Provider Network Configuration Specialist at iCare Health Options (Medegy)

Miami, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

17 Jun, 26

Salary

21.0

Posted On

19 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Provider Data Maintenance, Credentialing, Directory Management, Data Management Systems, Health Plan Terminology, Computer Proficiency, Microsoft Excel, Analytical Skills, Critical Thinking, Problem Solving, Attention To Detail, Organizational Skills, Communication Skills, Urgency, Deadline Management

Industry

Insurance

Description

Description Under direct supervision, work within and across department teams to maintain the configuration of providers, locations, groups, plans, and benefit limits in the managing system. Ensure accurate and timely completion of production tickets assigned to ensure client satisfaction and retention. Support provider management activities associated with provider data maintenance, credentialing activities, directory management, and intake requests. Essential Functions Research, resolve, document, and accurately respond to provider, practice, business partner, or administrator inquiries and service requests. Communicate and coordinate with providers, practices, and other departments to ensure accurate information is available to support business needs. Add and update Benefits Limits, Groups, Plans, new providers, and new locations in the system. Upload fee schedules to applicable systems. Responsible for the accurate setup of direct deposits. Configure and provide appropriate web portal access to clients. Timely and accurately generate and deliver reports as requested. Responsible for new business configuration setups following established processes/protocols. Ensure requested information is delivered within the specified timeframe and completed accurately. Maintain high standards in all written or verbal communications with providers. Requirements Job Specifications Typically has the following skills or abilities: Two years of experience in health insurance information and data management systems. Strong understanding of health plan terminology. Computer proficiency, including Microsoft Excel and other MS Office tools. Strong analytical and critical thinking skills. Ability to read and write at a level necessary to accomplish the above tasks. Demonstrated ability to identify problems and provide creative solutions. Strong attention to detail, organizational skills, and problem-solving skills. Highly motivated and reliable individual with a strong sense of urgency; ability to meet tight deadlines. Excellent written and verbal communication skills. Ability to work independently and in a team environment. VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, disability, or protected veteran status. We maintain a drug-free workplace and perform pre-employment substance abuse testing. The compensation range for the role is listed below. Applicable salary ranges may differ across markets. Actual pay will be determined based on experience and other job-related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses and commissions. For more information regarding iCare benefits, please click here.

Responsibilities

This role involves maintaining the configuration of providers, locations, groups, plans, and benefit limits within the managing system by completing production tickets accurately and timely. Responsibilities include researching and resolving service requests, updating system data, uploading fee schedules, setting up direct deposits, and configuring web portal access.