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Provider Service Representative

Columbus, OH
About us:
Morgan Stephens represents the nation’s top healthcare systems offering the highest compensation and benefits to our top candidates.   We are created and managed by experienced industry professionals in healthcare. As a leading provider of contract, contract to perm, and direct placement recruiting services to healthcare organizations throughout the United States, we have successfully served the needs of our employees and clients by placing thousands of quality healthcare professionals into organizations seeking top talent.
Open Position:
The Provider Service Representative is responsible for assisting in the full range of provider relations and service interactions, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. Provider Service Representatives assist in the design and implementation programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. Other responsibilities include supporting those who direct and implement strategies relating to the development and management of a provider network, identify gaps in network composition and services to assist the network contracting and development staff in prioritizing contracting needs, and may also be involved in identifying and remediating operational short-falls and researching and remediating claims.

Apply knowledge/skills to activities that often vary from day to day
Demonstrate a moderate level of knowledge and skills in own function
Require little assistance with standard and non-standard requests
Solve routine problems on own
Work with supervisor to solve more complex problems
Prioritize and organize own work to meet agreed upon deadlines
Work with others as part of a team
Detail Oriented individual with 3+ years Managed Care Experience. Excel, Word and Power Point proficient, Multi-function environment requiring flexibility and Provider relationship focus

High school diploma or Equivalent
2+ years of managed care or medical insurance experience
1+ years experience in a claims, customer service or provider support role
Ability to work independently and remain on task
Good organization and planning skills
Strong interpersonal and oral communication skills including telephone etiquette
Basic level of research and analytical skills
At least a basic level of proficiency with MS programs including Excel and Word

For More Information:

Morgan Stephens ofrecemos reclutadores que hablan Espanol

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