Provider Relations Coordinator
Location
United States
Posted
4 days ago
Salary
Not specified
No structured requirement data.
Job Description
- Assist providers with problem resolution and claims issues.
- Assist with member claims issues.
- Input of providers into Salesforce
- Ancillary and PCP education and re-education
- Responses to member inquiries
- Claims utilization reporting through operations
- Beacon and Health Axis ticket analysis
- Upload new agreements into Salesforce.
- Consolidate provider rosters as needed.
- Ensure that Beacon has updated provider information.
- Work the Pre-Check Run for Non-Par Providers
- Reach out to contract new providers.
- Assist with plan growth and contracting.
- Other duties as needed.
- Bachelor’s Degree Preferred, High School Diploma or GED Required
- Experience working in a health care environment, preferably an HMO/PPO
- Customer service leadership experience preferred.
- Must have a working knowledge of Medicare and Medicaid programs.
- Must have a solid knowledge and understanding of managed care industry.
- Proficiency in MS office suite
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