Hybrid Provider Relations Associate Analyst
SPECTRAFORCE · Dallas, TX, Vereinigten Staaten Von Amerika · Hybrid
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Job Title: Provider Relations Associate AnalystLocation: Remote and candidates need to be sourced from the CST time zone.
Duration: 12 Months (Possibility of extension depending upon business requirements and performance)
Schedule Notes: Training 8:00 am - 4:30 pm CST (about 8 weeks); Schedule will be 9:30 am - 6:00 pm CST.
Note
- This role will be remote, and candidates need to be sourced from the CST time zone.
- Candidates must have reliable, high-speed internet and a quiet and private working environment.
- Candidates need a hard-wired internet connection to plug into the equipment they will be using - WiFi will not suffice.
- No absences/time off will be approved during the training period and any candidates that have pre-planned time off during May or June should not be submitted.
- Contributes to the Provider Relations job family in a support capacity.
- Supports and maintains positive relationships with health care professionals within the network.
- Provides high quality service to health care professionals.
- Provide assistance regarding education, contract questions and non-routine claim issues.
- Coordinates communications process on such issues as administrative and medical policy, reimbursement, and provider utilization patterns.
- Assists providers in contract compliance and credentialing issues.
- Assists with preparation or modification of provider contracts.
- Completes output (documents, analyses, product) in specific work area to appropriate time and quality targets.
- Works under own initiative, prioritizes own work, and meets agreed timescales.
- Work is subject to frequent review by more experienced professionals in Provider Relations.
- INBOUND CALL CENTER EXPERIENCE - 1-2 years - PREFERRED
- Excellent verbal and written communication skills; ability to speak clearly and concisely.
- Ability to convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others.
- Strong interpersonal skills, establishing rapport and working well with others.
- Strong customer service skills.
- Computer proficiency, willing to learn new systems.
- Ability to work in a goal orientated environment.
- Ability to meet high standards for attendance.
- 1+ year of Previous Outbound or Inbound Call Center experience
- 1+ year of Customer Service Experience
- Prior experience working in a dental or medical healthcare environment.
- Basic healthcare terminology.
- Experience in a virtual working environment.
- Intermediate PC Skills required.
- Ability to receive information from dental/medical terms and communicate it to others in a clear manner.
- Previous production experience is a plus.
- Ability to use multiple systems on a computer.
- High School Diploma or GED/Equivalent
Established in 2004, SPECTRAFORCE is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams.
We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 130 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation.
SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people (and clients) can reach their highest potential. Our entire workflow and teams are trained to cultivate the joy of NEWJOBPHORIA® with candidates and employees throughout their engagement with SPECTRAFORCE. http://www.spectraforce.com
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, and hospital indemnity insurances. Additional benefits SPECTRAFORCE offers to the eligible employees include commuter benefits, 401K plan with matching and a referral bonus program. SPECTRAFORCEoffers unpaid leave as well as paid sick leave when required by law.
Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at nahr@spectraforce.com if you require reasonable accommodation.
