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About the role
The Network Operations Coordinator 3 manages provider data for health plans including but not limited to demographics, rates, and contract intent. Manages provider audits, provider service and relations, credentialing, and contract management systems. Executes processes for intake and manage provider perceived service failures. Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects.
What they're looking for
- Minimum of 2 years of experience working in a healthcare setting with providers, payors, healthcare facilities, etc
- Intermediate skills with Microsoft Office, and proficient in Excel
- Ability to multi-task and work in a deadline driven environment
More about this role
The Network Operations Coordinator 3 manages provider data for health plans including but not limited to demographics, rates, and contract intent. Manages provider audits, provider service and relations, credentialing, and contract management systems. Executes processes for intake and manage provider perceived service failures. Decisions are typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge.
Use your skills to make an impact
- Minimum of 2 years of experience working in a healthcare setting with providers, payors, healthcare facilities, etc.
- Intermediate skills with Microsoft Office, and proficient in Excel
- Ability to multi-task and work in a deadline driven environment
- Provider credentialling experience
- Previous experience in claims
- Prior contract review, loading or interpretation experience
Work at Home Requirements: To ensure Home or Hybrid...
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