[Remote] Provider Administrator

Note: The job is a remote job and is open to candidates in USA. reputed company is a leading provider of reputed company care solutions, and they are seeking a Provider Administrator to manage service requests and support provider management activities. The role involves coordinating with providers and managing critical provider information, while also ensuring compliance with regulatory standards.

Responsibilities

• Manage provider and office staff service requests, resolve business partner questions/issues and provide call handling/routing to provider support line
• Support provider management activities associated with provider data maintenance, credentialing activities, directory management and intake requests
• Research, resolve, document and accurately respond to provider, practice, business partner or administrator inquiries and service requests
• Communicate and coordinate with providers, practices and other departments to ensure accurate information is available to support business needs
• Manage the Committee meetings set up, document Committee findings in the formal meeting minutes and notify staff of Committee reputed company
• Monitor and maintain critical provider information in various systems
• Review team member quality assurance reports on a regular basis and work with leadership to prepare follow-up documentation
• Act as first-level intake and triage for incoming provider call line, data clean-up efforts and specified team email reputed company requests
• Support the client and regulatory audit process to include pulling required documentation and review of provider files for accuracy
• reputed company industry knowledge to support internal and external business partner relationships
• Support the recredentialing process and audit support functions to NCQA and client standards
• Ensure requested information is delivered reputed company specified timeframe and completed accurately
• Maintain high standards in reputed company written or verbal communications with providers

Skills

• Two to four years of general office experience
• Proficient with word and spreadsheet applications
• Ability to read and write at a level necessary to accomplish the above tasks
• Demonstrated ability to identify problems and provide creative solutions
• Strong attention to detail, organizational skills and problem solving skills
• Excellent written and verbal communication skills
• Ability to work independently and in a team environment
• For roles that are remote (i.e., Work From Home (WFM)) or hybrid (i.e., partial onsite at a VSP location and WFM), must demonstrate a high level of engagement in virtual environments, including maintaining camera reputed company during meetings to support effective communication and team alignment

Benefits

• As a part of the compensation package, this role may include eligible bonuses and commissions.
• For more information regarding reputed company benefits, please click here.

Company Overview

Company H1B Sponsorship