Our culture promotes an environment where individuality and diverse mindsets collaborate and inspire each other to be better. Our enthusiastic and invaluable team members are encouraged and empowered to create reliable top-drawer solutions, not only for our internal but for our external stakeholders as well.
Our core values and purpose-driven mindset fostering continuous and never-ending improvement (C.A.N.I.) are evident and palpable throughout our organization and kept alive by our team. PNS is a company where you will be embraced by colleagues who want to see you grow in an environment where you will be inspired to become the very best version of yourself.
COMMITTED TO TEAM SUCCESS
TREAT EACH OTHER LIKE FAMILY
CHALLENGE OURSELVES TO BE BETTER
C.A.N.I. ATTITUDE
WE GOT YOU
EVERY VOICE MATTERS
It’s simple. We are more than a workplace.
To us, you are more than an employee. We strive to provide you a place to grow, achieve, and succeed! We have accomplished this through:
We are always eager to meet fresh talent. Here, at Provider Network Solutions, you’ll do more than join an organization— you’ll become part of the family.
There is a place here for every kind of brilliant.
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Join our Team today!
Location: Miami, FL – Full Time
The Claims Examiner I is responsible for processing submitted electronic claims to ensure proper filing procedures and that processing guidelines and rules have been followed. The Claims Examiner I also validates claim or referral submissions to determine, review, or apply appropriate guidelines, coding, member identification processes, provider selection processes, claim coding, including procedure, diagnosis, and pre-coding requirements.
Location: Miami, FL – Full Time
Supports the Contracting and Credentialing Department’s new groups contracting and credentialing needs to achieve department goals, according to the Department’s Policies and Procedures. Coordinates network provider submissions, such as, provider applications and network agreements to internal systems and departments (i.e., Health Plan partners, External Customers, Credentialing System, PR Site, Quick Cap, etc.).
Location: Gainesville, FL – Full Time
Manages physician contracting and network development functions for developing, executing and maintaining a provider network strategy statewide. Works in concert with medical management and the Provider Servicing Department in developing actions to meet market growth and medical cost targets.
Location: Fort Myers, FL – Full Time
Manages physician contracting and network development functions for developing, executing and maintaining a provider network strategy statewide. Works in concert with medical management and the Provider Servicing Department in developing actions to meet market growth and medical cost targets.
Location: Miami, FL – Full Time
Customer Service Specialist is responsible for providing support to network providers, medical offices and billing companies. The customer service specialist will answer questions regarding eligibility, authorization, network guidelines, claims status and general health plan information.
Location: Miami, FL – Full Time
The Network Management Administrative Assistant supports the Vice President of Network Management to achieve all departmental goals. Coordinates all network management research and meetings. In addition to managing calendars, this role will be responsible for creating agendas, taking meeting minutes, and other clerical duties.
Location: West Palm Beach, FL – Full Time
Manages all Specialty Physician networks by developing and maintaining relationships to drive business results within a specific geographic area. Provides service and education to Network groups and staff. Achieves company targets through implementation of the policies and procedures.
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At Provider Network Solutions, we’ve worked throughout the company to comply with privacy provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA), a federal law designed to ensure the privacy of personal and health information. In addition to all federal laws, Provider Network Solutions also complies with all state laws and regulations. If you have any questions or would like to report any issues regarding our Privacy Program, please email our Privacy team at privacy@pns-mgmt.com.
Provider Network Solutions, its subsidiaries, and its affiliates’ certification decisions are based only on the appropriateness of care and service and the existence of coverage. Provider Network Solutions, its subsidiaries, and its affiliates do not reward physician reviewers, case managers, employees, practitioners, or other individuals for issuing denials of coverage or service. Provider Network Solutions, its subsidiaries, and its affiliates do not pay incentives to physician reviewers, case managers, employees, practitioners, or other individuals to reduce the provision of care which is deemed medically necessary. Provider Network Solutions, its subsidiaries, and its affiliates do not give financial incentives to physician reviewers, case managers, employees, practitioners, or other individuals to encourage decisions that result in under-utilization of care or services.
We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. You may access the Nondiscrimination and Accessibility notice by clicking here.
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