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Provider Administrator

VSP Vision

Full-time
USA - East
$16-$17 per hour
leadership
documentation
communication
audit
fraud
The job listing has expired. Unfortunately, the hiring company is no longer accepting new applications.

To see similar active jobs please follow this link: Remote Administration jobs

Under direct supervision, work within and across department teams to manage provider and office staff service requests, resolve business partner questions/issues and provide call handling/routing to provider support line. Support provider management activities associated with provider data maintenance, credentialing activities, directory management, and intake requests.

Research, resolve, document, and accurately respond to provider, practice, business partner or administrator inquiries, and service requests Communicate and coordinate with providers, practices, or other VSP departments to ensure accurate information is available to support VSP’s business needs Manage the Committee meetings set up, document Committee findings in the formal meeting minutes, and notify staff of Committee decisions Monitor and maintain critical provider information in various VSP systems. Review team member quality assurance reports on a regular basis and work with leadership to prepare follow-up documentation Act as first-level intake and triage for incoming provider call line, data clean-up efforts, and specified team email box requests Support the client and regulatory audit process to include pulling required documentation and review of provider files for accuracy Gain industry knowledge to support internal and external business partner relationships Support the recredentialing process and audit support functions to NCQA and client standards Ensure requested information is delivered within specified timeframe and completed accurately Maintain VSP’s high standards in all written or verbal communications with providers

Job Specifications

Typically has the following skills or abilities:

Two to four years of general office experience Proficient with word and spreadsheet applications Ability to read and write at a level necessary to accomplish the above tasks Demonstrated ability to identify problems and provide creative solutions Strong attention to detail, organizational skills, and problem-solving skills Excellent written and verbal communication skills Ability to work independently and in a team environment

#LI-VISIONCARE

Compensation range for the role is listed below. Applicable salary ranges may differ across markets. Actual pay will be determined based on experience and other job-related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses and commissions. For more information regarding VSP Vision benefits, please click here. 

Salary Ranges: $17.85 - $28.88

VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, disability or protected veteran status.  We maintain a drug-free workplace and perform pre-employment substance abuse testing. 

Notice to Candidates: Fraud Alert - Fake Job Opportunity Solicitations Used to Collect Fees/Personal Information. 

We have been made aware that fake job opportunities are being offered by individuals posing as VSP Vision and affiliate recruiters. Click here to learn about our application process and what to watch for regarding false job opportunities. 

As a regular part of doing business, VSP Vision (“VSP”) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees.  VSP Vision employees will have access to this sensitive personal information and are subject to follow Information Security and Privacy Policies. 

About the job

Full-time
USA - East
$16-$17 per hour
8 Applicants
Posted 1 week ago
leadership
documentation
communication
audit
fraud
Enhancv advertisement

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Provider Administrator

VSP Vision
The job listing has expired. Unfortunately, the hiring company is no longer accepting new applications.

To see similar active jobs please follow this link: Remote Administration jobs

Under direct supervision, work within and across department teams to manage provider and office staff service requests, resolve business partner questions/issues and provide call handling/routing to provider support line. Support provider management activities associated with provider data maintenance, credentialing activities, directory management, and intake requests.

Research, resolve, document, and accurately respond to provider, practice, business partner or administrator inquiries, and service requests Communicate and coordinate with providers, practices, or other VSP departments to ensure accurate information is available to support VSP’s business needs Manage the Committee meetings set up, document Committee findings in the formal meeting minutes, and notify staff of Committee decisions Monitor and maintain critical provider information in various VSP systems. Review team member quality assurance reports on a regular basis and work with leadership to prepare follow-up documentation Act as first-level intake and triage for incoming provider call line, data clean-up efforts, and specified team email box requests Support the client and regulatory audit process to include pulling required documentation and review of provider files for accuracy Gain industry knowledge to support internal and external business partner relationships Support the recredentialing process and audit support functions to NCQA and client standards Ensure requested information is delivered within specified timeframe and completed accurately Maintain VSP’s high standards in all written or verbal communications with providers

Job Specifications

Typically has the following skills or abilities:

Two to four years of general office experience Proficient with word and spreadsheet applications Ability to read and write at a level necessary to accomplish the above tasks Demonstrated ability to identify problems and provide creative solutions Strong attention to detail, organizational skills, and problem-solving skills Excellent written and verbal communication skills Ability to work independently and in a team environment

#LI-VISIONCARE

Compensation range for the role is listed below. Applicable salary ranges may differ across markets. Actual pay will be determined based on experience and other job-related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses and commissions. For more information regarding VSP Vision benefits, please click here. 

Salary Ranges: $17.85 - $28.88

VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, disability or protected veteran status.  We maintain a drug-free workplace and perform pre-employment substance abuse testing. 

Notice to Candidates: Fraud Alert - Fake Job Opportunity Solicitations Used to Collect Fees/Personal Information. 

We have been made aware that fake job opportunities are being offered by individuals posing as VSP Vision and affiliate recruiters. Click here to learn about our application process and what to watch for regarding false job opportunities. 

As a regular part of doing business, VSP Vision (“VSP”) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees.  VSP Vision employees will have access to this sensitive personal information and are subject to follow Information Security and Privacy Policies. 

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