Healthcare Admin

  • location: Hamden, CT
  • type: Contract
  • salary: $17 per hour
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job description

Healthcare Admin

job summary:
Provider Operations Coordinator

Job Summary

Supports the Provider Relations Field Representative to achieve department goals. Answer incoming telephone inquiries from providers and assist with problem resolution of issues. Coordinate submission of provider to internal departments via contract maintenance forms.

Responsibilities

  • 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.
  • Performs special projects as assigned or directed.
Qualifications

  • Education: A High School or GED Required---An Associate's Degree in a related field Preferred.
  • Experience: 1+ year of experience in customer service or claims with exposure to problem resolution required.
  • Technology: Microsoft Outlook, Word, Excel required; Salesforce Preferred.
  • Demonstrated problem solving skills
  • Demonstrated interpersonal/verbal communication skills I
  • Demonstrated written communication skills
  • Demonstrated organizational skills
  • Demonstrated time management and priority setting skills
  • Demonstrated analytical skills
 
location: Hamden, Connecticut
job type: Contract
work hours: 8 to 5
education: Associate's degree
experience: 1 Years
 
responsibilities:
Responsibilities

  • 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.
  • Performs special projects as assigned or directed.
 
qualifications:
Qualifications

  • Education: A High School or GED Required---An Associate's Degree in a related field Preferred.
  • Experience: 1+ year of experience in customer service or claims with exposure to problem resolution required.
  • Technology: Microsoft Outlook, Word, Excel required; Salesforce Preferred.
  • Demonstrated problem solving skills
  • Demonstrated interpersonal/verbal communication skills I
  • Demonstrated written communication skills
  • Demonstrated organizational skills
  • Demonstrated time management and priority setting skills
  • Demonstrated analytical skills
 
skills: Customer Service
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

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