Network Relations Specialist

Network Relations Specialist

Requirements

• 2-5 years data entry experience
• 1-2 years of customer service experience
• Microsoft Office applications experience

Responsibilities

• Manage the provider application / onboarding process and workflow within internal systems, ensuring information is collected and documented against workflow standards.
• Role is responsible for achieving production volume standards as defined by department management, and may only focus on specific aspects of the provider application / inquiry / data integrity processes (as defined by management)
• Role will be oriented to specific workflow supporting these tasks, and will generally follow these workflow expectations towards production expectations
• Respond to provider inquiries (Network Assistance Form tickets) spanning several types of inquiries (ex: status of their application)
• Role will conduct necessary independent research/outreach/steps to resolve provider situations within specified turnaround times
• Research provider requests for demographic data maintenance to validate accuracy of change request and/or if more information may be needed. Interact with provider to close information gaps where necessary.
• Work with internal cross-functional partners to submit information updates into various provider data systems
• Ensure accuracy of our provider applications, inquiry responses, and all corresponding data by engaging in related review and audit processes
• Role will interact with external providers and must demonstrate appropriate professionalism and communication standards

Preferred Qualifications

• Knowledge of PRMS and EPDB or Smart Front End