Network Operations Coordinator 4- WAH TX

Profile

Description

The Network Operations Coordinator 4 maintains provider data to support customer service activities through data integrity management and gathering of provider data needed for service operations. The Network Operations Coordinator 4 assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment.

Responsibilities

The Network Operations Coordinator 4 manages and maintains provider contract data and demographics for assigned provider groups. Manages provider relationships through shared services that supports Provider Network Operations. This is includes, but is not limited to:

Performing Roster Audits

Acting as a customer service liaison

Resolving provider load issues

Managing Projects as assigned

Makes decisions regarding own work methods, and requires minimal direction. Uses critical thinking to solve problems, works independently with strong time management and organizational skills to complete required work. Follows established guidelines and procedures. All other duties as assigned.

Required Qualifications

2 years of provider relations experience, Health Care services or related experience

Intermediate in Microsoft Word, Outlook, Excel and TEAMS

1 years experience managing mid to large scale projects

Must ensure designated work area is free from distractions during work hours and virtual meetings Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance of is required

Preferred Qualifications

Provider contract interpretation experience

Previous account management or project management

Knowledge with medical claims

Additional Information for Work at Home

Must have a separate room with a locked door that can be used as a home office to ensure you and your patients have absolute and continuous privacy while you work.

Must have accessibility to high speed DSL or cable modem for a home office (Satellite internet service is NOT allowed for this role); and recommended speed for optimal performance from Humana systems is 10M x 1M

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com