Provider Support Coordinator- $13.95/hour - Full-time / Part-time

JOB SUMMARY

Facilitate successful activation, completion and ongoing monitoring of the provider network for medical and dental services. Communicate daily with healthcare professional and various internal departments to maintain a detailed and compliant provider file system for various contracts. Maintain and audit files for completion of necessary contracting documentation and components, scan and enter data into customized computer systems, and analyze and report on provider compliance information.  Ensure provider network meets or exceeds contract expectations and risk management efforts.

• Receive, review and process provider file update/change requests via verbal, electronic, or written request. Process paperless provider file updates.
• Review, verify, and approve submitted provider/facility contracting documents for activation. Review of inactivated provider files.
• Support phone queue for incoming internal and external calls.
• Adequately respond to and resolve incoming calls in the appropriate manner.
• Act as point of contact for providers and internal departments who need assistance with Provider Portal issues.
• Complete various provider file update/clean-up/new projects as assigned, manage subscribed reports and participate in Inbox manager rotation as scheduled.
• Assist in maintaining and updating process flows and work instructions.

JOB QUALIFICATIONS

Required:

• Associate’s Degree in Applied Science Degree in Health Information Technology or Business with a health care emphasis
• Minimum of 2 years similar or related work experience
• Equivalent combination of education, experience and/or applicable military experience will be considered
• Healthcare terminology
• Familiarity with contracting documents
• Proficient Microsoft Office Suite experience
• Database experience and working with electronic files/documents
• Excel experience necessary
• Ability to perform detailed work with a high degree of accuracy
• Ability to work independently as well as with a team
• Must be able to problem solve and propose solutions in a fast paced environment and the ability to demonstrate an appropriate level of assertiveness in performing work responsibilities under extreme deadlines
• Must be flexible and able to positively respond to changing priorities and processes
• Ability to perform detailed work with a high degree of accuracy
• Strong analytical thinking; multi-tasking, organizational and time management skills
• Excellent verbal and written communication skills with individuals at all levels of an organization
• Must have the ability to be in an on-call rotation providing 24/7 coverage to customers and providers; provide backup assistance on busy weekends and may be required to work during occasional evening and weekend hours to accommodate customers' various time zones

Preferred:

• Contracting compliance, records management, quality assurance and/or customer service experience
• National Career Readiness Certificate
• Knowledge and/or experience with CPT and CDT coding a plus