Provider Relations Coordinator

3 days ago


New York, New York, United States Metropolitan Jewish Health System Full time
About Our Company

MJHS companies are qualified employers under the Federal Government's Paid Student Loan Forgiveness Program (PSLF).

Job Description

This role is responsible for handling all provider file update requests, received from participating providers, in accordance with the established timeline while developing and maintaining positive provider/customer services.

Key Responsibilities
  • Coordinate with various Elderplan departments and NPO teams to ensure provider file update requests and demographic-related claim denial inquiries are handled appropriately while balancing provider needs with Plan priorities
  • Educate participating providers regarding any updates to the processes and escalate any issues to the Provider Relations/IPA, among other teams
Requirements
  • High School diploma
  • Bachelor's degree preferred
  • With Bachelor's degree; minimum of one year of experience in Managed Care, provider billing, and/or customer service
  • Without Bachelor's degree, minimum of three (3) years of experience, as above
  • Knowledge of Microsoft Office
Compensation and Benefits

We offer competitive compensation and comprehensive benefits, including tuition reimbursement, generous paid time off, and affordable medical, dental and vision coverage for employee and family members.



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