Provider Network Coordinator - REMOTE!

EK Health Services•Phoenix, AZ

12d•$18 - $20•Remote

About The Position

Under the direction of the Provider Network Team Lead, the Provider Network Coordinator will be responsible for establishing and maintaining relationships with all who access EK Health’s Provider Network. This will include injured workers, adjusters, clients, attorneys, and providers. Position Specifics : Full-time, non-Exempt position; Monday through Friday, in office or remote

Requirements

High School Diploma required, AA in related field preferred
Knowledge of general credentialing procedures
Basic medical terminology
Workers’ compensation experience is strongly recommended
Provider relations experience a plus
High comfort level with computers and computer programs (MS Word, MS Excel, Email and Internet)
Strong written and oral communication skills
Candidate must be able to sit the majority of an 8-hour day except for lunch and break times.
Candidate must be able to keyboard the majority of an 8-hour day except for lunch and break times.
Candidate must have manual dexterity.
Candidate must be able to speak on the telephone intermittently throughout the day.
Candidate must be able to read and write English fluently.
Candidate must be able to provide and confirm safe home office environment.
Home office must be HIPAA compliant.
Requires DSL, fiber, or cable internet connection from home 100 Mbps preferred or better.

Nice To Haves

Workers’ compensation experience is strongly recommended
Provider relations experience a plus

Responsibilities

Communicate with providers on a regular basis to answer any questions or concerns as well as to provide strong provider relations
Communicate with provider network customers, adjusters, and injured workers to facilitate network treatment as appropriate and prepare and send Authorizations and medical records as required
Confidently communicating with adjusters, attorneys, defense attorneys and injured workers to assist in obtaining and receiving medical treatment
Track and monitor case load to ensure timely closure of requested medical treatment
Prepare and send provider directories, as needed
Prepare and send MPN notices, as needed (track receipt and returned mail)
Generate panel cards, validate panel cards, and maintain panel spreadsheets
Manage the credentialing process and track audits of large medical groups, as needed
Make/oversee calls to medical providers for credentialing/re-credentialing to establish and/or maintain relationships with entities within EK Health’s Provider Network, as needed
Manage the provider database (additions, updates, removals, etc.) to ensure that database is accurate and current
Obtain and maintain the required documentation from providers wishing to join the EK Health Provider Network, as needed
Other duties as assigned