Provider Network Specialist jobs in Utah

We are a Utah-based medical billing/provider services company with a nationwide presence providing practice management and EHR software, payer enrollment, licensing, privileging and payer contracting, and full revenue-cycle management services, including coding, billing, follow-up and denial resolution. Come join our fast-paced, high-energy team as a provider relations specialist, with great company benefits and opportunity for growth.

The right candidate will be motivated and professional, with a commitment to production of the highest quality and positive contribution to the team. If you thrive on helping others and problem solving in an open, collaborative environment, we have a great position for you. Payer enrollment, medical billing or insurance experience is preferred, but we are willing to train the right candidate.

Responsibilities:

• Review, monitor, and analyze enrollment documents, including education, residency and fellowship training, board certification and eligibility, licensure, professional work history, liability insurance, and malpractice history.
• Generate, submit, and maintain contracting, insurance enrollment, licensing or privileging applications for requested companies, states or facilities.
• Obtain missing information from provider or client as required to complete applications
• Review all applications for accuracy and completeness.
• Communicate with supervisors, or clients on the status of applications.
• Other duties as assigned by manager.

Position Requirements:

• High School Diploma or equivalency;
• Computer competency, including a working knowledge of Microsoft Excel, Outlook and Word;
• Excellent customer service skills;
• Ability to work well with people at all levels of the organization;
• Ability to take initiative, ask questions, and work independently;
• Adherence to a high level of professional and ethical standards (in accordance with HIPPA standards)
• Experience in leading a teams call/ meeting
• Project management experience/ strategies
• 40 WPM Typing

Experience:

Medical Credentialing: 1 year (Preferred)

Customer service experience

Job Type: Full-time

Pay: $17.00 - $21.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Family leave
• Flexible schedule
• Flexible spending account
• Free parking
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Vision insurance

Experience level:

• 1 year

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Do you have experience with medical insurance credentialing, medical insurance contracting, or physician facility privileging? If so, how much?
• Do you have experience in leading a teams call/ meeting? How much? Please describe?
• Do you have project management experience/ strategies? Please describe?

Education:

• High school or equivalent (Required)

Experience:

• Project Management: 1 year (Required)
• Customer service: 1 year (Preferred)

Ability to Commute:

• Sandy, UT 84070 (Required)

Work Location: Hybrid remote in Sandy, UT 84070