Nashville, United States
about 1 year ago
Delivers specific delegated Provider Data tasks assigned by a supervisor. Maintains provider data to ensure the quality of the network. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Coordinates provider enrollment, and assists with coordination of meetings with providers for training, contracting, and reporting. Updates directories for all contracted organizations. Responsible for reporting and tracking provider calls and complaints. Completes day-to-day Provider Data tasks without immediate supervision, but has ready access to advice from more experienced team members. Tasks involve a degree of forward planning and anticipation of needs/issues. Resolves non-routine issues escalated from more junior team members.
This role is supporting primarily for PPO Expansion. Worker will:
Track Data and PPO Contracts Upload contracts to repository May update databases
If time allows, there are a number of other projects going on that the worker could be involved in.
Interviews will be first round phone interviews and second round will be in person