Provider Operations Coordinator - Remote

    • Tampa, FL

Kforce has a client in search of a Provider Operations Coordinator in Tampa, FL. This role is currently 100% remote and will switch back to office environment when COVID-19 ramps down. Key Tasks:

  • Supports the Provider Relations Field Reps to resolve claims and payment issues
  • Answers incoming telephone inquiries from providers and assist with problem resolution of issues
  • Root cause analysis of operational and health services issues
  • Reviews and processes incoming and outgoing paperwork including directory updates, provider credentialing applications, contract maintenance forms and other related forms
  • Tracks new contracts through Sidewinder
  • Audits configuration loads on new contracts
  • Provides office, project management, provider recruitment and data analysis support
  • Performs special projects as assigned or directed

  • A High School diploma or GED required
  • An Associate's degree in a related field preferred
  • 1+ year of experience in customer service or claims with exposure to problem resolution required
  • Demonstrated problem solving skills - Beginner
  • Demonstrated interpersonal/verbal communication skills - Intermediate
  • Demonstrated written communication skills - Beginner
  • Demonstrated organizational skills - Intermediate
  • Demonstrated time management and priority setting skills - Intermediate
  • Demonstrated analytical skills - Intermediate
  • Microsoft Outlook Intermediate Required
  • Microsoft Word Beginner Required
  • Microsoft Excel Beginner Required
  • Salesforce Beginner Preferred
  • Sidewinder Beginner Preferred
Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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