Network Operations Coordinator - Remote

Overview

The Network Operations Coordinator 3 plays a crucial role in maintaining provider relations and supporting customer service activities through effective data management and claims processing.

In Short

• Maintain provider relations for health plans.
• Manage provider data including demographics and contract details.
• Handle provider audits and credentialing processes.
• Execute processes for intake and manage service failures.
• Work under limited guidance based on experience.
• Utilize Microsoft Word and Excel for data management.
• Assist in claims processing and contract interpretation.
• Travel to Market Office may be required.
• Work from home with certain internet requirements.
• Full-time position with competitive salary and benefits.

Requirements

• High School Diploma or equivalent.
• 1+ years of experience in administrative or customer support roles.
• Intermediate skills in Microsoft Word and Excel.
• Strong attention to detail.
• Effective communication skills in written and oral forms.
• Preferred experience in healthcare insurance and claims.
• Ability to work in a deadline-driven environment.
• Experience with contract interpretation is a plus.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off including holidays and volunteer time.
• Short-term and long-term disability coverage.
• Life insurance and additional opportunities for personal wellness.