Program Coordinator

AppleOne Employment Services

Columbia (SC)

Presencial

USD 28 000 - 34 000

Tempo integral

14 dias+

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Resumo da oferta

AppleOne Employment Services is seeking a detail-oriented Provider Support Representative to support a large-scale healthcare provider revalidation project. This role focuses on the administrative and document-review portion of the revalidation process.

The selected candidates will review provider applications and supporting documentation, identify missing or incomplete information, communicate with providers as needed, and ensure documentation is accurate and ready for the next stage of

Qualificações

  • Bachelor's degree plus at least one year of healthcare application processing or escalation support preferred.
  • Healthcare customer service experience preferred.
  • Strong computer and Microsoft Office skills.

Responsabilidades

  • Review provider revalidation applications and supporting documentation for completeness and accuracy.
  • Verify documentation against established requirements based on provider type or specialty.
  • Request missing or additional documentation from providers via email and, when needed, phone.
  • Apply established policies, procedures, and regulatory requirements when reviewing documentation.
  • Maintain accurate provider lists, tracking information, documentation, and reports.
  • Meet established productivity, quality, and turnaround expectations.
  • Communicate with internal team members regarding questions, exceptions, or unusual situations.
  • Adapt to changing processes, priorities, workloads, and project requirements.
  • Assist with additional administrative and project-related duties as needed.

Conhecimentos

Detail-oriented
Document review
Written/verbal communication
Microsoft Office
Team collaboration
Independent after training

Formação académica

Bachelor's degree

Ferramentas

Teams
SharePoint
Planner

Descrição da oferta de emprego

Location: Onsite – Columbia, SC

Pay: $20–$25/hour, depending on experience

Schedule: 8:00 am - 5:00 pm

Job Type: Long-Term Contract

We are seeking a detail-oriented Provider Support Representative to support a large-scale healthcare provider revalidation project.

This role focuses on the administrative and document-review portion of the revalidation process. The selected candidates will review provider applications and supporting documentation, identify missing or incomplete information, communicate with providers as needed, and ensure documentation is accurate and ready for the next stage of processing.

This is a high-volume, process-driven position where accuracy and attention to detail are essential. The ideal candidate is comfortable performing repetitive, documentation-heavy work, following detailed procedures, and adapting to changing processes and priorities.

Key Responsibilities
  • Review provider revalidation applications and supporting documentation for completeness and accuracy
  • Verify documentation against established requirements based on provider type or specialty
  • Request missing or additional documentation from providers via email and, when needed, phone
  • Apply established policies, procedures, and regulatory requirements when reviewing documentation
  • Maintain accurate provider lists, tracking information, documentation, and reports
  • Meet established productivity, quality, and turnaround expectations
  • Communicate with internal team members regarding questions, exceptions, or unusual situations
  • Adapt to changing processes, priorities, workloads, and project requirements
  • Assist with additional administrative and project-related duties as needed
Ideal Candidate

The successful candidate will have:

  • Strong attention to detail and a high degree of accuracy
  • Comfort performing repetitive, documentation-focused work for extended periods
  • Ability to follow detailed written procedures and compare documentation against established requirements
  • Strong organizational skills and the ability to work independently after training
  • Flexibility and adaptability as processes and priorities evolve
  • A collaborative, team-oriented approach and willingness to assist with changing project needs
  • Good judgment and a willingness to ask questions rather than make assumptionsAbility to understand how document review impacts subsequent stages of the overall process
  • Strong written and verbal communication skills
  • Proficiency with Microsoft Office
  • Experience with Teams, SharePoint, and/or Planner is strongly preferred
Minimum Qualifications
  • Bachelor's degree plus at least one year of experience in healthcare application processing or healthcare-related escalation support preferred
  • Equivalent combinations of education and experience may be considered
  • Healthcare customer service experience preferred
  • Strong computer and Microsoft Office skills
  • Ability to work onsite in Columbia, SC during standard business hours

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here: https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here: https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

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