Sr Provider Operations Rep

Healthfirst Inc.
Published
April 30, 2021
Location
Lake Mary, FL
Job Type
 

Description

The Senior Provider Operations Representative is responsible for performing all duties of a Provider Operations Representative, as well as serving as resource for the Prov Ops Reps including training, coaching and guiding performance of Prov Ops Reps. This role will support the Supervisor as a resource department representative for cross-functional projects/meetings.

  • Conducting comprehensive and thorough review of requests for Provider profile set-up and/or updates initiated by other departments and received via Macess, fax, or e-mail for accuracy and completeness.
  • Collaborating with internal and external customers to obtain any missing information required to complete requested set up and/orupdate.
  • Entering Provider profile data into MHS database as requested.
  • Identify inconsistencies and/or conflicts between Provider and Facility records.
  • Validating Providers profile data for compliance with Provider set up guidelines as required to execute and file Providers application.
  • Analyzing Provider records within MHS and compare the data against the initial set up instructions provided.
  • Communicating discrepancies to both internal and externalcustomers as appropriate to clarify and resolve any inconsistencies to ensure database accuracy.
  • Maintaining a daily production sheet daily to include all work completed for the workday.
  • Providing daily updates to Sr Representatives on the status of all activeprojects until completed.
  • Managing work assigned through prioritization to meet expected completion deadlines for each request received.
  • Communicating with department leadership toensure that assigned workload can be completed as assigned.
  • Participating in special projects as required.
  • Additional duties as assigned
  • Conducting comprehensive and thorough review of requests for Provider profile set-up and/or updates initiated by other departments and received via Macess, fax, or e-mail for accuracy and completeness.
  • Collaborating with internal and external customers to obtain any missing information required to complete requested set up and/orupdate.
  • Entering Provider profile data into MHS database as requested.
  • Identify inconsistencies and/or conflicts between Provider and Facility records.
  • Validating Providers profile data for compliance with Provider set up guidelines as required to execute and file Providers application.
  • Analyzing Provider records within MHS and compare the data against the initial set up instructions provided.
  • Communicating discrepancies to both internal and externalcustomers as appropriate to clarify and resolve any inconsistencies to ensure database accuracy.
  • Maintaining a daily production sheet daily to include all work completed for the workday.
  • Providing daily updates to Sr Representatives on the status of all activeprojects until completed.
  • Managing work assigned through prioritization to meet expected completion deadlines for each request received.
  • Communicating with department leadership toensure that assigned workload can be completed as assigned.
  • Participating in special projects as required.
  • Additional duties as assigned

Minimum Qualifications:

  • High School Diploma or GED equivalent from an accredited school.
  • Working experience in a data entry environment that requires meeting deadlines, quality results, and solving problems in a production environment.
  • Flexible work schedule.
  • Experience with MS Office suite

Preferred Qualifications:

  • Associate degree from an accredited institution.
  • Experience with MHS and/or MACESS preferred
  • Self-driven and able to make process improvements.
  • Time management skills and understands prioritizing.
  • Ability to multi-task through various applications and database systems.
  • Adaptable in a fast and changing environment.
  • Ability to type 35-40 words a minute

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.

EEO Law Poster and Supplement

All hiring and recruitment at Healthfirst is transacted with a valid "@healthfirst.org" email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

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