Senior Provider Partnership Associate The Provider Network Services Senior Provider Partnership ... Ensures the resolution to issues related to complex claims payment, provider data file maintenance ...
Senior Provider Partnership Associate The Provider Network Services Senior Provider Partnership ... Ensures the resolution to issues related to complex claims payment, provider data file maintenance ...
Commercial Litigation Associate Attorney
Wilmington, DE · Hybrid
$205K - $225K/yr
Direct Counsel is seeking a Litigation Associate to join a growing commercial litigation practice ... Handle all phases of complex commercial litigation matters from inception through resolution
Quick apply
Commercial Litigation Associate Attorney
Wilmington, DE · Hybrid
$205K - $225K/yr
Direct Counsel is seeking a Litigation Associate to join a growing commercial litigation practice ... Handle all phases of complex commercial litigation matters from inception through resolution
Litigation Associate (DE)
$230K - $360K/yr
Litigation Associate Based in Wilmington, DE, we are a sophisticated and dynamic law firm known for ... Handle sophisticated commercial litigation matters from inception through resolution including ...
Quick apply
Litigation Associate (DE)
$230K - $360K/yr
Litigation Associate Based in Wilmington, DE, we are a sophisticated and dynamic law firm known for ... Handle sophisticated commercial litigation matters from inception through resolution including ...
Front Desk Associate
Conshohocken, PA · On-site
The Associate is the face of the facility, offering friendly assistance to all who enter ... Answer and manage incoming inquiries and document the follow up/resolution in the customer inquiry ...
Front Desk Associate
Conshohocken, PA · On-site
The Associate is the face of the facility, offering friendly assistance to all who enter ... Answer and manage incoming inquiries and document the follow up/resolution in the customer inquiry ...
Principal Associate, Agile Accounting Does the idea of working with professional, highly trained ... resolution. * Act as the primary point of contact for Financial Services Accounting projects ...
Principal Associate, Agile Accounting Does the idea of working with professional, highly trained ... resolution. * Act as the primary point of contact for Financial Services Accounting projects ...
Front Desk Associate
Newtown Square, PA · On-site
$19/hr
The Associate is the face of the facility, offering friendly assistance to all who enter ... Answer and manage incoming inquiries and document the follow up/resolution in the customer inquiry ...
Front Desk Associate
Newtown Square, PA · On-site
$19/hr
The Associate is the face of the facility, offering friendly assistance to all who enter ... Answer and manage incoming inquiries and document the follow up/resolution in the customer inquiry ...
Front Desk Associate
Newtown Square, PA · On-site
$13.50 - $17.25/hr
The Associate is the face of the facility, offering friendly assistance to all who enter ... Answer and manage incoming inquiries and document the follow up/resolution in the customer inquiry ...
Front Desk Associate
Newtown Square, PA · On-site
$13.50 - $17.25/hr
The Associate is the face of the facility, offering friendly assistance to all who enter ... Answer and manage incoming inquiries and document the follow up/resolution in the customer inquiry ...
Front Desk Associate
Conshohocken, PA · On-site
$18 - $20/hr
The Associate is the face of the facility, offering friendly assistance to all who enter ... Answer and manage incoming inquiries and document the follow up/resolution in the customer inquiry ...
Front Desk Associate
Conshohocken, PA · On-site
$18 - $20/hr
The Associate is the face of the facility, offering friendly assistance to all who enter ... Answer and manage incoming inquiries and document the follow up/resolution in the customer inquiry ...
Front Desk Associate
Newtown Square, PA · On-site
$19/hr
The Associate is the face of the facility, offering friendly assistance to all who enter ... Answer and manage incoming inquiries and document the follow up/resolution in the customer inquiry ...
Front Desk Associate
Newtown Square, PA · On-site
$19/hr
The Associate is the face of the facility, offering friendly assistance to all who enter ... Answer and manage incoming inquiries and document the follow up/resolution in the customer inquiry ...
