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Provider Operations Coordinator

Brentwood, TN, United StatesRemote

AI Summary

A Provider Operations Coordinator supports provider relations field reps in resolving claims and payment issues, answers provider inquiries, conducts root-cause analysis, and processes paperwork such as credentialing and contracts.

About this role

Provider Operations Coordinator

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Company Job Description/Day to Day Duties:

• Supports the Provider Relations Field Reps to resolve claims and payment issues.

• Answers incoming telephone inquiries from providers and assist with problem resolution of issues.

• Root cause analysis of operational and health services issues.

• Reviews and processes incoming and outgoing paperwork, including directory updates, provider credentialing applications, contract maintenance forms and other related forms.

• Tracks new contracts through sidewinder.

• Audits configuration loads on new contracts.

• Provides office, project management, provider recruitment and data analysis support.

• Special Projects as assigned or directed


Qualifications

GED or high school diploma

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

Additional Information

Are you an experienced Customer Service Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your CSR career by joining a rapidly growing company? If you answered “yes" to any of these questions – Then this CSRposition is for you!

If you are interested, please contact Krishna Gapuz at 321-574-6926


Skills

Claims ProcessingContract ManagementCustomer ServiceData AnalysisGedcomPaperwork ProcessingProvider CredentialingSidewinder

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