OR Provider Support Specialist Remote

JOB SUMMARY/PURPOSE Serve as an advocate for providers by ensuring they are informed supported and educated on Samaritan Health Plans procedures benefits policies and available provider tools Coordinates and provides administrative support to the Network Contracting and Relations team. Partners with internal departments to research coordinate and resolve provider-related issues ensuring timely and accurate follow-through. Document all provider interactions and outcomes in internal systems. Support implementation and onboarding of new providers including credentialing follow-up and demographic updates. Monitor track and follow up on provider issues; escalate complex or unresolved items as needed. Assist in maintaining accurate provider directories by validating demographic and operational information. Participate in Network Management projects and initiatives to support departmental goals. Support cross-functional collaboration to resolve routine provider operational concerns. DEPARTMENT DESCRIPTION The Network Management / Provider Relations department is responsible for developing supporting and maintaining relationships with the provider network across all product lines. The team ensures providers have the information resources and operational support needed to deliver high-quality care to plan members. The department collaborates with internal stakeholders including Claims Utilization Management IT and Configuration to resolve provider issues and improve overall provider satisfaction. EXPERIENCE/EDUCATION/QUALIFICATIONS Bachelor s degree or equivalent combination of education and relevant experience within the health care industry required Strong organizational skills with the ability to manage multiple priorities effectively Excellent written and verbal communication skills Proficiency in Microsoft Office applications (Word Excel Outlook PowerPoint) required Health plan experience strongly preferred particularly in one or more of the following areas: Provider Relations Referral Authorization Provider Data Maintenance Claims Processing KNOWLEDGE/SKILLS/ABILITIES Data entry accuracy. Organization and time management. Basic managed care concepts. Communication and collaboration. Ability to follow SOPs. Detail orientations

Shift: Days (0800-1700) Remote no weekends

Specialty Type: Clerical

Sub Specialties: Clerical/Office Assistant/Support

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