Provider Operations Coordinator

  • location: Brentwood, TN
  • type: Contract
  • salary: $20.38 per hour
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job description

Provider Operations Coordinator

job summary:
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.
ESSENTIAL FUNCTIONS

Note: The following is not intended to be an exhaustive list of all duties required of this position

Key Duties and 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.
Additional Position Responsibilities Optional MINIMUM QUALIFICATIONS Education State the minimum required for the job Education Level Education Details Required/Preferred

  • A High School or GED Required
  • An Associate's Degree in a related field Preferred
Work Experience State the minimum required for the job Experience Level Experience Details Required/Preferred

1+ year of experience in customer service or claims with exposure to problem resolution RequiredNo Experience Required

Licenses and Certifications List professional licenses and certifications associated with this job

Licenses/Certifications Other Licenses/Certifications Required/Preferred

Skills State the minimum required for the job Skill Sets Other Skills Proficiency

  • Demonstrated problem solving skills Beginner
  • Demonstrated interpersonal/verbal communication skills Intermediate
  • Demonstrated written communication skills Beginner
  • Demonstrated organizational skills Intermediate
  • Demonstrated time management and priority setting skills Intermediate
  • Demonstrated analytical skills Intermediate
Technology List technical skills associated with the job

Technology Other Technology Proficiency Required/Preferred

  • Microsoft Outlook Intermediate Required
  • Microsoft Word Beginner Required
  • Microsoft Excel Beginner Required
  • SalesForce Beginner Preferred
  • Sidewinder Beginner Preferred Languages
List all that apply Languages Other Languages Required/Preferred

 
location: Brentwood, Tennessee
job type: Contract
work hours: 8 to 5
education: Associate's degree
experience: 1 Years
 
responsibilities:
Key Duties and 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.
Additional Position Responsibilities Optional MINIMUM QUALIFICATIONS Education State the minimum required for the job Education Level Education Details Required/Preferred

  • A High School or GED Required
  • An Associate's Degree in a related field Preferred
Work Experience State the minimum required for the job Experience Level Experience Details Required/Preferred

1+ year of experience in customer service or claims with exposure to problem resolution RequiredNo Experience Required

Licenses and Certifications List professional licenses and certifications associated with this job

Licenses/Certifications Other Licenses/Certifications Required/Preferred

 
qualifications:
Skills State the minimum required for the job Skill Sets Other Skills Proficiency

  • Demonstrated problem solving skills Beginner
  • Demonstrated interpersonal/verbal communication skills Intermediate
  • Demonstrated written communication skills Beginner
  • Demonstrated organizational skills Intermediate
  • Demonstrated time management and priority setting skills Intermediate
  • Demonstrated analytical skills Intermediate
Technology List technical skills associated with the job

Technology Other Technology Proficiency Required/Preferred

  • Microsoft Outlook Intermediate Required
  • Microsoft Word Beginner Required
  • Microsoft Excel Beginner Required
  • SalesForce Beginner Preferred
  • Sidewinder Beginner Preferred Languages
List all that apply Languages Other Languages Required/Preferred ?

 
skills: Other
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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