OR Provider Support Specialist Remote

JOB SUMMARY/PURPOSEServe as an advocate for providers by ensuring they are informed supported and educated on Samaritan Health Plans procedures benefits policies and available provider toolsCoordinates and provides administrative support to the Network Contracting and Relations with internal departments to research coordinate and resolve provider-related issues ensuring timely and accurate all provider interactions and outcomes in internal implementation and onboarding of new providers including credentialing follow-up and demographic track and follow up on provider issues; escalate complex or unresolved items as in maintaining accurate provider directories by validating demographic and operational in Network Management projects and initiatives to support departmental cross-functional collaboration to resolve routine provider operational DESCRIPTIONThe 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 s degree or equivalent combination of education and relevant experience within the health care industry requiredStrong organizational skills with the ability to manage multiple priorities effectivelyExcellent written and verbal communication skillsProficiency in Microsoft Office applications (Word Excel Outlook PowerPoint) requiredHealth plan experience strongly preferred particularly in one or more of the following areas:Provider RelationsReferral AuthorizationProvider Data MaintenanceClaims ProcessingKNOWLEDGE/SKILLS/ABILITIESData entry and time managed care and to follow orientations

Shift: Days (0800-1700) Remote no weekends

Specialty Type: Clerical

Sub Specialties: Clerical/Office Assistant/Support

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