Provider Operations Coordinator

Company Job Description/Day to Day Duties:

• Supports the Provider Relations Field Reps to resolve claims and payment issues.

• Answers incoming telephone inquiries from providers and assist with problem resolution of issues.

• Root cause analysis of operational and health services issues.

• Reviews and processes incoming and outgoing paperwork, including directory updates, provider credentialing applications, contract maintenance forms and other related forms.

• Tracks new contracts through sidewinder.

• Audits configuration loads on new contracts.

• Provides office, project management, provider recruitment and data analysis support.

• Special Projects as assigned or directed