Provider Operations Coordinator

» Provider Operations Coordinator
Healthcare
in Atlanta
, GA
Reference: 19-02673

Description:

  • Support 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

Key Duties and Responsibilities:

  • Support the Provider Relations Field Reps to resolve claims and payment issues
  • Answer incoming telephone inquiries from providers and assist with problem resolution of issues
  • Root cause analysis of operational and health services issues
  • Review and process incoming and outgoing paperwork, including directory updates, provider credentialing applications, contract maintenance forms and other related forms
  • Track new contracts through sidewinder
  • Audit configuration loads on new contracts
  • Provide office, project management, provider recruitment and data analysis support
  • Perform special projects as assigned or directed

Education: 

  • A High School diploma or GED (required)
  • An Associate degree in a related field (preferred)

Work Experience:

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

Skills:

  • Demonstrated problem solving skills
  • Demonstrated interpersonal/verbal communication skills
  • Demonstrated written communication skills
  • Demonstrated organizational skills
  • Demonstrated time management and priority setting skills
  • Demonstrated analytical skills

Technology Proficiency:

  • Microsoft Outlook
  • Microsoft Word
  • Microsoft Excel
  • SalesForce
  • Sidewinder

Level of Supervision Received:

  • Under general supervision, proceed alone on regular duties, referring questionable cases to supervisor