Provider Operations Coordinator

Healthcare Support Staffing; Brentwood (TN); On-site; USD 35,000 - 45,000; Full time

Job summary

A leading healthcare recruiting firm is seeking a Customer Service Representative in Brentwood, Tennessee to support Provider Relations by resolving claims and payment issues. This role involves answering inquiries, processing paperwork, and conducting root cause analysis for operational challenges. Applicants should have a GED or high school diploma, with at least one year of customer service or claims experience. Healthcare experience is preferred. This is a chance to join a growing company with opportunities for advancement.

Qualifications

• 1+ year of experience in customer service or claims with exposure to problem resolution required.
• Experience in healthcare is necessary.

Responsibilities

• Supports the Provider Relations Field Reps to resolve claims and payment issues.
• Answers incoming telephone inquiries from providers and assists with problem resolution.
• Conducts root cause analysis of operational and health services issues.

Skills

Customer service

Problem resolution

Communication

Education

GED or high school diploma

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Company Job Description/Day to Day Duties:

• Supports the Provider Relations Field Reps to resolve claims and payment issues.
• Answers incoming telephone inquiries from providers and assist with problem resolution of issues.
• Root cause analysis of operational and health services issues.
• Reviews and processes incoming and outgoing paperwork, including directory updates, provider credentialing applications, contract maintenance forms and other related forms.
• Tracks new contracts through sidewinder.
• Audits configuration loads on new contracts.
• Provides office, project management, provider recruitment and data analysis support.
• Special Projects as assigned or directed

Qualifications

GED or high school diploma

1+ year of experience in customer service or claims with exposure to problem resolution Required- Healthcare required

Additional Information

Are you an experienced Customer Service Representative looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your CSR career by joining a rapidly growing company? If you answered “yes" to any of these questions – Then this CSRposition is for you!

If you are interested, please contact Krishna Gapuzat 321-574-6926