Job Closed
This listing is no longer active.
Imagine360 specializes in transforming the healthcare experience by providing innovative solutions for self-funded health plans. With a mission to deliver bette
Provider Support Specialist
Location
United States
Posted
87 days ago
Salary
$19 - $20 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Provider Support Specialist
Imagine360
Imagine360 is currently seeking a Provider Support Specialist to join the team! The Provider Support Specialist will maintain the integrity and accuracy of Provider Records. Position Location: 100% remote Duties/Responsibilities: - Enter new providers into the claims processing system - Maintain provider records to ensure claims transfer into the system successfully by working the maintenance (M837) file - Call/write provider for information - Mail form W-9 request letters and follow up to ensure responses are received. - Verify Provider name and Tax Identification Number (TIN) - Retrieve W-9 form provider and enter correct information in system. - Enter provider fee schedules for PPO networks. - Respond to telephone or written provider inquiries as needed. - Perform other duties as assigned - Perform all tasks in accordance with HIPAA/PHI guidelines - Complete HIPAA training annually Required Education: - High school diploma or equivalent is required. Preferred Experience: - Medical field experience - Prior TPA experience. Skills and Abilities: - Working in a fast-paced environment - Excellent written and verbal communication skills What can Imagine360 offer you? - Multiple Health plan options - Company paid employee premiums for disability and life insurance - Parental Leave Policy - 20 days PTO to start / 10 Paid Holidays - Tuition reimbursement - 401k Company contribution - Company paid Short & Long term Disability plus Life Insurance - Professional development initiatives / continuous learning opportunities - Opportunities to participate in and support the company's diversity and inclusion initiatives Want to see our latest job opportunities? Follow us on LinkedIn Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions. Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. **RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**
Related Guides
Related Categories
Related Job Pages
More Support Engineer Jobs
Support Engineer – IBM Business Automation Workflow
BP3 GlobalBP3 streamlines and automates the processes that drive everything from customer experience to employee productivity.
- Provide day-to-day operational support for IBM Business Automation Workflow (BAW) environments (on-prem and cloud) - Diagnose and resolve issues across: - BAW runtime services, clusters, and environment configuration - Process Server and Case components, including deployment and execution issues - Human task routing, work management, and user experience concerns - Integrations (REST/SOAP), authentication (LDAP/SSO), and security-related configurations - Analyze BAW process applications to determine whether issues stem from platform configuration or solution design, and implement or recommend appropriate corrective changes - Perform and support BAW upgrades, patching, and version transitions - Assist with deployments, restarts, and environment health checks - Perform routine system maintenance (snapshots, cleanup, configuration reviews) - Identify recurring issues and recommend improvements to reduce operational risk - Help stabilize and mature customer environments over time - Act as a trusted technical contact for clients running BAW in production - Communicate clearly about issues, root causes, and remediation steps - Provide “backstop support” to customer administrators and BP3 delivery teams - Balance responsiveness with thoughtful, sustainable solutions - Work with BP3 architects and senior engineers on complex or systemic issues - Coordinate with IBM Support when defects or product-level issues are identified - Contribute to documentation, runbooks, and operational knowledge transfer
Remote role, anywhere in the US Open Sky Group is a global specialist in Blue Yonder (formerly JDA RedPrairie) supply chain platform. We offer a unique methodology of disciplined agility and a no-modifications approach that enables rapid implementation and upgrade of Blue Yonder WMS, WLM, WFM, and TMS for a faster return on investment. We help clients get the most from their supply chain technology investment by providing workable and stable solutions to supply chain software challenges. Open Sky Group is best known for its deep expertise with Blue Yonder WMS, a Tier 1 software system. Although each project has unique aspects, typical engagements include new Software Implementations, Upgrades, Replenishment and Slotting Optimizations, Material Handling and ERP Integration, and Parcel Systems. Our mission is to deliver technology-enabled solutions that allow our customers to achieve more, often with less, while having the flexibility to adapt to change. The Support Analyst is a subject matter expert and individual contributor who resolves incidents, monitors software and infrastructure, and provides timely feedback and resolution to our clients.
Remote role, anywhere in the US Open Sky Group is a global specialist in Blue Yonder (formerly JDA RedPrairie) supply chain platform. We offer a unique methodology of disciplined agility and a no-modifications approach that enables rapid implementation and upgrade of Blue Yonder WMS, WLM, WFM, and TMS for a faster return on investment. We help clients get the most from their supply chain technology investment by providing workable and stable solutions to supply chain software challenges. Open Sky Group is best known for its deep expertise with Blue Yonder WMS, a Tier 1 software system. Although each project has unique aspects, typical engagements include new Software Implementations, Upgrades, Replenishment and Slotting Optimizations, Material Handling and ERP Integration, and Parcel Systems. Our mission is to deliver technology-enabled solutions that allow our customers to achieve more, often with less, while having the flexibility to adapt to change. The Support Analyst is a subject matter expert and individual contributor who resolves incidents, monitors software and infrastructure, and provides timely feedback and resolution to our clients.
Remote role, anywhere in the US Open Sky Group is a global specialist in Blue Yonder (formerly JDA RedPrairie) supply chain platform. We offer a unique methodology of disciplined agility and a no-modifications approach that enables rapid implementation and upgrade of Blue Yonder WMS, WLM, WFM, and TMS for a faster return on investment. We help clients get the most from their supply chain technology investment by providing workable and stable solutions to supply chain software challenges. Open Sky Group is best known for its deep expertise with Blue Yonder WMS, a Tier 1 software system. Although each project has unique aspects, typical engagements include new Software Implementations, Upgrades, Replenishment and Slotting Optimizations, Material Handling and ERP Integration, and Parcel Systems. Our mission is to deliver technology-enabled solutions that allow our customers to achieve more, often with less, while having the flexibility to adapt to change. The Support Analyst is a subject matter expert and individual contributor who resolves incidents, monitors software and infrastructure, and provides timely feedback and resolution to our clients.
