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Provider Services Specialist jobs in United States
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Carisk Partners · 2 days ago

Provider Services Specialist

Carisk Partners is a specialty risk transfer and care-coordination company focused on improving outcomes in managed care. They are seeking a Provider Services Specialist to support their Dental, Doctor, and Leadership Teams in Jacksonville, FL, by managing provider information and ensuring accurate credentialing processes.
Health CareInsurance

Responsibilities

Updating the provider directory from DSO provider rosters
Verifying provider information with provider offices or using online resources
Updating provider profiles with current information
Emailing and Faxing requests for information to providers
Submitting credentialing information to external CVO for processing upon satisfactory CAQH profile completion
Assesses completed provider credentialing files and directs to committee as needed
Submitting credentialing information to external CVO for processing
Uploading completed credentialing files or forwarding for review, if necessary
Overseeing files submitted for credentialing and redirecting any red flag files to the appropriate party
Other administrative duties as assigned

Qualification

Contact Center experienceCertifications in CredentialingMicrosoft OutlookMS Office essentialsMulti-taskingProblem solvingTeamworkCommunication skillsActive listening

Required

High School Diploma or GED
Ability to work well individually and in a team environment
Ability to troubleshoot and solve problems
Exceptional communication skills (written and verbal)
Must be able to multi-task, follow procedures and have active listening skills
Intermediate level skills in Microsoft Outlook and all MS Office essentials

Preferred

Contact Center experience a plus
Certifications in Credentialing a plus

Benefits

10 Paid Company Holidays
Paid Time Off
Competitive Medical, Dental, and Vision Insurance
Company Sponsored Life Insurance
Supplemental Life Insurance, Short/Long Term Disability, Employee Assistance Program, Flexible Spending Account, and many other Ancillary Benefits
401(k) Retirement Plan with Company Match
ClassPass Wellness Program
Employee Discount Program
Flexible and Hybrid Schedule Options
Internal Education Programs and Tuition Reimbursement Options
Internal Advancement Opportunities
Company-Wide Diversity and Holiday Celebrations

Company

Carisk Partners

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Carisk Partners provides quality care coordination and risk-transfer solutions in workers' compensation.

Funding

Current Stage
Growth Stage
Total Funding
unknown
Key Investors
Elements Health Ventures,Lee Equity Partners
2023-12-04Private Equity

Leadership Team

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Aaron Ware
Chief Financial Officer
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Company data provided by crunchbase