Salary
💰 $39,000 - $73,200 per year
About the role
- Analyze and review source documentation and maintain provider contract and credential information in the Provider System of Record
- Assist in the resolution of system issues related to provider onboarding
- Maintain integrity of electronic database and assist provider offices with entering provider contracts, business name changes, tax ID changes, terminations, change of ownership, practice sales, adding associates, license and specialty changes, and provider directory assistance
- Provide verbal or written notification to providers or Network Development to obtain incomplete information required to process work
- Research returned outreach notifications and update the system with corrected information to maintain directory accuracy
- Provide direction to internal teams on provider set up, contracting issues, procedures and practices
- Research issues related to provider contracting and workflows and provide feedback/recommendations to management
- Maintain accuracy and compliance in each entry to ensure regulatory compliance and prevent financial penalties
Requirements
- 1+ years of experience w/High School
- 2+ years of experience preferred
- Strong organizational/time management skills and multi-tasking abilities
- Analytical and problem-solving skills
- Knowledge of contract/policy processing concepts, policies, guidelines and systems
- Aptitude to learn and develop proficiencies with new concepts, legal requirements, processes and technology
- Effectively able to adapt to change and be comfortable handling risk and uncertainty
- Customer-focused with ability to empathize with customer
- Ability to maintain confidentiality when exposed to sensitive information
- Written, verbal, and interpersonal communication skills