Provider Liaison Specialist
HealthAxis Group
3 reviews
-
Tampa, FL 33609
HealthAxis Group
3 reviews
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Job Details
Level
Experienced
Job Location
HealthOps Corporate, Tampa - Tampa, FL
Position Type
Full Time
Provider Liaison Specialist
Provider Liaison Specialist
Tampa, FL
HealthOps, a cornerstone in the Tampa Healthcare landscape for over a decade, is searching for a Provider Liaison Specialist to join our Member Services team. The Provider Liaison Specialist receives, investigates and responds to assigned provider inquiries and resolves problems and/or complaints in a timely and accurate manner.
Principal Duties and Responsibilities:
• Answers provider calls within established department standards
• Maintains regular contact with key provider organizations and serves as liaison to internally resolve complex issues
• Tracks all calls within the IKA database ensuring that documentation is concise and factual
• Researches and resolves incoming escalated provider inquiries within contract guidelines
• Responsible for maintaining working relationships with the existing provider network
• Participates in ongoing education programs as directed by the Supervisor
• Responsible for fully understanding all lines of business benefits, medical management processes, demographic change processes, and process for changing Primary Care Physicians (PCP)
• Maintains appropriate current source documents and reference documents
• Interacts professionally with providers, other employees, customers and suppliers
• Works effectively as a team contributor by completing assignments on time and in an accurate manner
• Works independently while communicating and coordinating work efforts with other employees and organizations
• As required, re-directs calls to appropriate department
Requirements & Qualifications
Experience and Education:
• High school diploma or general education degree (GED) required
• Minimum of six months to one-year related experience required or an equivalent combination of education, training and experience
• Excellent oral and written communication skills including good grammar, voice and diction
• Able to read and interpret documents
• Ability to calculate figures and amounts
• Proficient in MS Office with basic computer and keyboarding skills
• Excellent customer service skills (friendly, courteous and helpful)
• Strong creative, analytical and investigative skills
• Excellent planning, time management and organizational skills
• Strong understanding of claims processes
HealthAxis Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, disability status, or membership in any other group protected by federal, state or local law