- Less than 3 years of technical experience
- Previous account management, project management or related experience
- Associates or Bachelors' Degree
- Prior experience working in the insurance industry
- Prior contract interpretation experience strongly desired
- MS Access
- Previous provider experience (provider contract, provider relations, or provider service)
- Previous experience in claims
- 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 focused on interpretation of area/department policy and methods for completing assignments
- Performs varied activities and moderately complex administrative/operational/customer support assignments.
- Performs computations.
- Typically works on semi-routine assignments.
- 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.
- 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
- 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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Insurance Operations Coordinator - Torrance, United States - HireTalent - Diversity Staffing & Recruiting Firm
Description
Insurance Operations Coordinator
Torrance, CA
Contract-to-hire
The Insurance Network 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.
Must Haves:
Preferred:
Key Responsibilities & Actions:
Required Qualifications
Preferred Qualifications