Job Title: Provider Relations Associate Analyst Location: Plano, TX, 75093 OR 1571 Sawgrass Corporate Pkwy Ste 140, Sunrise, FL 33323 Duration: 12 Months (Possibility of extension depending upon business requirements and performance)
Schedule Notes:
Training Schedule: M-F, 8AM-4:30PM CST
Ongoing Schedule: M-F, 9:30AM-6:00PM CST
Note:
This role is onsite in the Plano, TX office (1640 Dallas Pkwy, Plano, TX, 75093) or the Sunrise, FL office (1571 Sawgrass Corporate Pkwy Ste 140, Sunrise, FL 33323)
No absences/time off will be approved during the training period and any candidates that have pre-planned time off during September/October (or during the 6–8-week training period) should not be submitted.
Responsibilities:
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.
Skills/Requirements: Top Non-Negotiable Skills
1+ Year of inbound call center experience required
Skills:
Strong interpersonal skills, establishing rapport and working well with others:
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
Position is offered by a no fee agency. Location : 1640 Dallas Pkwy, Plano, TX, 75093OR1571 Sawgrass Corporate Pkwy Ste 140, Sunrise, FL 33323 About Us: Established in 2004, SPECTRAFORCE® is one of the largest and fastest-growing diversity-owned staffing firms in the US. The growth of our company is a direct result of our global client service delivery model that is powered by our state-of-the-art A.I. proprietary talent acquisition platform, robust ISO 9001:2015/ISO 27001 certified processes, and strong and passionate client engaged teams. We have built our business by providing talent and project-based solutions, including Contingent, Permanent, and Statement of Work (SOW) services to over 140 clients in the US, Canada, Puerto Rico, Costa Rica, and India. Key industries that we service include Technology, Financial Services, Life Sciences, Healthcare, Telecom, Retail, Utilities and Transportation. SPECTRAFORCE is built on a concept of “human connection,” defined by our branding attitude of NEWJOBPHORIA®, which is the excitement of bringing joy and freedom to the work lifestyle so our people and clients can reach their highest potential. Learn more at: http://www.spectraforce.com
Benefits: SPECTRAFORCE offers ACA compliant health benefits as well as dental, vision, accident, critical illness, voluntary life, and hospital indemnity insurances to eligible employees. Additional benefits offered to eligible employees include commuter benefits, 401K plan with matching, and a referral bonus program. SPECTRAFORCE provides unpaid leave as well as paid sick leave when required by law.
Equal Opportunity Employer: SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at LOA@spectraforce.com if you require reasonable accommodation. At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $18.00/hr.
