What are the responsibilities and job description for the Network Operations Coordinator 2 position at Hire Talent?
Job Description :
The 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. The Network Operations Coordinator 2 performs varied activities and moderately complex administrative / operational / customer support assignments. Performs computations. Typically works on semi-routine assignments.
The Network 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
bility 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
ssociates 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
ll qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, identity, national origin, disability, or protected veteran status.
