Provider Network Coordinator
Raleigh, North Carolina
Employer: vTech Solution, Inc.
Industry:
Salary: Competitive
Job type: Full-Time
Duties:
As part of the Corporate Provider Network Operations team, the Coordinator, Corporate Provider Network Operations bBuilds and prepares the provider profiles for enterprise systems in support of business activities and essentials for accuracy, maintenance and retrieval of provider data and contract requirements.
Major Accountabilities:
• Data review for accuracy and completeness of Letters of Intent (LOIs), Letters of Agreement (LOAs), contracts and/or credentialing information
• Accurate entry and proper maintenance of provider data
• Knowledge and application of market implementation data rules and processes
• Meet the business project timelines and milestones
• Knowledge of and ability to manage, modify and update Contract Manager database , operating system (such as, FACETS) and other enterprise systems for new and existing markets.
• Work daily workflow queue in any enterprise system (such as, EXP MACCESS ) used for provider information-gathering, updates and maintenance
• Work and maintain inventory in queue based on prioritization, aging and campaign
• Contribute to the effective operations of CPNO division
Skills:
• Minimum 1 2 years experience in member, provider and/or finance operations in a healthcare or Managed Care Organization
• 1-2 years experience in customer service
• 1-2 years Medicaid experience preferred
• 1-2 years experience in business operations preferred
Education:
Associate's Degree or equivalent combination of education and work experience in a Health Care Field preferred.
Language:
English
Read
Write
Speak
(Read, Write, Speak) EXCEL,FINANCE,DATABASE,MICROSOFT ACCESS,BUSINESS OPERATIONS Address: 8041 Arco Corporate Drive
Work Performed OnSite:
Reason Details:
Start Date: 06/24/2024
End Date: 08/31/2024
Schedule Notes: None
As part of the Corporate Provider Network Operations team, the Coordinator, Corporate Provider Network Operations bBuilds and prepares the provider profiles for enterprise systems in support of business activities and essentials for accuracy, maintenance and retrieval of provider data and contract requirements.
Major Accountabilities:
• Data review for accuracy and completeness of Letters of Intent (LOIs), Letters of Agreement (LOAs), contracts and/or credentialing information
• Accurate entry and proper maintenance of provider data
• Knowledge and application of market implementation data rules and processes
• Meet the business project timelines and milestones
• Knowledge of and ability to manage, modify and update Contract Manager database , operating system (such as, FACETS) and other enterprise systems for new and existing markets.
• Work daily workflow queue in any enterprise system (such as, EXP MACCESS ) used for provider information-gathering, updates and maintenance
• Work and maintain inventory in queue based on prioritization, aging and campaign
• Contribute to the effective operations of CPNO division
Skills:
• Minimum 1 2 years experience in member, provider and/or finance operations in a healthcare or Managed Care Organization
• 1-2 years experience in customer service
• 1-2 years Medicaid experience preferred
• 1-2 years experience in business operations preferred
- Access Database Experience
- High Level Excel Function Knowledge
Education:
Associate's Degree or equivalent combination of education and work experience in a Health Care Field preferred.
Language:
English
Read
Write
Speak
(Read, Write, Speak) EXCEL,FINANCE,DATABASE,MICROSOFT ACCESS,BUSINESS OPERATIONS Address: 8041 Arco Corporate Drive
Work Performed OnSite:
Reason Details:
Start Date: 06/24/2024
End Date: 08/31/2024
Schedule Notes: None
Created: 2024-05-19
Reference: VTJC-141947
Country: United States
State: North Carolina
City: Raleigh
ZIP: 27617
Similar jobs:
-
Provider Network Coordinator
Compunnel in Raleigh, North Carolina -
Network Project Coordinator
The LaSalle Group in North Cove, North Carolina