Provider Network Configuration Specialist

iCARE HEALTH SOLUTIONS; Miami (FL); Hybrid; USD 25,000 - 29,000; Full time

Job summary

iCARE HEALTH SOLUTIONS in Miami is seeking a detail-oriented data coordinator to maintain provider, location, group, plan, and benefit configurations in our systems. Under supervision, you will process production tickets to support client satisfaction and retention, ensuring accuracy and timeliness in all updates.

You will collaborate with provider management, credentialing, and directory teams to ensure current information, upload fee schedules, configure portal access, and deliver reports.

Qualifications

• Two years of experience in health insurance information and data management systems.
• Strong understanding of health plan terminology.
• Proficient in Microsoft Excel and MS Office.
• Strong analytical and critical thinking skills.
• Excellent written and verbal communication.
• Ability to work independently and in a team.
• For remote or hybrid roles, must engage in virtual environments with camera presence.

Responsibilities

• 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 system
• Upload fee schedules to applicable systems
• Responsible for 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

Skills

Health insurance data

Excel

Analytical thinking

Communication skills

Teamwork

Tools

MS Office

Job 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 system
• Upload fee schedules to applicable systems
• Responsible for 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
• For roles that are remote (i.e., Work From Home (WFH)) or hybrid (i.e., partial onsite at a VSP location and WFH), must demonstrate a high level of engagement in virtual environments, including maintaining camera presence during meetings to support effective communication and team alignment

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.

Salary Description

$18.00 - $21.00