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Provider Services Coordinator

2 months ago

Albany, New York, United States Ursus Inc Full time
Job Title: Provider Administrator
Duration: 6 months
Location: Remote (EST only)
Pay Range: $27.00/hr

Key Skills Required:
  • Meticulous attention to detail
  • Proficient in data accuracy and effective communication
  • Self-motivated and quick learner.
Job Overview:
  • Collaborate with various departmental teams to manage service requests from providers and office personnel, addressing inquiries and facilitating call routing to the provider support line.
  • Assist in provider management tasks related to data upkeep, credentialing processes, directory oversight, and intake requests.
  • Investigate, resolve, document, and respond accurately to inquiries and service requests from providers, practices, business partners, or administrators.
  • Coordinate communication with providers, practices, and other departments to ensure the availability of accurate information to meet business requirements.
  • Organize Committee meetings, document findings in formal minutes, and inform staff of decisions made by the Committee.
  • Oversee and maintain essential provider information across various systems.
  • Regularly review quality assurance reports of team members and collaborate with leadership to prepare follow-up documentation.
  • Serve as the initial point of contact for incoming provider calls, data cleanup initiatives, and specific team email requests.
  • Assist in the client and regulatory audit processes, including gathering necessary documentation and reviewing provider files for accuracy.
  • Acquire industry knowledge to foster relationships with internal and external business partners.
  • Support the recredentialing process and audit functions in accordance with NCQA and client standards.
  • Ensure timely and accurate delivery of requested information.
  • Uphold high standards in all written and verbal communications with providers.
Job Specifications:
  • Two to four years of general office experience
  • Proficient in word processing and spreadsheet software
  • Capable of reading and writing at a level necessary to perform the above tasks
  • Proven ability to identify issues and offer innovative solutions
  • Strong organizational skills, attention to detail, and problem-solving abilities
  • Excellent written and verbal communication skills
  • Ability to work both independently and collaboratively in a team setting