Healthcare Provider Care Coordinator

2 weeks ago


Phoenix, United States All About People Full time
Job DescriptionJob Description

Job Posting: Healthcare Provider File Coordinator

Job Description:

We are seeking a detail-oriented Provider File Specialist to join our team. The Provider File Specialist will be responsible for updating, maintaining, and researching a variety of provider file information in multiple systems. This role involves updating and maintaining file databases, researching contract files, resolving provider claims edits, analyzing reports for data corrections, ensuring quality control in files, and performing other assigned duties.

Responsibilities:

  • Update and maintain provider file databases with submitted documentation.
  • Research and recommend appropriate actions for provider contract file maintenance.
  • Resolve provider file claims edits.
  • Analyze reports for data corrections.
  • Review provider files for quality control.
  • Perform all other assigned duties.

Skills:

  1. Required Skills and Competencies:

    • Intermediate PC proficiency.
    • Intermediate skill in using office equipment (copiers, fax machines, scanners, telephones).
    • Intermediate level skill in word processing, spreadsheet, and database software.
    • Maintain confidentiality and privacy.
    • Ability to interpret and translate policies, procedures, and guidelines.
    • Ability to follow and accept instruction and direction.
    • Establish and maintain working relationships in a collaborative team environment.
    • Ability to navigate, gather, input, and maintain data records in multiple system applications with accuracy.

Education and Experience:

  • Required Education: High School Diploma or GED in a general field of study.
  • Preferred Education: Associate's Degree in a general field of study.
  • Required Work Experience: 1 year of experience in a general business field.
  • Preferred Work Experience: 2 years of experience in the health insurance field.

If you meet the qualifications and are looking for a challenging yet rewarding opportunity in the healthcare industry, please submit your application for consideration.


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