Marilyn Bland
Referral Specialist Ii @Centene Corporation
Signup · Get unlimited contacts
WORK HISTORY
Referral Specialist Ii @Centene Corporation
Raleigh, NC, US
Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform training, orientation and coaching for performance improvement within physician practices.Serve as primary contact for providers serving as a liaison between the provider and the health planConduct monthly face to face meetings with the providers documenting discussions, issues, attendees, and action items researching claims issues on-site and routing to the appropriate party for resolutionReceive and respond to external provider related issuesInitiate entry or change of provider related database informationRecommend changes in pricing subsystemsAuthor change requests and oversee through testing and completion.Investigate and communicate provider changesEducate providers regarding policies and procedures related to referrals and claims submission; web site education, EDI solicitation and problem solving (liaison responsibilities)Perform Provider orientations (includes writing/updating orientation material when necessary)
EDUCATION
Fayetteville Technical Community College
Associate's degree, Funeral Direction/Service
East Carolina University
Bachelor's Science Degree, Therapeutic Recreation/Recreational Therapy
SKILLS
ABOUT MARILYN BLAND
Analytical, organized and detail-oriented healthcare and administrative professional with…
This profile is compiled from publicly available professional sources. Unifers is not affiliated with or endorsed by LinkedIn. Request removal of this profile.