Provider Administrator

🔥 15 hours ago

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VSP Vision Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1955

⚕️ Healthcare Insurance

🛒 Retail

Healthcare Insurance • Retail

VSP Vision Care is a leading eye care company that focuses on providing access to quality eye care and eyewear solutions. With a comprehensive portfolio of services, VSP Vision Care supports both individuals seeking eye health services and providers managing their practices. The company is committed to social responsibility, emphasizing health equity, sustainability, and a culture of belonging. Through initiatives such as Follow Your Heart, VSP Vision Care helps people maximize the value of their offerings, starting with eyewear. Recognized for its customer service excellence and commitment to diversity and inclusion, VSP Vision Care strives to empower human potential through sight. It has also been acknowledged as a top workplace in healthcare and is committed to supporting veterans and the military-connected community.

📋 Description

• 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 and other departments to ensure accurate information is available to support 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 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 high standards in all written or verbal communications with providers

🎯 Requirements

• 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

🏖️ Benefits

• Eligible bonuses and commissions