Provider Relations & Credentialing Specialist

CommunityCare HMO Inc.; Tulsa (OK); On-site; USD 40,000 - 55,000; Full time

Job summary

CommunityCare HMO Inc. in Tulsa, Oklahoma is seeking a Provider Services Representative to support the internal infrastructure of the Provider Relations department. This administrative role involves managing provider lifecycle processes, ensuring timely updates to records, and coordinating with internal departments to resolve operational issues. The ideal candidate will have strong communication skills, organizational abilities, and experience in a managed care setting. This role offers the opportunity to participate in developing operational procedures and support critical internal operations.

Qualifications

• Strong attention to detail is essential.
• Ability to monitor and assess rapidly changing information.
• Ability to work independently while managing multiple tasks.

Responsibilities

• Primary administrative role for internal ticketing processes.
• Coordinate internal processes and procedures.
• Research and respond to provider inquiries.
• Coordinate with internal departments to resolve operational issues.
• Work with Provider Services Representative – External to resolve complaints.
• Assist in all phases of the contracting process.

Skills

Strong oral and written communication skills

Organizational skills

Time management skills

Proficient in Microsoft applications

Education

Associate’s degree

Bachelor's degree preferred

Job description

CommunityCare HMO Inc. in Tulsa, Oklahoma is seeking a Provider Services Representative to support the internal infrastructure of the Provider Relations department. This administrative role involves managing provider lifecycle processes, ensuring timely updates to records, and coordinating with internal departments to resolve operational issues. The ideal candidate will have strong communication skills, organizational abilities, and experience in a managed care setting. This role offers the opportunity to participate in developing operational procedures and support critical internal operations.