationships and contracts with healthcare providers, such as doctors, hospitals, and clinics, while working remotely. Professionals in this field are responsible for recruiting new providers, maintaining communication, ensuring compliance with regulations, and addressing network issues. They play a key part in expanding and maintaining a healthcare organization's provider network to ensure members have access to quality care. This job typically requires strong organizational, negotiation, and communication skills, as well as familiarity with healthcare regulations and provider credentialing processes.
What are the most commonly searched types of Provider Network Management jobs in Florida? The most popular types of Provider Network Management jobs in Florida are:
What are popular job titles related to Remote Provider Network Management jobs in Florida? For Remote Provider Network Management jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Provider Network Management jobs in Florida look for? The top searched job categories for Remote Provider Network Management jobs in Florida are:
What cities in Florida are hiring for Remote Provider Network Management jobs? Cities in Florida with the most Remote Provider Network Management job openings:
Remote Provider Network Management jobs near you

Insurance Follow Up Representative I- Remote

Baptist Health Care

Pensacola, FL • Remote

$15 - $17/hr

Full-time

Re-posted 7 days ago

Job description

Pay Range: $15 - $17/hr

The Insurance Follow Up Rep is responsible for various tasks in the accounts receivables reconciliation process.

Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida. 

Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law. Certain positions may require a Level 2 Background check through AHCA.  Additional information about this requirement can be found here: Florida Care Provider Background Screening Clearinghouse

Minimum Education

  • High School Diploma or Equivalent Required


Minimum Work Experience

  • 6 months Relevant revenue cycle experience Required
  • Experience with health care insurance collections Preferred
  • Responsible for the accounts receivables reconciliation process for patient accounts including but not limited to: examining, correcting and consistently updating patient health information to ensure accurate insurance payment/follow-up and applying appropriate contractual allowances.
  • Resolves patient and insurance carrier inquiries in a timely manner to avoid increasing A/R days.
  • Uses on-line systems provided by multiple payers to verify eligibility and benefits as well as checking claim status appropriately.
  • Makes telephone calls to the payer to ensure receipt of claims filing and payment on submitted claims.
  • Maintains appropriate/consistent documentation on accounts worked utilizing the accounts receivables work listing or patient accounting system.
  • Identifies non-payment trends by payer and notify management and comes to the table with potential solutions to these non-payment trends.
  • Applies proper account management principles to accounts to ensure accurate follow up.
Baptist Health Care logo

About Baptist Health Care

Sourced by ZipRecruiter

Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Pensacola, FL, US

Year founded

1951

Social media

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