Provider Services Specialist

Carisk PartnersJacksonville, FL
13dHybrid

About The Position

Carisk Partners is looking for a Provider Services Specialist in our Jacksonville, FL office to support our Dental, Doctor, and Leadership Teams. Carisk Partners is patient-first specialty managed care company for injured workers focusing exclusively on above the neck injuries. We offer a generous benefit package including Medical, Dental and Vision benefits, paid time off, and opportunity for a 401K. We’re looking for talented and professional team members to provide superior customer care.

Requirements

  • High School Diploma or GED
  • Ability to work well individually and in a team environment
  • Ability to troubleshoot and solve problems
  • Exceptional communication skills (written and verbal)
  • Must be able to multi-task, follow procedures and have active listening skills
  • Intermediate level skills in Microsoft Outlook and all MS Office essentials

Nice To Haves

  • Contact Center experience a plus
  • Certifications in Credentialing a plus

Responsibilities

  • Updating the provider directory from DSO provider rosters
  • Verifying provider information with provider offices or using online resources
  • Updating provider profiles with current information
  • Emailing and Faxing requests for information to providers
  • Submitting credentialing information to external CVO for processing upon satisfactory CAQH profile completion.
  • Assesses completed provider credentialing files and directs to committee as needed.
  • Submitting credentialing information to external CVO for processing
  • Uploading completed credentialing files or forwarding for review, if necessary
  • Overseeing files submitted for credentialing and redirecting any red flag files to the appropriate party
  • Other administrative duties as assigned

Benefits

  • Medical, Dental, and Vision benefits
  • Paid Time Off
  • Opportunity for a 401K
  • 10 Paid Company Holidays
  • Competitive Medical, Dental, and Vision Insurance
  • Company Sponsored Life Insurance
  • Supplemental Life Insurance, Short/Long Term Disability, Employee Assistance Program, Flexible Spending Account, and many other Ancillary Benefits
  • 401(k) Retirement Plan with Company Match
  • ClassPass Wellness Program
  • Employee Discount Program
  • Flexible and Hybrid Schedule Options
  • Internal Education Programs and Tuition Reimbursement Options
  • Internal Advancement Opportunities
  • Company-Wide Diversity and Holiday Celebrations
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