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Provider Management Coordinator
Location:
US-TX-Dallas
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About Employer Direct Healthcare

Employer Direct Healthcare is focused on giving access to quality & affordable healthcare for our members. We understand and have experienced the challenges of navigating specialized healthcare and we are dedicated to making a change.

We partner with large self-funded employers to create a benefit program for specialized care. We connect with high-quality providers to give our members peace of mind when going into surgery. And we support our members by helping them navigate the tricky aspects of healthcare; whether that be selecting a doctor, scheduling appointments, or following up after a procedure has been completed to make sure our members are feeling better.

About You:

  • You have a drive and AMBITION to tackle big problems. Big problems required big ideas and a team that supports new ideas.
  • You CARE deeply for your customers. Your customers arent just the individuals using your product. They are the driving factor in your motivation to make a change.
  • You thrive in a TEAM ENVIRONMENT. Collaboration is key in innovation and creating change.
  • A DIVERSE environment is incredibly important to you. You understand and desire to be a part of a diverse team with different experiences and perspectives & you cherish the differences in each individual that you interact with.
  • You are DETAIL ORIENTED, but more so, focus on the execution of your content while balancing a fast-paced environment.
  • You understand that PROGRESS is critical to making change. You take the time to celebrate the small and big wins. Understanding that each improvement to a process helps move towards a greater change.
  • INTEGRITY guides you in life. Focusing on the truth versus just giving people the answers they want to hear.


If this sounds like you, we would love to connect to speak further about career opportunities at Employer Direct Healthcare.

Please apply to our role & someone from our HR Team will reach out to help you navigate our interview process.


Provider Management Coordinator

Responsibilities:

  • Perform day to day duties of assuring contracted surgeons and surgeon groups are set up accurately in the provider information systems
  • Responsible for multiple region deliverables and reporting
  • Track, update and audit the databases provider information
  • Relentlessly pursue escalation resolution deliverables and meet expected SLAs for inbound inquiries and basic escalations
  • Triage and track inbound requests assigned to Provider Management Associates
  • Develop provider-specific workflows as it relates to escalation resolution
  • Enter quality review requests Monitor commitments and deliverables to ensure the integrity of timelines
  • Support conference calls, video presentations and on-site meetings with internal and external stakeholders as needed
  • Meet or exceed Annual Performance metrics to be established annually by direct manager Metrics may include but are not limited to escalation resolution, provider satisfaction and timely/accurate completion of assignments
  • Expectation is centered around a 40-hour work week, 9-5 daily, Monday through Friday
  • Manages and responds to Join Our Network requests
  • Initiate and process provider add, change and terminations
  • Data entry and documentation audit
  • Updating surgeon profiles in proprietary system
  • Comfortable cold calling surgeons offices to obtain necessary information
  • Auditing CH to determine if referral information is available
  • SF - clean up contacts, link contracts to accounts, ensure naming conventions are followed
  • Help follow up on requests from surgeon offices/accounts
  • Performs other duties as assigned

Requirements

  • Associate's Degree (or higher)
  • 1+ years of experience with Microsoft Excel including basic formulas, analyzing data, filtering, and sorting
  • 1+ year Customer Service orientation/experience
  • Experience with Operational Support
  • Communicate effectively and professionally, exhibit strong organizational, presentation, and interpersonal skills
  • Strong computer skills with proficiency in Microsoft, PowerPoint, Excel, and Outlook
  • Demonstrate flexibility and excellent organizational skills with the ability to complete a variety of tasks accurately with high attention to detail and creativity
  • Excellent verbal and written communication skills
  • Ability to show time management skills and handle a high-volume workload
  • Ability to think strategically and creatively, and to problem-solve independently and in teams
  • A strong ability to build relationships
  • Demonstrated ability to achieve high-performance goals and meet deadlines in a fast-paced environment
  • Ability to prioritize and work independently with minimal supervision
  • Level-headed problem solver with a professional, service-oriented attitude
  • Ability to maintain confidentiality
Preferred Qualifications
  • Bachelors degree
  • 2 years Project Management / Customer Service experience in a client-facing role within healthcare

Benefits

  • Medical Insurance
  • Dental Insurance
  • Vision Insurance
  • Short & Long Term Disability
  • Life Insurance
  • 401k with company match
  • Paid Time Off
  • Paid Parental Leave

Employer Direct Healthcare

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