Provider Coordinator (Full Remote)
Morgan Stephens
Date: 2 weeks ago
City: Rockville, MD
Contract type: Full time
Job Title: Provider Coordinator
Location: Detroit - Eastern Time Zone candidates only
Work Schedule: 7:00 AM - 4:00 PM or 7:30 AM - 4:30 PM EST Time Zone candidates only
Job Type: This is a direct hire position with benefits
Pay: $24.00 per hour
Benefits: Medical, Dental, Vision, PTO - 15 days; 401(k) with match.
THIS POSITION REQUIRES EXPERIENCE IN HEALTHCARE Candidates must have 1+ years of managed care experience and/or medical office experience with coding or credentialing experience.
Job Summary
The Provider Coordinator plays a crucial role in ensuring the accuracy and integrity of provider demographic and contract affiliation information within the health plan system. This role demands meticulous attention to detail and efficiency in processing incoming requests to optimize claims adjudication.
Essential Functions
In this role, you will receive provider information from external sources for system updates and apply your knowledge and experience to validate the provided information. Accurate data entry and maintenance of provider records in the computer system are vital aspects of this position, emphasizing precision and timeliness. Regular audits of loaded provider records are conducted to ensure both quality and financial accuracy, with documented feedback provided when necessary.
You will actively support system/health plan integration efforts and be responsible for training both existing staff and new hires. Additionally, you will assist in system-related testing activities.
Knowledge/Skills/Abilities
The successful candidate will have previous experience in a medical office setting working in provider credentialing or related position. Applicants without experience in claims, coding or credentialing will not be considered.
Strong verbal and written communication skills are essential, along with adherence to Managed Care Organization's policies and confidentiality requirements. Maintaining reliable attendance based on the agreed-upon schedule is mandatory. Understanding and compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations is critical. The ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers is also vital.
Required Education And Experience
To qualify for this role, you must possess a High School Diploma or equivalent GED.
Candidates must have 1+ years of managed care experience and/or medical office experience with coding or credentialing experience.
You must have at least one year of medical office experience for this role.
The Provider Coordinator position offers a unique opportunity to contribute significantly to the accuracy and efficiency of our health plan system. If you are skilled in meticulous data entry and dedicated to maintaining high data quality standards, we encourage you to apply for this position.
Location: Detroit - Eastern Time Zone candidates only
Work Schedule: 7:00 AM - 4:00 PM or 7:30 AM - 4:30 PM EST Time Zone candidates only
Job Type: This is a direct hire position with benefits
Pay: $24.00 per hour
Benefits: Medical, Dental, Vision, PTO - 15 days; 401(k) with match.
THIS POSITION REQUIRES EXPERIENCE IN HEALTHCARE Candidates must have 1+ years of managed care experience and/or medical office experience with coding or credentialing experience.
Job Summary
The Provider Coordinator plays a crucial role in ensuring the accuracy and integrity of provider demographic and contract affiliation information within the health plan system. This role demands meticulous attention to detail and efficiency in processing incoming requests to optimize claims adjudication.
Essential Functions
In this role, you will receive provider information from external sources for system updates and apply your knowledge and experience to validate the provided information. Accurate data entry and maintenance of provider records in the computer system are vital aspects of this position, emphasizing precision and timeliness. Regular audits of loaded provider records are conducted to ensure both quality and financial accuracy, with documented feedback provided when necessary.
You will actively support system/health plan integration efforts and be responsible for training both existing staff and new hires. Additionally, you will assist in system-related testing activities.
Knowledge/Skills/Abilities
The successful candidate will have previous experience in a medical office setting working in provider credentialing or related position. Applicants without experience in claims, coding or credentialing will not be considered.
Strong verbal and written communication skills are essential, along with adherence to Managed Care Organization's policies and confidentiality requirements. Maintaining reliable attendance based on the agreed-upon schedule is mandatory. Understanding and compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations is critical. The ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers, and customers is also vital.
Required Education And Experience
To qualify for this role, you must possess a High School Diploma or equivalent GED.
Candidates must have 1+ years of managed care experience and/or medical office experience with coding or credentialing experience.
You must have at least one year of medical office experience for this role.
The Provider Coordinator position offers a unique opportunity to contribute significantly to the accuracy and efficiency of our health plan system. If you are skilled in meticulous data entry and dedicated to maintaining high data quality standards, we encourage you to apply for this position.
How to apply
To apply for this job you need to authorize on our website. If you don't have an account yet, please register.
Post a resumeSimilar jobs
Medical Records Coordinator (Hybrid)
Shady Grove Fertility,
Rockville, MD
7 hours ago
Enjoy what you do while contributing to a company that makes a difference in people's lives. US Fertility is one of the premier fertility centers in the United States, continually seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice.The work we do building families offers stimulation, challenge, and personal...
Intelligence Specialist
U.S. Army Cyber Command,
Rockville, MD
1 week ago
Major DutiesServes as an All-Source Intelligence Officer with emphasis on SCI (sensitive compartmented information) threat cyber intelligence in support of NETCOM's mission.Performs many duties as a Cyber Intelligence Watch Officer and provides SCI intelligence support to the G2 and Cyber Watch Current Operations as required.Provides operational oversight, operational situational awareness and mission status reporting to the NETCOM watch center and...
Program Manager II, Grade 25
Montgomery County Government,
Rockville, MD
$77,629
-
$101,103
per year
3 weeks ago
About The PositionThe expected salary range for this position on hire is $77,629 - 101,103Who We AreMontgomery County is located adjacent to Washington, D.C., and with over one million residents, is the most populous County in the State of Maryland. The County is also the most diverse County in the State and ranks among the top ten most diverse Counties...
