Provider Administration Specialist Position Available In Fulton, Georgia

Provider Administration Specialist AgreeYa Solutions Alpharetta, GA Would you like to work for a software solutions company that has grown in triple digits in the last 5 years? If you answered Yes, then we need to talk…. We are looking for an Provider Administration Specialist who be part of a close-knit, high performing team. We are committed to creating an environment where all employees are valued and respected. This position offers a very competitive compensation and benefits package

Job Title :

:

Provider Administration Specialist Job Type :

: NIT01

Job Location :

: Alpharetta, GA It is a remote job but Applicant must reside near Alpharetta, GA within 40 miles. Shift will be 8-5 EST.

Position Description :

: This position is responsible for maintaining the integrity of provider information on enterprise systems including overseeing the distribution of updated information requested by client offices. Other responsibilities include assisting in nurturing positive relationships between the health plan, providers and practice managers.

ESSENTIAL DUTIES & RESPONSIBILITIES

Maintains the integrity of an electronic database and assists client providers offices with business name changes, tax ID changes, termination of contracts, change of ownership, business splits, sale of practices, adding additional associates, license changes, specialty changes, updated contract information, and provider directory assistance. Plan, prioritize, organize and complete work to meet established objectives. Work individually or with a team to solve complex problems related to provider servicing. Sometimes acts as a technical resource to others in own function. Works various workflow queues for claims where address tax identification number conflicts with the provider file data. Handles escalated calls from client groups as well as outgoing calls to offices. Resolves 1099 tax discrepancies with provider offices; verifying with external databases. Runs queries; generates monthly reports and credentialing document verification requests. Screens provider enrollment packets for missing information and requests missing information from the provider. Performs other miscellaneous duties as assigned.

CORE COMPETENCIES / KNOWLEDGE & SKILL REQUIREMENTS

Organizational/time management skills and multi-tasking abilities. Strong written, verbal, interpersonal and phone skills Detail oriented with mathematical, reading, and comprehension skills. Ability to type 40 words per minute with no more than two errors. Knowledge of the companys claims processing systems, claims flows and adjustment notices. Must be flexible to work any shift and willing to work overtime as needed based on business needs.

EDUCATION, EXPERIENCE & TRAINING REQUIRED A

high school diploma or GED but candidates with proven experience will not be excluded from consideration. A minimum of 2 years related experience (Managed Care or Medical/Dental Insurance experience). Seeking someone with some credentialing experience.

About AgreeYa:

AgreeYa is a global systems integrator delivering a competitive advantage for its customers through software, solutions, and services. Established in 1999, AgreeYa is headquartered in Folsom, California, with a global footprint and a team of more than 1,800+ professionals across offices. AgreeYa works with 550+ organizations ranging from Fortune 100 firms to small and large businesses across industries such as Telecom, Banking, Financial Services & Insurance, Healthcare, Utility & Energy, Technology, Public Sector, Pharma & Biotech, Retail, CPG, and others. Please visit us at www.agreeya.com for more information.

Job Type:

Contract Pay:

Up to $17.00 per hour

Benefits:

Dental insurance Health insurance Vision insurance

Schedule:

8 hour shift Monday to

Friday Work Location:

In person