What are the responsibilities and job description for the Provider Coordinator position at Careers Integrated Resources Inc?
Job Description:
Will this role be fully remote? Yes
What is the expected schedule (include dates/time/time-zone requirements) 8-5pm of the time-zone the employee sits in (EST, CST, MST or PST)
What are the day to day job duties?
Work intake issue tickets
Process reports research cred/enrollment case issues and update records accordingly
Data entry on SharePoint
Assist with UAT of software enhancements
Top Skills Required:
Provider Data Entry & Data Quality, Entered, validated, and maintained high-volume provider and contract data with a strong focus on accuracy, completeness, and alignment to state Medicaid/Medicare requirements.
Ticket Intake & Triage (Healthcare Systems)
Managed intake, prioritization, and resolution of issue tickets related to provider enrollment, credentialing, contracting, and provider data systems using Jira/ServiceNow/Salesforce.
System Navigation & Multi-Tool Proficiency
Worked across multiple platforms simultaneously (ticketing systems, provider portals, spreadsheets, document repositories) to resolve issues efficiently.
Preferably Salesforce proficiency
Issue Analysis & Escalation
Identified trends, root causes, and recurring issues; escalated risks and defects with appropriate documentation and business impact.
Time Management & Prioritization
Balanced competing priorities across reactive ticket work, scheduled project tasks, and administrative responsibilities in a high-volume, deadline-driven environment.
Operational & Administrative Support
Provided administrative and operational support including meeting coordination, agenda preparation, note-taking, action-item tracking, and follow-ups for project and operational teams.
Stakeholder & End-User Support
Served as a primary point of contact for internal users, translating technical issues into business-friendly language and providing clear status updates and guidance.
Attention to Detail & Confidentiality
Maintained strict attention to detail while handling sensitive provider and member data, adhering to HIPAA, internal controls, and data governance standards.
Required Education/Certification(s):
Preferred: Bachelor's Degree or equivalent combination of education and experience
Required Years of Experience:
2 years in managed care, preferably in Provider Claims and/or Provider Network Administration.
Will this role be fully remote? Yes
What is the expected schedule (include dates/time/time-zone requirements) 8-5pm of the time-zone the employee sits in (EST, CST, MST or PST)
What are the day to day job duties?
Work intake issue tickets
Process reports research cred/enrollment case issues and update records accordingly
Data entry on SharePoint
Assist with UAT of software enhancements
Top Skills Required:
Provider Data Entry & Data Quality, Entered, validated, and maintained high-volume provider and contract data with a strong focus on accuracy, completeness, and alignment to state Medicaid/Medicare requirements.
Ticket Intake & Triage (Healthcare Systems)
Managed intake, prioritization, and resolution of issue tickets related to provider enrollment, credentialing, contracting, and provider data systems using Jira/ServiceNow/Salesforce.
System Navigation & Multi-Tool Proficiency
Worked across multiple platforms simultaneously (ticketing systems, provider portals, spreadsheets, document repositories) to resolve issues efficiently.
Preferably Salesforce proficiency
Issue Analysis & Escalation
Identified trends, root causes, and recurring issues; escalated risks and defects with appropriate documentation and business impact.
Time Management & Prioritization
Balanced competing priorities across reactive ticket work, scheduled project tasks, and administrative responsibilities in a high-volume, deadline-driven environment.
Operational & Administrative Support
Provided administrative and operational support including meeting coordination, agenda preparation, note-taking, action-item tracking, and follow-ups for project and operational teams.
Stakeholder & End-User Support
Served as a primary point of contact for internal users, translating technical issues into business-friendly language and providing clear status updates and guidance.
Attention to Detail & Confidentiality
Maintained strict attention to detail while handling sensitive provider and member data, adhering to HIPAA, internal controls, and data governance standards.
Required Education/Certification(s):
Preferred: Bachelor's Degree or equivalent combination of education and experience
Required Years of Experience:
2 years in managed care, preferably in Provider Claims and/or Provider Network Administration.