Provider Operations Coordinator

  • location: Louisville, KY
  • type: Contract
  • salary: $19.95 per hour
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job description

Provider Operations Coordinator

job summary:
Why work for Randstad? We have been consistently recognized as one of the "Best Places to Work" - and with good reason. We're a company of experts with a clear dedication to those we serve. We take the time to build relationships with clients and candidates so we can truly understand what they need - and how we can help them succeed. Our people drive our business.

Provider Operations Coordinator

JOB SUMMARY

    Supports the Provider Relations Field Reps and/or Network Management Reps to achieve department goals Responds to customer service and provider relations inquiries from providers and assist with problem resolution of issues Coordinates provider submissions to internal departments via required forms Works directly with internal and external partners to collect all required information to ensure correct processing of contracts, amendments and update requests Works with delegated providers and IPAs to process new provider load requests along with any updates or changes within the group via a roster methodology
Minimum Requirements

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

1+ year of experience in physician credentialing preferred

 
location: Louisville, Kentucky
job type: Contract
work hours: 8 to 5
education: Bachelor's degree
experience: 1 Years
 
responsibilities:
ESSENTIAL FUNCTIONS

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

Key Duties and Responsibilities

- Works directly with internal and external partners to collect all required information to ensure correct processing of contracts, amendments and update requests.

- Works with delegated providers and IPAs to process new provider load requests along with any updates or changes within the group via a roster methodology.

- Supports the Provider Relations Representatives in resolving claims and payment issues.

- Performs root cause analysis of delays in provider loading and assists in bringing to resolution.

- 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

- May support provider enrollment and credentialing activities.

 
qualifications:
MINIMUM QUALIFICATIONS

Education

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Education Level Education Details Required/Preferred

A High School or GED Required

An Associate's Degree in a related field Preferred

Work Experience

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Experience Level Experience Details Required/Preferred

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

1+ year of experience in physician credentialing Preferred

Licenses and Certifications

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Licenses/Certifications Other Licenses/Certifications Required/Preferred

Skills

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Skill Sets Other Skills Proficiency

Demonstrated problem solving skills Intermediate

Demonstrated interpersonal/verbal communication skills Intermediate

Demonstrated written communication skills Intermediate

Demonstrated organizational skills Intermediate

Demonstrated time management and priority setting skills Intermediate

Demonstrated analytical skills Intermediate

Technology

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Technology Other Technology Proficiency Required/Preferred

Microsoft Outlook Intermediate Required

Microsoft Word Beginner Required

Microsoft Excel Intermediate Required

SalesForce Beginner Preferred

Xcelys Beginner 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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