Provider Services Assistant

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Clerical Miami, FL, US

3 days ago Requisition

We are seeking a Provider Services Assistant to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

The Provider Services Assistant plays an essential role in ensuring that healthcare providers receive the support and resources they need to deliver high-quality care to members. The Provider Services Assistant involves managing provider inquiries, facilitating communication between providers and administrative staff, and ensuring that all necessary documentation is processed efficiently. The ultimate goal is to enhance provider satisfaction and streamline operations within the healthcare services environment.

By effectively coordinating services and addressing provider needs, The Provider Services Assistant contributes to the overall efficiency and effectiveness of healthcare delivery. The Provider Services Assistant is vital in fostering a collaborative atmosphere that supports both providers and member alike.

• High school diploma or equivalent.
• Previous experience in a customer service or administrative role,.
• Relevant experience may substitute for education on a year-for-year basis.

• Associate's degree in healthcare administration or a related field.
• Experience working in a healthcare setting, or with managed care organizations or health insurance providers.
• Familiarity with healthcare regulations and provider credentialing processes.
• Experience with electronic health record (EHR) systems.

• Respond to internal and external inquiries via phone, email, and in-person, ensuring timely and accurate information is provided.
• Assist in the onboarding process for new providers, including the collection and verification of necessary documentation.
• Maintain and update provider records in the database, ensuring all information is current and accurate.
• Coordinate with various departments to resolve provider issues and facilitate smooth operations.
• Prepare reports and documentation as needed to support provider services and management.