Provider Administrator

Would you like to work for a software solutions company that has grown in triple digits in the last 5 years? If you answered Yes, then we need to talk....

We are looking for an Provider Administrator who be part of a close-knit, high performing team. We are committed to creating an environment where all employees are valued and respected. This position offers a very competitive compensation and benefits package

Job Title :: Provider Administrator

Job Location :: Remote

Position Description ::
Under direct supervision, work within and across department teams to manage provider and office staff service requests, resolve business partner questions/issues and provide call handling/routing to provider support line. Support provider management activities associated with provider data maintenance, credentialing activities, directory management and intake requests.

Note: Provider Credentialing/Compliance is REQUIRED

Essential Functions:

• Research, resolve, document and accurately respond to provider, practice, business parter or administor inquires and service requests.
• Communicate and coordinate with providers, practices or other Client departments to ensure accurate information is available to support Client’s business needs.
• Manage the Committee meetings set up, document Committee findings in the formal meeting minutes and notify staff of Committee decisions.
• Monitor and maintain critical provider information in various Client systems.
• Review team member quality assurance reports on a regular basis and working with leadership to prepare follow-up documentation.
• Act as first-level intake and triage for incoming provider call line, data clean-up efforts and specified team email box requests.
• Support the client and regulatory audit process to include pulling required documentation and review of provider files for accuracy.
• Gain industry knowledge to support internal and external business partner relationships.
• Support the recredentialing process and audit support functions to NCQA and client standards.
• Ensure requested information is delivered within specified timeframe and completed accurately.
• Maintain Client’s high standards in all written or verbal communications with providers.

Job Specifications:

• Two to four years of general office experience
• Proficient with word and spreadsheet applications
• 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
• Excellent written and verbal communication skills
• Ability to work independently and in a team environment

About AgreeYa: AgreeYa is a global systems integrator delivering a competitive advantage for its customers through software, solutions, and services. Established in 1999, AgreeYa is headquartered in Folsom, California, with a global footprint and a team of more than 1,800+ professionals across offices. AgreeYa works with 550+ organizations ranging from Fortune 100 firms to small and large businesses across industries such as Telecom, Banking, Financial Services & Insurance, Healthcare, Utility & Energy, Technology, Public Sector, Pharma & Biotech, Retail, CPG, and others. Please visit us at www.agreeya.com for more information.

Job Type: Contract

Salary: $25.00 - $27.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Provider Credentialing: 2 years (Required)
• Provider Compliance: 2 years (Required)
• Spreadsheet/Ms Excel: 2 years (Required)
• general office: 3 years (Required)

Work Location: Remote