Margarita Apanovich

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#hiring Provider Administrator, Orlando, United States, fulltime #opentowork #jobs #jobseekers #careers #Orlandojobs #Floridajobs #Administration Apply: https://lnkd.in/g2iVu3Cs General SummaryUnder direct supervision, work within and across department teams to manage provider and office staff service requests, resolve business partner questions/issues and provide call handling/routing to provider support line. Support provider management activities associated with provider data maintenance, credentialing activities, directory management and intake requests.Essential FunctionsResearch, resolve, document and accurately respond to provider, practice, business parter or administor inquires and service requests.Communicate and coordinate with providers, practices or other departments to ensure accurate information is available to support business needs.Manage the Committee meetings set up, document Committee findings in the formal meeting minutes and notify staff of Committee decisions.Monitor and maintain critical provider information in various systems. Review team member quality assurance reports on a regular basis and working with leadership to prepare follow-up documentation.Act as first-level intake and triage for incoming provider call line, data clean-up efforts and specified team email box requests.Support the client and regulatory audit process to include pulling required documentation and review of provider files for accuracy.Gain industry knowledge to support internal and external business partner relationships.Support the re-credentialing process and audit support functions to NCQA and client standards.Ensure requested information is delivered within specified timeframe and completed accurately.Maintain high standards in all written or verbal communications with providers.Job SpecificationsTypically has the following skills or abilities:Two to four years of general office experienceProficient with word and spreadsheet applicationsAbility to read and write at a level necessary to accomplish the above tasksDemonstrated ability to identify problems and provide creative solutionsStrong attention to detail, organizational skills and problem solving skillsExcellent written and verbal communication skillsAbility to work independently and in a team environmentWorking ConditionsThe working environment is generally favorable, lighting and temperature are adequate, and there are no hazardous or unpleasant conditions caused by noise, dust, etc.The above information on this description had been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job range.Nesco Resource provides equal employment opportunities to all employees and applicants for employment and prohibi