Corporate Account Specialist Jobs

Principal Duties and Responsibilities

• Receive and make changes in system of records for provider rosters received – including new providers, terminations, and contract changes
• Build provider awareness and engagement of brand, not limited to provider recognition issues from field request
• Collaborate with Marketing, Sales, Provider Data, Credentialing, Operations (SCR and Claims), and other teams to coordinate to have the best provider experience and solve any issues in a timely manner
• Work with credentialing departments to conduct and review delegated audits
• Properly document all calls/contacts as required by department standards.
• Other projects and duties as assigned
• Educate providers on protocols, policies, procedures, portals, and services to improve overall provider experience
• Create efficiencies in working with vendors to create a seamless experience
• Establish relationship with corporate vendors to ensure retainment in provider networks – including re-negations of contract and reimbursements
• Work with corporate offices to streamline and receive roster updates on a regular basis
• Receive and respond to external provider related issues including claim related issues
• Serve as a back up to assist in credentialing needs for large corporations
• Resolve any provider issues in a timely and accurate manner
• Serve as the main point of contact for providers.

Job Specifications

• Associates degree or equivalent experience
• Ability to gain high level of knowledge involving intricate aspects Systems of Record
• Excellent Customer Service Skills
• Critical thinking and problem-solving abilities
• Ability to thrive in a fast-paced environment and meet assigned deadlines
• Familiarity with Microsoft Office, with strong Excel skills
• Excellent verbal and written communication skills
• Strong customer service philosophy
• High level of accuracy and attention to detail
• Exceptional data entry skills
• Minimum 3+ years of experience in Provider Relations, Account management or comparable work experience