Provider Relations Data Specialist
Mason , Ohio
February 08, 2017
Job Summary:
Provides exceptional service and support to all providers/locations through execution of provider/location database requests within established performance metrics.

Key Responsibilities:
• Receives, researches and processes provider/location requests related to additions, changes and terminations and ensures all requests are logged in appropriate database for performance measurement. Changes could consist of:
address changes, payment changes, doctor transfers, plan participation changes, business ownership
• Evaluates, researches and resolves complex provider data maintenance requests and issues. Understands the systems, business process and provider impact of alternative set-ups.
• Assist management with database / data integrity issue research and recommends resolutions. Identifies trends related to data structure/set up and reports trends with proposed solutions to management.
• Identifies opportunities to improve processes to ensure efficient turnaround of issues and meets and exceeds established deadlines and performance standards.
• Responds to telephone calls, emails, and written requests from providers/locations as well as internal departments related to provider/location set up in system.
• Ensure efficient, accurate and timely responses to provider requests related to participation in the panel.
• Distribute provider/location contracts and follow up to ensure all appropriate contracts are executed prior to provider/location participation on a panel.
• Assists in ensuring all appropriate documentation is maintained in document management application.
• Meet Performance and Quality metrics.
• Implement / participate in other Provider Relations team projects as requested

Minimum (Required) Qualifications:

• High School Diploma required, Associate or Bachelor Degree preferred
• 1-2 years of experience in Customer service and/or data analysis experience
• Proficient with Microsoft Office (Word and Excel)

Preferred Qualifications:

• Strong critical thinking skills
• Problem solving skills/Decision Making abilities
• Manage time and multiple tasks effectively
• Ability to handle escalated provider issues, including direct provider calls.
• Developed oral/written communication skills

A little about us:
We partner with people to improve skills, teams and lives every day, and we help them achieve more than they ever thought possible.

Know someone who would be interested in this job? Share it with your network.