Fort Lauderdale, Florida
Provider Network Specialist Job Opening in Fort Lauderdale, Florida - NationsHearing is a leader in the hearing benefits industry. We work with health insurance companies and other organizations to assist them in providing hearing healthcare benefits and associated products. We evolved to simplify the testing, dispensing and reimbursement process of acquiring hearing aids to the millions of individuals who experience hearing loss. We are committed to improving the health and quality of life of our members.
We are looking for Provider Network Specialist with a passion to serve, an aptitude for building rapport, and an ability to engage a Provider through a genuine connection with a human touch approach. Our Provider Network Specialist will actively engage in day-to-day communications with Providers. This role requires excellent interpersonal skills to communicate effectively. They must be a positive, energetic individual with strong organizational and as well as the ability to multi-task.
Responsibilities:
Communicate frequently and effectively on both inbound and outbound calls to Providers. This includes fielding Provider questions, concerns or complaints.
Educate Providers about our programs, products and services via phone, email or other channels
Effectively manage follow up calls and email
Process, record, and track provider contracts in CRM
Monitoring the faxes, files and other sources of incoming provider data notifications to ensure that provider network data is processed in a timely manner
Maintain both electronic and hard copies and ensure they go into the appropriate storage spaces
Update provider records and review for completeness and accuracy
Manage provider contracting activities to ensure efficiency and accuracy
Work with Member Experience Advisors to assist with provider questions and educate/train
Accurate and timely recording of provider interactions in CRM and other reporting tools
Maintain records for individual rendering providers who have been credentialed and have applied for credentialing
Review provider applications prior to Credentialing Committee meetings to check for possible issues in applications so that they can be readily discussed at the meetings
Send welcome letters to credentialed providers
Coordinate with Credentialing to reconcile gaps in information on providers between our system and the Credentialing Report
Take minutes at monthly Credentialing Committee meetings and distribute them for recordkeeping and approval
Create presentations
Conduct Outbound campaigns
Conduct Training for other employees
Attend Credentialing Committee Meetings, as needed
Serve as a liaison with credentialing companies
Special Projects as needed
Member overflow duties, as requested
Qualifications:
Bachelors Degree
1-2 years customer service experience and/or sales experience preferred; telephone experience strongly preferred
Exposure and/or interest in healthcare products and outcomes
Ability to handle high call volumes and make sound business decisions in an efficient manner
Ability to remain highly motivated in a multi-faceted environment
Analytical thinker and problem solver
PC proficiency required
Attention to detail and quality-oriented
Highly energetic with motivation to assist Members, Providers and other team members
Multi-task oriented
Excellent listening and interpersonal skills
Job Type: Full-time
Required education:
Bachelor's
Required experience:
customer service: 1 year
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