Provider Network Operations Support Coordinator
Capital Blue Cross
full-time
Posted on:
Location Type: Remote
Location: Pennsylvania • United States
Visit company websiteExplore more
Salary
💰 $21 - $41 per hour
About the role
- Responsible for the day-to-day support needed from Network Operations, which includes Credentialing, Provider Data, Provider Support and Provider Innovations
- Managing vendor invoicing against budgeted allowances
- Analyzing service level agreements against contract terms and invoice payments
- Primary responsibility with provider data verification and support provider attestation and access availability outreach to support NCQA and other regulatory needs
- Coordinates department policies and procedures, updating documents as needed
- Supporting stake holder inquiries related to SharePoint issues
- Acts as Access Coordinator, including new hires, changes in positions or removing access as necessary
- Coordinates the Provider Manual updates as necessary for Network Operations, MyCare Finder user guide and Provider Maintenance user guide
- Serves as a primary interface between internal departments to ensure multi and inter disciplinary vendor project coordination
Requirements
- 3 years’ experience in an office setting support position
- Strong verbal and written communication skills
- Ability to apply sound business judgment in making decisions that affect the Plan
- Demonstrated strong analytical and problem solving skills
- Ability to prepare and use financial and other reports and interpret results
- Ability to meet deadlines and manage multiple priorities
- Ability to demonstrate initiative and act independently in resolving issues
- Knowledge of the English language, especially spelling, punctuation and grammar
- Standard office practice and procedures including appropriate form and format of business correspondence and reports
- Basic mathematics and the ability to balance budget reporting
Benefits
- Medical, Dental & Vision coverage
- Retirement Plan
- Generous time off including Paid Time Off, Holidays, and Volunteer time off
- Incentive Plan
- Tuition Reimbursement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
provider data verificationservice level agreements analysisvendor invoicing managementfinancial reportingbudget reportingdocument coordinationprovider attestation supportaccess coordination
Soft skills
strong verbal communicationstrong written communicationanalytical skillsproblem solvinginitiativeindependent decision makingtime managementability to manage multiple priorities