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Provider Administrator

Company: Ursus
Location: Rancho Cordova
Posted on: January 12, 2022

Job Description:

Job Title: Provider Administrator
Location: Remote
Duration: 1 year

Under 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 Functions

Research, resolve, document and accurately respond to provider, practice, business parter or administor inquires and service requests.

Communicate and coordinate with providers, practices or other VSP departments to ensure accurate information is available to support VSP's 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 VSP 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 recredentialing process and audit support functions to NCQA and client standards.

Ensure requested information is delivered within specified timeframe and completed accurately.

Maintain VSP's high standards in all written or verbal communications with providers.

Job Specifications

Typically has the following skills or abilities:

Two to four years of general office experience

Proficient with word and spreadsheet applications

Ability to read and write at a level necessary to accomplish the above tasks

Demonstrated ability to identify problems and provide creative solutions

Strong attention to detail, organizational skills and problem solving skills

Excellent written and verbal communication skills

Ability to work independently and in a team environment


Keywords: Ursus, Rancho Cordova , Provider Administrator, Other , Rancho Cordova, California

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