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    Insurance Coordinator - Torrance, United States - HireTalent - Diversity Staffing & Recruiting Firm

    HireTalent - Diversity Staffing & Recruiting Firm
    HireTalent - Diversity Staffing & Recruiting Firm Torrance, United States

    1 week ago

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    Description

    The Operations Coordinator 2 maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations. The Operations Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments.

    The Operations Coordinator 2 manages provider data for health plans including but not limited to demographics, rates, and contract intent. Manages provider audits, provider service and relations, credentialing, and contract management systems. Executes processes for intake and manage provider perceived service failures. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.

    Required Qualifications

    Less than 3 years of technical experience

    Proficiency in MS Office applications

    Possess a strong attention to detail

    Ability to work in a deadline driven environment

    Strong verbal and written communication skills

    Previous account management, project management or related experience

    Must be passionate about contributing to an organization focused on continuously improving consumer experiences

    Preferred Qualifications

    Associates or Bachelors Degree

    Prior experience working in the insurance industry

    Proficiency in MS Access

    Previous experience in claims

    Prior contract interpretation experience strongly desired

    Previous provider experience (provider contract, provider relations, or provider service)

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