Provider Services Coordinator

Provider Services Coordinator in South San Francisco, California Overview Provider Services Coordinator W2

Contract Pay Rate:

$26.56 - $33.59 per hour

Location:

South San Francisco, CA -

Hybrid Role Job Summary:

The Provider Services Coordinator is responsible for processing provider Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) requests, as well as coordinating the Provider Directory updates. This role focuses on accurate data intake, entry, validation, and maintenance of sensitive provider and financial information.

Duties and Responsibilities:

Receive, review, and process provider demographic updates; contact provider offices as needed to verify and confirm information for timely and accurate system updates. Respond to provider inquiries regarding directory listings; assist with form completion, clarification of update requirements, and issue resolution. Collaborate with internal teams to ensure provider data is accurately reflected across directories, member-facing tools, and downstream systems. Provide hands-on support to providers navigating our provider portal, including assistance with EFT/ERA submissions and demographic updates. Clearly communicate submission requirements, documentation needs, and track request status to minimize errors and rework. Escalate complex issues appropriately while maintaining a high level of customer service. Facilitate intake and verification of EFT/ERA requests from providers. Validate banking and remittance information; identify discrepancies and ensure accuracy before updating financial records. Serve as a primary point of contact for troubleshooting EFT/ERA issues, guiding providers through application steps and documentation requirements. Identify recurring issues or workflow inefficiencies in provider submissions and recommend process improvements to enhance accuracy and turnaround time. Collaborate cross-functionally to support provider data integrity initiatives and automation efforts. Maintain up-to-date documentation of procedures, templates, and FAQs to promote internal consistency and effective provider education.

Requirements and Qualifications:

Associate's degree or equivalent experience required. Minimum of two (2) years of experience in provider services, healthcare operations, or financial data processing preferred. Must be able to pass a background check, including a credit check, due to handling of sensitive financial information. Intermediate proficiency in Microsoft Office applications (Excel, Outlook, Teams, etc.). Intermediate data analysis and reconciliation skills. Advanced data entry and maintenance skills with exceptional attention to detail. Working knowledge of healthcare provider data, EFT/ERA processes, and/or claims operations. Understanding of data security, integrity, and validation principles. Familiarity with financial risk indicators in provider payment processing. Knowledge of provider directories and provider network data systems. Ability to maintain high accuracy under pressure while effectively prioritizing tasks. Demonstrated discretion when handling sensitive financial and provider information. Ability to process provider data updates accurately and within required timelines. Ability to build and maintain collaborative relationships with providers and internal departments. Strong verbal and written communication skills. Bayside Solutions, Inc. is not able to sponsor any candidates at this time. Additionally, candidates for this position must qualify as a W2 candidate. Bayside Solutions, Inc. may collect your personal information during the position application process. Please reference Bayside Solutions, Inc.'s