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Claims Services Specialist

  • Location: Plantation, Florida, 33317
  • Job Type:Contract

Posted about 2 months ago

Terrific Contract Opportunity!

Come work for the nations premier health innovation company to join our mission of helping people on their path to better health. Be part of our innovative team that is unlocking the power of data to transform the healthcare experience.

Position: Client Services Specialist
Location: Plantation, FL, 33317
Term: 5 months (03/08/2021 to 08/15/2021)

Day-to-Day Responsibilities:

  • Internally supports and contributes to positive provider relationships by handling routine provider service inquiries and problems regarding policies and procedures, plan design, credentialing process or status, and claims or compensation process or status.
  • Supports the maintenance of contract or demographic data
  • Triages routine provider issues and internal inquiries regarding policies and procedures, credentialing or claims status, orientation activities, and database or portal information or usage
  • Escalates issues as appropriate
  • Supports or assists with operational activities that may include, but are not limited to, database management and contract coordination
  • Performs credentialing support activities as needed
  • Educates providers on portals, protocols, policies, procedures, and services to enhance the overall provider experience
  • May assist with or perform standard provider recruitment or contracting or re-contracting functions and discussions

Is this a good fit? (Requirements):

  • MUST HAVE Medical background with Claims, Prior Authorization, and Credentialing
  • Excel - Basic Spreadsheets, Pivot Preferred
  • Medical Terminology - Basic Understanding
  • Associates degree preferred; or an HS diploma highly experienced in MS Excel
Even better if you have:
  • Associates degree preferred; or an HS diploma highly experienced in MS Excel
  • QNXT - Experience preferred
  • Candidates with Email & Phone Etiquette testing will be prioritized
If this looks like a perfect fit, apply today!