Cigna Healthcare

Healthcare Provider Relations Analyst

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Alka Mathur

Alka Mathur

Account Manager @ Hire Talent

Please find the following Job description:

Job Title: Provider Relations Associate Analyst

Job Location: the Plano, TX / Sunrise, FL

Job duration: 12 Months Contract ( High Potential to Extent )

Schedule: M-F, 9:30 AM-6:00 PM CST

Pay- $18

Responsibilities

  • Contributes to the Provider Relations job family in a support capacity.
  • Supports and maintains positive relationships with healthcare professionals within the network.
  • Provides high-quality service to healthcare professionals.
  • Provide assistance regarding education, contract questions, and non-routine claim issues.
  • Coordinates communications process on such issues as administrative and medical policy, reimbursement, and provider utilization patterns.
  • Assists providers in contract compliance and credentialing issues.
  • Assists with the preparation or modification of provider contracts.
  • Completes output (documents, analyses, product) in specific work areas to appropriate time and quality targets.
  • Works under own initiative, prioritizes own work and meets agreed timescales. Work is subject to frequent review by more experienced professionals in Provider Relations.


Skills/Requirements

  • 1+ Year of inbound call center experience required
  • Strong interpersonal skills, establishing rapport and working well with others
  • Excellent verbal and written communication skills; ability to speak clearly and concisely.
  • Ability to convey complex or technical information in a manner that others can understand
  • Ability to understand and interpret complex information from others
  • Strong customer service skills
  • Computer proficiency, willing to learn new systems
  • Ability to work in a goal-orientated environment
  • Ability to meet high standards for attendance
  • 1+ year of Previous Outbound or Inbound Call Center experience
  • 1+ year of Customer Service Experience
  • Prior experience working in a dental or medical healthcare environment
  • Basic healthcare and/or dental terminology
  • Intermediate PC Skills required
  • Ability to receive information from dental/medical terms and communicate it to others in a clear manner
  • Previous production experience is a plus
  • Ability to use multiple systems on a computer


Education:

  • High School Diploma or Equivalent

  • Seniority level

    Associate
  • Employment type

    Contract
  • Job function

    Health Care Provider
  • Industries

    Hospitals and Health Care

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