Liberty Health Advantage Work Values

Daily Duties at Liberty Health Advantage:

Oversaw the provider network within a predetermined territory, expand the network, credentialing/re-credentialing and contract with individual, large groups and ancillary providers. Assisted with the restructuring of credentialing within the provider services department by developing new workflow processes. Ensured the Plan upholds its compliance with all government agencies through internal audits. • Identified weaknesses within the network • Performed and documented site surveys during the credentialing and re-credentialing process. • Researched and solved escalated provider issues • Recruited providers to contract with the Plan • Resolved claim issues while maintaining positive relationships • Assisted in the development, redesign, and implementation of departmental work processes, policies and procedures • Interfaced with providers concerning various critical issues, including, but not limited to: member issues, claims resolution, network termination, authorizations, and pre-certification • Led monthly Credentialing Committee Meetings

What they like about Liberty Health Advantage:

Working in an organization that is technologically advanced, creative, and innovative is critical in your assessment of hiring companies. Less important to you are stability of the organization, the length of time an organization has been in business, and the business' plans for the future. You prefer a fast-moving company that will take risks to achieve its goals and objectives. The length of time the company has been in business is irrelevant. Maintaining status quo is unnecessary. You thrive on change, uncertainty and the upside of potential business risks, especially those associated with innovation. Stability for the long haul is not nearly as important as is working in an atmosphere that is charged with a sense of urgency and constant change.

Tags

Provider Relations, Manager, Provider Contracting, Director, Provider Claims , Provider Data Management, Provider Credentialing , Provider Recruiting, Project Management, Project Manager, Management, Marketing Management, Medicare, Root Cause Analysis, Account Manager, Banking Industry

Skills

Project Management, Project Manager, Management, Marketing Management, Medicare, Root Cause Analysis, Account Manager, Banking Industry, MS Word, Excel, Sharepoint, Visio, Powerpoint, Salesforce, Outlook, Facets, Contracting, Credentialing, Network Management, Medicaid, Audit Reveiw, Leadership, Network Development

These are some of the questions we asked our climbers about their experiences with Liberty Health Advantage: