Job Description:

We offer remote work opportunities (AK, AR, AZ, CA, *CO, FL, *HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, *WA, WI & WY only).

Veterans, Reservists, Guardsmen and military family members are encouraged to apply!

Job Summary

Coordinates incoming correspondence in Provider Services; including reviewing and researching the issue/request, maintaining a log of all requests received, and electronically distributes all requests to the appropriate department/staff within expected timeline(s). Ensures all provider agreements received in Provider Services are appropriately and timely scanned/imaged into the contract management system; including reviewing the agreement for any redlined changes, maintaining a log of all agreements received and quality controls the agreement image.

Education & Experience

Required:

• High School Diploma or GED
• 2 years of varied responsible experience with computer database programs

Preferred:

• 2 years data entry experience
• Experience using provider data management system and/or contract management system(s)
• Experience working for a managed care program or health care provider

Key Responsibilities

• Effectively communicate through writing and/or by phone when contracting internal and external customers in order to triage and bring resolution to incoming workload.
• Review/research all contact notes receives in Provider Services; electronically distributes to appropriate department/staff within expected timeline(s).
• Review/research all incoming inter-office mail and external correspondence for provider data correction requests and distribute to appropriate department/staff.
• Reviews/researches all provider agreements received in Provider Services for accuracy and completeness, identifying any inappropriate redlined changes. Recognize issues with agreements and determine appropriate handling.
• Maintains a log of all provider agreements received in Provider Services.
• Scans/images all provider agreements received in Provider Services; applies quality controls to ensure image quality.
• Assist with development and updating of protocols and desk procedures.
• Triaging and tracking issue resolution to completion.
• Perform other duties as assigned.

Competencies

Commitment to Task: Ability to conform to established policies and procedures; exhibit high motivation.

Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapt to different styles; listen critically; collaborate.

Computer Literacy: Ability to function in a multi-system Microsoft environment using Word, Outlook, TriWest Intranet, the Internet, and department software applications.

Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

Problem Solving / Analysis: Ability to solve problems through systematic analysis of processes with sound judgment; has a realistic understanding of relevant issues.

Technical Skills: Thorough knowledge and complete understanding of the credentialing process and requirements; proficient with Word, Excel, Visual Cactus 3.0, and the ability to produce reports through querying; working knowledge of the VA policies and procedures outlined in the VA Operations manual, VA Policy Manual, DoD Regulations, and the TriWest Central Region RFP.

Working Conditions

Working Conditions:

• Availability to cover any work shift
• Works within a standard office environment
• Extensive computer work with prolonged periods of sitting
• Department of Defense security clearance

Company Overview

Taking Care of Our Nation's Heroes.

It's Who We Are. It's What We Do.

Do you have a passion for serving those who served?

Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve®!

Our job is to make sure that America's heroes get connected to health care in the community.

At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.

Benefits

We're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes:

• Medical, Dental and Vision Coverage


• Generous paid time off


• 401(k) Retirement Savings Plan (with matching)


• Short-term and long-term disability, basic life, and accidental death and dismemberment insurance


• Tuition reimbursement


• Paid volunteer time

*Annual base salary for Colorado, Hawaii, Washington D.C. and Washington State residents: $36,000 - $47,000 depending on experience*

Equal Employment Opportunity

TriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that cultivates and supports diversity at every organizational level, including hiring and retaining a diverse workforce, and we highly encourages candidates from all backgrounds to apply. Applicants are considered for positions without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.

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