Note: The job is a remote job and is open to candidates in USA. VSP Vision Care is a leading provider of vision care solutions, and they are seeking a Provider Administrator to manage service requests and support provider management activities. The role involves coordinating with providers and managing critical provider information, while also ensuring compliance with regulatory standards.
Responsibilities
- Manage provider and office staff service requests, resolve business partner questions/issues and provide call handling/routing to provider support line
- Support provider management activities associated with provider data maintenance, credentialing activities, directory management and intake requests
- Research, resolve, document and accurately respond to provider, practice, business partner or administrator inquiries and service requests
- Communicate and coordinate with providers, practices and other departments to ensure accurate information is available to support business needs
- Manage the Committee meetings set up, document Committee findings in the formal meeting minutes and notify staff of Committee decisions
- Monitor and maintain critical provider information in various systems
- Review team member quality assurance reports on a regular basis and work with leadership to prepare follow-up documentation
- Act as first-level intake and triage for incoming provider call line, data clean-up efforts and specified team email box requests
- Support the client and regulatory audit process to include pulling required documentation and review of provider files for accuracy
- Gain industry knowledge to support internal and external business partner relationships
- Support the recredentialing process and audit support functions to NCQA and client standards
- Ensure requested information is delivered within specified timeframe and completed accurately
- Maintain high standards in all written or verbal communications with providers
Skills
- Two to four years of general office experience
- Proficient with word and spreadsheet applications
- Ability to read and write at a level necessary to accomplish the above tasks
- Demonstrated ability to identify problems and provide creative solutions
- Strong attention to detail, organizational skills and problem solving skills
- Excellent written and verbal communication skills
- Ability to work independently and in a team environment
- For roles that are remote (i.e., Work From Home (WFM)) or hybrid (i.e., partial onsite at a VSP location and WFM), must demonstrate a high level of engagement in virtual environments, including maintaining camera presence during meetings to support effective communication and team alignment
Benefits
- As a part of the compensation package, this role may include eligible bonuses and commissions.
- For more information regarding VSP Vision benefits, please click here.
Company Overview
Company H1B Sponsorship