Provider Support Line Specialist

🔥 13 hours ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $23 - $29 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Alliance Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Alliance Health is a regional health plan serving residents of several North Carolina counties by administering Medicaid and state-funded behavioral health and specialty services. It operates Tailored Plan coverage and Medicaid Direct options that integrate physical health, pharmacy, behavioral health, intellectual/developmental disability (I/DD), and traumatic brain injury (TBI) services, provides 24/7 behavioral health crisis support, member and provider portals, community trainings and outreach, and coordinates care through provider networks and governance committees.

📋 Description

• Handle calls from providers and answer questions about network joining, contracts, enrollment, billing, member information, EHR navigation, claims submissions, authorization requests, onboarding, technology platforms, and NCTracks • Provide coverage of the Provider Network Helpdesk phone within department expectations • Guide providers through credentialing initiation during network expansion • Assist providers with EHR and other portal platforms • Respond to written and email information requests • Help providers navigate the provider handbook, Alliance website, forms lists, and other resources • Troubleshoot basic IT issues, including password resets and changes • Respond to questions regarding claims and utilization management requirements • Research agency procedures, software, and agency contacts to answer complex provider questions • Identify and report Helpdesk request and communication trends to the Supervisor • Contact providers regarding EHR calendar use and agency listing maintenance • Maintain departmental resources and provide administrative support • Maintain provider specialty lists and the departmental Agency Listing • Maintain the insurance tracking database, current availability, and provider contract status • Document work in supported software to meet oversight-agency expectations • Screen and route materials; provide receptionist and telephone services • Proofread documents as requested • Monitor and complete tasks related to incoming department-inbox emails

🎯 Requirements

• High School diploma or equivalent and three (3) years of office experience; or Bachelor’s degree in Business or a closely related field • Healthcare experience preferred • Knowledge of computerized record-keeping techniques • Knowledge of and experience with records, reports and file maintenance • Proficient with Microsoft Office suite • Proficient with grammar, spelling, punctuation and vocabulary • Ability to read, interpret and disseminate information regarding state laws, rules, regulations and policies related to enrollment • Ability to communicate effectively both in oral and written form • Ability to understand and follow oral and written directions • Ability to exercise tact and discretion in working with confidential or sensitive information • Ability to work independently with little direction • Ability to establish and maintain effective working relationships with others • Ability to analyze situations accurately and adopt an effective course of action • Must work schedules covering the Provider Helpdesk, Monday through Saturday, 7AM to 6:30PM, including holidays

🏖️ Benefits

• Medical, Dental, Vision, Life, Long Term Disability • Generous retirement savings plan • Flexible work schedules including hybrid/remote options • Paid time off including vacation, sick leave, holiday, management leave • Dress flexibility