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Provider Operations Coordinator

HealthcareSupport Staffing

Brentwood, TNFull-timePosted 11y agoStill listed 5 days ago

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At a glance

Compensation
No compensation found
Location
Brentwood, TN
Schedule
Full-time
Work Authorization
US work authorization required

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Job overview

HealthcareSupport Staffing is hiring a Provider Operations Coordinator. The Provider Operations Coordinator supports Provider Relations Field Representatives in resolving claims and payment issues. This role involves answering provider inquiries, performing root cause analysis of operational and health services issues, and processing various paperwork including credentialing applications and contract maintenance forms. The coordinator also tracks new contracts and audits configuration loads.

Key focus areas include Support Provider Relations Field Reps to resolve claims and payment issues, Answer incoming telephone inquiries from providers and assist with problem resolution, and Perform root cause analysis of operational and health services issues.

Successful candidates bring GED Or High School Diploma, 1+ Year Customer Service Experience, and 1+ Year Claims Experience. Important skills include Problem Resolution. Preferred (not required): Root Cause Analysis, Project Management, and Data Analysis.

Skills & qualifications

RequiredNice to have

Skills

Problem ResolutionRoot Cause AnalysisProject ManagementData Analysis

Qualifications

GED or High School Diploma1+ Year Customer Service Experience1+ Year Claims ExperienceHealthcare Experience

Full job description

Company Job Description/Day to Day Duties:

  • Supports the Provider Relations Field Reps to resolve claims and payment issues.

  • Answers incoming telephone inquiries from providers and assist with problem resolution of issues.

  • Root cause analysis of operational and health services issues.

  • Reviews and processes incoming and outgoing paperwork, including directory updates, provider credentialing applications, contract maintenance forms and other related forms.

  • Tracks new contracts through sidewinder.

  • Audits configuration loads on new contracts.

  • Provides office, project management, provider recruitment and data analysis support.

  • Special Projects as assigned or directed

GED or high school diploma

1+ year of experience in customer service or claims with exposure to problem resolution Required- Healthcare required

Are you an experienced Customer Service Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your CSR career by joining a rapidly growing company? If you answered “yes" to any of these questions – Then this CSRposition is for you!

If you are interested, please contact Krishna Gapuz at 321-574-6926

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