Provider Support Line Specialist
Posted 19hrs ago
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Job Description
Provider support specialist assisting North Carolina healthcare providers with enrollment, claims, EHR, NCTracks, and network questions. Maintaining provider records, databases, and Helpdesk communications.
Responsibilities:
- Handle calls from providers and answer questions about network joining, contracts, enrollment, billing, member information, EHR navigation, claims submissions, authorization requests, onboarding, technology platforms, and NCTracks
- Provide coverage of the Provider Network Helpdesk phone within department expectations
- Guide providers through credentialing initiation during network expansion
- Assist providers with EHR and other portal platforms
- Respond to written and email information requests
- Help providers navigate the provider handbook, Alliance website, forms lists, and other resources
- Troubleshoot basic IT issues, including password resets and changes
- Respond to questions regarding claims and utilization management requirements
- Research agency procedures, software, and agency contacts to answer complex provider questions
- Identify and report Helpdesk request and communication trends to the Supervisor
- Contact providers regarding EHR calendar use and agency listing maintenance
- Maintain departmental resources and provide administrative support
- Maintain provider specialty lists and the departmental Agency Listing
- Maintain the insurance tracking database, current availability, and provider contract status
- Document work in supported software to meet oversight-agency expectations
- Screen and route materials; provide receptionist and telephone services
- Proofread documents as requested
- Monitor and complete tasks related to incoming department-inbox emails
Requirements:
- High School diploma or equivalent and three (3) years of office experience; or Bachelor’s degree in Business or a closely related field
- Healthcare experience preferred
- Knowledge of computerized record-keeping techniques
- Knowledge of and experience with records, reports and file maintenance
- Proficient with Microsoft Office suite
- Proficient with grammar, spelling, punctuation and vocabulary
- Ability to read, interpret and disseminate information regarding state laws, rules, regulations and policies related to enrollment
- Ability to communicate effectively both in oral and written form
- Ability to understand and follow oral and written directions
- Ability to exercise tact and discretion in working with confidential or sensitive information
- Ability to work independently with little direction
- Ability to establish and maintain effective working relationships with others
- Ability to analyze situations accurately and adopt an effective course of action
- Must work schedules covering the Provider Helpdesk, Monday through Saturday, 7AM to 6:30PM, including holidays
Benefits:
- Medical, Dental, Vision, Life, Long Term Disability
- Generous retirement savings plan
- Flexible work schedules including hybrid/remote options
- Paid time off including vacation, sick leave, holiday, management leave
- Dress flexibility
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