Front Desk Associate
Conshohocken, PA · On-site
$18 - $20/hr
The Associate is the face of the facility, offering friendly assistance to all who enter ... Answer and manage incoming inquiries and document the follow up/resolution in the customer inquiry ...
Front Desk Associate
Conshohocken, PA · On-site
$18 - $20/hr
The Associate is the face of the facility, offering friendly assistance to all who enter ... Answer and manage incoming inquiries and document the follow up/resolution in the customer inquiry ...
Associate Attorney
Philadelphia, PA · On-site
$92K - $132K/yr
The Associate Attorney achieves resolution of client issues through routine negotiation and/or litigation requiring fundamental legal knowledge and experience, and practices other phases of law on ...
Associate Attorney
Philadelphia, PA · On-site
$92K - $132K/yr
The Associate Attorney achieves resolution of client issues through routine negotiation and/or litigation requiring fundamental legal knowledge and experience, and practices other phases of law on ...
Associate Attorney
Philadelphia, PA · On-site
$92K - $132K/yr
The Associate Attorney achieves resolution of client issues through routine negotiation and/or litigation requiring fundamental legal knowledge and experience, and practices other phases of law on ...
Associate Attorney
Philadelphia, PA · On-site
$92K - $132K/yr
The Associate Attorney achieves resolution of client issues through routine negotiation and/or litigation requiring fundamental legal knowledge and experience, and practices other phases of law on ...
Sales Associate
Philadelphia, PA · On-site
$13.25 - $18/hr
Positively resolve customer service-related issues as they arise and determine resolution or ... Additionally, part-time associates may be eligible to receive paid sick leave, public health ...
Sales Associate
Philadelphia, PA · On-site
$13.25 - $18/hr
Positively resolve customer service-related issues as they arise and determine resolution or ... Additionally, part-time associates may be eligible to receive paid sick leave, public health ...
Sales Associate
Philadelphia, PA · On-site
$13.25 - $18/hr
The Sales Associate is responsible for providing a great in-store shopping experience for our ... Positively resolve customer service-related issues as they arise and determine resolution or ...
Sales Associate
Philadelphia, PA · On-site
$13.25 - $18/hr
The Sales Associate is responsible for providing a great in-store shopping experience for our ... Positively resolve customer service-related issues as they arise and determine resolution or ...
Sales Associate
Philadelphia, PA · On-site
$13.25 - $18/hr
The Sales Associate is responsible for providing a great in-store shopping experience for our ... Positively resolve customer service-related issues as they arise and determine resolution or ...
Sales Associate
Philadelphia, PA · On-site
$13.25 - $18/hr
The Sales Associate is responsible for providing a great in-store shopping experience for our ... Positively resolve customer service-related issues as they arise and determine resolution or ...
Warehouse Associate, Outbound
Swedesboro, NJ · On-site
$21.80/hr
Work on routine assignments that require problem resolution. * Participate in associate meetings and communicate any concerns to management. * Perform all job duties in accordance with OSHA standards ...
Warehouse Associate, Outbound
Swedesboro, NJ · On-site
$21.80/hr
Work on routine assignments that require problem resolution. * Participate in associate meetings and communicate any concerns to management. * Perform all job duties in accordance with OSHA standards ...
Associate - Philadelphia
Philadelphia, PA · On-site
... associate in the civil defense litigation group in our Philadelphia office, working on a broad ... Manage a diverse caseload from inception through resolution. * Oversee and contribute towards case ...
Quick apply
Associate - Philadelphia
Philadelphia, PA · On-site
... associate in the civil defense litigation group in our Philadelphia office, working on a broad ... Manage a diverse caseload from inception through resolution. * Oversee and contribute towards case ...
Warehouse Associate, Outbound
Swedesboro, NJ · On-site
$21.80/hr
Work on routine assignments that require problem resolution. Participate in associate meetings and communicate any concerns to management. Perform all job duties in accordance with OSHA standards and ...
