Changing People, Processes & Perceptions.
Provider Support Specialist
Location
United States
Posted
1 day ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Provider Support Specialist
InstantServe LLC
Role Description Serve as an advocate for providers by ensuring they are informed, supported, and educated on Samaritan Health Plans' procedures, benefits, policies, and available provider tools. - Coordinates and provides administrative support to the Network Contracting and Relations team. - Partners with internal departments to research, coordinate, and resolve provider-related issues, ensuring timely and accurate follow-through. - Document all provider interactions and outcomes in internal systems. - Support implementation and onboarding of new providers, including credentialing follow-up and demographic updates. - Monitor, track, and follow up on provider issues; escalate complex or unresolved items as needed. - Assist in maintaining accurate provider directories by validating demographic and operational information. - Participate in Network Management projects and initiatives to support departmental goals. - Support cross-functional collaboration to resolve routine provider operational concerns. Qualifications - Bachelor's degree or equivalent combination of education and relevant experience within the health care industry required. - Strong organizational skills with the ability to manage multiple priorities effectively. - Excellent written and verbal communication skills. - Proficiency in Microsoft Office applications (Word, Excel, Outlook, PowerPoint) required. - Health plan experience strongly preferred, particularly in one or more of the following areas: - Provider Relations - Referral Authorization - Provider Data Maintenance - Claims Processing Requirements - Data entry accuracy. - Organization and time management. - Basic managed care concepts. - Communication and collaboration. - Ability to follow SOPs. - Detail orientation. Benefits - Shift: Days (0800-1700) - Remote, no weekends
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