Operations & Provider Relations Coordinator

11 hours ago

Philippines DOXA Talent Full time
Operations & Provider Relations Coordinator

Join to apply for the Operations & Provider Relations Coordinator role at DOXA Talent

Operations & Provider Relations Coordinator

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Role Summary

Our client is seeking a highly organized and service-oriented Operations and Provider Relations Coordinator who will support both the operations and provider relations teams of the company. This hybrid role is ideal for someone who thrives in a fast-paced, remote environment and enjoys both back-office administrative tasks and external provider engagement.

This individual will play a critical part in maintaining operational flow through documentation, quality assurance, and internal coordination, while also managing key elements of the attorney network, including recruitment, credentialing, and ongoing communication. Strong communication, autonomy, and time management skills are essential.

Work Schedule: 9:00 AM – 6:00 PM Mountain Daylight Time (11:00 PM – 8:00 AM Philippine Standard Time), follows Philippine holidays

Position Type: Full Time

Work Arrangement: Remote

Essential Functions

  1. Perform operations support responsibilities (approximately 60%):
  • Respond to client and provider emails regarding benefit inquiries and authorizations
  • Complete digital intakes and follow up on QA tasks, including chart reviews and authorization reviews
  • Maintain accurate documentation across systems in compliance with HIPAA standards
  • Manage incoming and outgoing email, forms, and faxes efficiently
  • Participate in internal quality assurance processes, providing constructive feedback to team members
  • Support case management by coordinating resources and ensuring smooth handoffs
Perform provider relations support tasks (approximately 40%):
  • Assist in recruiting attorneys to join the provider network or complete single-case agreements
  • Maintain accurate and up-to-date records in Microsoft 365
  • Review and manage attorney applications, ensuring credentialing requirements are met
  • Re-credential existing attorneys and follow up to ensure data integrity
  • Serve as a point of contact for attorneys, handling questions related to IT, contracts, payments, etc.
  • Review, revise, and support contract negotiations and rate discussions under management guidance
  • Resolve complaints or concerns about attorneys professionally and discreetly
  • Ensure quality assurance standards are met in provider workflows
  • Facilitate communication between internal departments and external partners

Qualifications

  • Bachelor’s degree required
  • Knowledge of HIPAA and handling confidential health information
  • High standards of professionalism, confidentiality, and adherence to HIPAA, HITECH, and internal policies
  • Proficiency in Microsoft 365 (Outlook, SharePoint, Teams, Forms)
  • Experience with EHR or CRM systems preferred
  • Excellent communication and interpersonal skills
  • Highly organized with ability to manage multiple priorities remotely
  • Self-motivated, adaptable, capable of working independently and in teams
  • Maintain professionalism, calmness, and positivity under pressure
  • Prompt and professional response to calls and emails
  • Flexible to evolving responsibilities and company needs
  • Contribute to continuous improvement and foster respectful collaboration
Seniority level
  • Entry level
Employment type
  • Full-time
Job function
  • Management and Manufacturing
Industries
  • Outsourcing and Offshoring Consulting
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