Warehouse Associate, Outbound
Swedesboro, NJ · On-site
$21.80/hr
Work on routine assignments that require problem resolution. Participate in associate meetings and communicate any concerns to management. Perform all job duties in accordance with OSHA standards and ...
Complex Litigation Associate Attorney This position offers a flexible, hybrid working arrangement ... Independently manage a diverse litigation caseload from inception through resolution * Work closely ...
Quick apply
Complex Litigation Associate Attorney This position offers a flexible, hybrid working arrangement ... Independently manage a diverse litigation caseload from inception through resolution * Work closely ...
Client Services Associate
Chadds Ford, PA · On-site
... and resolution of any issues. * Participate in traditional and e-learning program. * Work ... Associate, apply today! #INDPE2023
Quick apply
Client Services Associate
Chadds Ford, PA · On-site
... and resolution of any issues. * Participate in traditional and e-learning program. * Work ... Associate, apply today! #INDPE2023
Resolution Associate information
See Philadelphia, PA salary details
$10.43 - $11.44
1% of jobs
$11.44 - $12.46
0% of jobs
$12.46 - $13.47
1% of jobs
$13.47 - $14.49
4% of jobs
$14.49 - $15.50
9% of jobs
$15.91 is the 25th percentile. Wages below this are outliers.
$15.50 - $16.52
23% of jobs
The median wage is $17.02 / hr.
$16.52 - $17.53
22% of jobs
$17.53 - $18.55
14% of jobs
$18.57 is the 75th percentile. Wages above this are outliers.
$18.55 - $19.56
12% of jobs
$19.56 - $20.57
9% of jobs
$20.57 - $21.59
4% of jobs
$10
$17
$21
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Re-posted 7 days ago
Independence Blue Cross rating
8.6
Based on 25 frontline employees who took The Breakroom Quiz
88th of 304 rated insurance
Job description
The Provider Network Services Senior Provider Partnership Associate supports Integrated Delivery Health Systems (IDS) and community providers including but not limited to primary care physicians, specialists, ancillary, behavioral health, and institutional providers in Pennsylvania and Delaware. Independently researches, analyzes, and addresses provider issues and concerns to achieve expected goals/outcomes within the set timeframes. Proactively educates providers on new initiatives and policy changes that impact their claims payments, including outreach for UM Vendor Management Programs. Establishes and maintains professional and effective relationships between IBC and network providers to continually improve provider satisfaction. Ensures the resolution to issues related to complex claims payment, provider data file maintenance, Quality Incentive Payments (QIPS), capitation, and medical policy. Maintains and updates the appropriate tracking issues database with current statuses and next steps. Collaborates with other departments within the organization to assist with resolution of complex provider issues.
1. The candidate must have a bachelor's degree or equivalent work experience.
2. Minimum five years' progressive experience in a health-care related organization is required, with experience in Provider Networks, Contracting, Claims Processing or Managed Care Operations strongly preferred.
3. Knowledge of professional billing requirements, reimbursement methodology, IBC/AmeriHealth products, medical policy, and benefits.
4. Proficiency with Outlook, Word, Access, and Excel (including pivot tables, filters, and formulas).
5. Experience using multiple IBC systems and the suite of enGen applications including but not limited to: INSINQ, OCWA, OSCAR, HRP, Aerial, OneHub, Provider Profiles, and PGRS.
6. Proven ability to conduct educational programs using a multi-media approach to small and large groups.
7. Prior experience in a service-oriented role strongly preferred.
8. The candidate must be self-motivated with strong interpersonal, analytical, problem-solving, organizational, time management, and written and verbal communications skills.
9. Ability to independently manage multiple priorities with varying levels of complexity and customer expectations to a successful conclusion with limited supervision is essential, as is the ability to interact effectively with all levels of management, including medical directors.
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.
What Independence Blue Cross employees say
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Benefits
Hours and flexibility
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About Independence Blue Cross
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1938