Provider Relations Associate Analyst

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Job description

Title: Provider Relations Associate Analyst

Location: Plano, TX (Onsite)

Duration: 12 Months Contract (possibility for an extension/conversion based on the performance, attendance and business need)

Training Schedule: M-F, 8AM-4:30PM CST

Work Schedule: M-F, 9:30AM-6:00PM CST, 30 minute lunch, 2 - 15-minute breaks

Pay: $21.00 per hour, paid weekly, benefits available

Duties:

This role is onsite in the Plano, TX office (1640 Dallas Pkwy, Plano, TX, 75093)

No absences/time off will be approved during the training period and any candidates that have pre-planned time off during December/January (or during the 6-8 week training period) 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.

TOP NON-NEGOTIABLE SKILLS

1+ Year of inbound call center experience required

Strong interpersonal skills, establishing rapport and working well with others

Skills:

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

Ability to understand and interpret complex information from 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 and/or dental terminology

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

Education:

High School Diploma or Equivalent

Languages:

English Read Write Speak

Upon acceptance of offer, candidates will be required to submit to a background check including employment and education verifications and a urinalysis drug screening. Candidates who begin their assignment will have access to health, dental and vision benefits provided optionally by Tailored Management.

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